HomeMy WebLinkAboutDrain Layers Permit 54 Greenwood Drive I
or N TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor D&L EXCAVATION
Location Address 80 WILSON LANE
Type Work NEW SAN LAT VEERNON, CT,06066 j
Phone ,No. (860)875-3883
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Time Insp Needed ►me IP
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Permit,11o. 7336 Town of South Windsor , CT
Permit-of�t"t 10/09/2001 Drain Layer, Permit
Expiratio' Date '11/08/2001
Descrip: �_......._ �..._ __: _
Applicant Location
Name D&L EXCAVATION Addr. Ofl54 GREENWOOD DRIVE
Addr . 80WILSON LANE Owner`C;IECHOWSKI ROBERT W & ROBERTA K
VEERNON , CT ,06
Phone No. (860)875-3883
The Drain Layer as r«tii thl permit >has ` valid T i,cense issued by the
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state and hereby agre0.s to 1"T 'th t ter ;and ` gri i;ti cans set forth in the
attached 'Conditions' Al ha l r" vpr^lC s7;1 tad in aocgrd,ance with Town of South
Windsor standards, all '.flSHA r�quir"eY�te "end thie :atached conditions.
Issued By7-77
Date Inspected ll ��—= £n8p ec
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR - 3 3
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: &ugjo W Go1%.N Lot # QL
Street No. Street Name
Premises owned by: S �e
Name of Firm: L X C � 7'i�a ,, Phone: 3pf 3
Address of Firm:-.9 l {Ci DC,G 7bI2 s_w IND�ZA, C_.?- �Lv�
TYPE OF WORK:
Lay House Drain Li Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ( (VG
Existing Water Supply: Public Water Well
Proposed Start Date 4 Estimated time for completion 9 it
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 to w � � the holder of Drain
Layer's License No. a a f 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. and/or ConnDOT Permit No.
CBYD No, _
Signed: Print Name: kvhgrxl-r"
icensed brain Layer _
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Io%i/e f
BUILDING ADDRESS ' Vreeh wood- pt''ye-
STREET Gyre-eA WO.Oj 01—/ ✓I
+ SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTO ' SUPERVISOR (PRINT)
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STREET ADDRESS SIGWO
Y'?rho n ur D6D6G DATE
TOWN STATE ZIP INSPECTED BY T64
676 ., � � �� DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER