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HomeMy WebLinkAboutDrain Layers Permit 246 Graham Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permajt No. 6750 Contractor COVEN CONSTRUCTION CO. Location 0246 GRAHAM ROAD Address P.O. BOX 427 Type Work NEW SAN LAT COVENTRY CT 06238 R o e ,No. (860)282-0526 Date Insp Needed f�� `� '' tr 4 i t l L s _ Time I nsp Needed my[ED Ihspected By _ 1 ` Work in Progress Ntn Aug,, _ tip -45 + ; 3 `Itp Date i �nrrQnc will sc,5mii as-Wl_ : tS Permit No. 6750 Town of South Windsor,Permit Date 01/14/1998 Expiration Date 02/13/1998 Drain Layer Permit CT Descrip ; Applicant Location Name COVEN CONSTRUCTION CO. � Addr. P.O. BOX 427Ad0 GRAHAM ROAD { k+ I IdH` E MARY M & JOHN F SURV COVENTRY CT f 3 Phone No. (860 )282-0526 � ' � : 4'! The Drain Layer as i°gh i ense issued b the state and herebya re �s Y � y attached 'Conditions g t 9 tltnd c ,, set forth in the • t ac I a with Town_c�fSouthI-- 1�Iladsn r- s-ta�ad& ds-,�1 O q e4�attached conditions. I Issued By P #` )ate Inspected Ispt � �-Y nrri,�%,riaLvIv rvXc LXLtjly i.cilcn,a X-F cl u1 TOWN OF SOUTH WINDSOR / PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work IJI !'4 �r ��� Lot # Street No. Street Name Premises owned by: 0 J G L1 Name of Firm: Ck-, v 4, Phone: '7 '�1 Address of Firm: i3 o,< �r j TYPE OF WORK. Lay House Drain Repair House Drain ; Lay Main Lay Lateral for CommerciaVIndustrial Building of acres I� Connection will be made with , completion Proposed Start Date Estimated time or com P .f P ALL WORK TO BE IN ACCORDANCE WITH TOWN OF S TH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued toC cf��,. the holder o Drain F f layer's License No. q-)J ?GG Only holders of Pl, & W9 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. and/or ConnDOT Permit No. Print NameSigned: c f F < --- c d Drain layer Date: VA TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: / 4 BUILDING ADDRESS STREET : �� ►�✓� �© . MA SUBDIVISION: l NA-) c �� C G`i i R 30 NORTH ARROW t i 11 i !,�r`/l i AYE 77 t _ r. i f � s I i -s-- i f ' coo C--,,J--Ccw��-('c-, i -/ f t CONTRACTOR (PRINT) NAME OF CO NT CTOR'S SU ERVISOR ( INT) STREET ADDRESS SIG URE j t,A DATE TOWN STATE _ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER