HomeMy WebLinkAboutDrain Layers Permit 120 Gilbert Lane ¢ TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor J & H SLATER CONST CO
Location r Address 75 COMMERCE WAY
Type Work SOUTH WINDSOR CT 06074
ne No. (860)528-5252
Date Insp Needed '4�
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Time Insp Needed
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Inspected By
Work in Progress
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Date L 1 -1 002
7478 Town of South Windsor, CT
P mi.t Date 08/02/2002 Drain Layer Permit
Expiration Date 09/01/2002
Descrip: USER FEE ;SAID-CK#11812
Applicant Location
SA-
Name J & H SLATER CONST C 0 GILBERT LANE z
Addr. 75 COMMERCE WAY r'` K REALTY INC
SOUTH WINDSOR
Phone No. (860)528-525
The Drain Layer i has icense issued by the
state and hereby ag 1 t an ' i ns set forth in the
attached 'Condition ' n e with Town of South
Windsor standards, a e d tached conditions.
Issued By
Date Inspected By ^-�
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF.SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: `-1IL06ft�- 1-44. Lot #
Street No. Street Name
Premises owned by: )Ed
Name of Firm:j-v �a Cam, (�C� Phone:
Address of Firm: C='v (.(J1
TYPE OF WORK:
Lay House Drain X ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with (,,,,e
Existing Water Supply: Public Water " Well
Proposed Start Datef Estimated time for completion 2 L(f5
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued tojfiw-t�5 SU+t- the holder of Drain
Layer's License No. QS774 l Only holders of P1 or P7 licenses will be
issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER DATE OF
ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and
conditions set forth in the permit and attached thereto. Applicant has received Town
Street Excavation Permit No. &S Jo4 and/or ConnDOT Permit No.
CBYD No. — -
Signe Print Name: W._�
Licens Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: ® 2
BUILDING ADDRESS
STREET
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STREET ADDRESS G ATURE
s�v, C. 124 0���
' DATE
TOWN STATE ZIP INSPECTED BY TOWN
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EPHONt NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER