HomeMy WebLinkAboutDrain Layers Permit 295 Griffin Road Permi>t No. 6854 Town of South Windsor, CT
hermit Date 07/23/1998 Drain Layer Permit
Expiration Date 08/22/1998
Descrip: SEWER USER FEE PAID CK#1036
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Applicant Location
Name H. W. LEVACK CO. A4cW,. 295 GRIFFIN ROAD
Addr. 49 MASCOLO ROAD , A,F *-.'MPtr1.TON JOAN B
SOUTH WINDSOR CT 4$Q/(�
Phone No. (860)528-0131 .;
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The Drain Layer ass �n�� h1 pilicense issued issued by the
state and hereby agres" t � � � end c itt set forth i n the
u � .:
attached 'Conditions' � {}.A�1 werrk e`ha�� #�.�n ac�c` .� c �s w i th Town of South
Windsor standards, all qu} A d �a�tched conditions.
Issued By G�► �/'' � � TG,���y -
Date Inspected "� 24�98 r, tspCir�d �y.>: tip
TOWN OF SOUTH WINDSOR INSPECTION REPORT
hermit No. 6854 Contractor H. W. LEVACK CO.
Location 0295 GRIFFIN ROAD Address 49 MASCOLO ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
-'Phone, No. (860)528-0131
Date Insp Needed pate Insp �7I2Q-I�8
Time I nsp Needed , crisp ..lam 1JoT �
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Inspected By
Work in Progress �.6� CAP ,�U�,��,.._„eD�2I:
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ArVLJCAI]UNFURDRAINLAYERS PERMPI 5`3"
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 11-z 17 C / j��/� Lot #
Street No. Street Name
Premises owned by: ;.A
Name of Firm: Ze Phone:—
Address of Firm:
TYPE OF WORK.•
Lay House Drain l/ , ReP air House Dra
in
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date �'�' Estimated time for completion
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 x/ the holder of Drain
layer's License No., °Z Only holders of PI, P7 & 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.
Signed: az,,t Print Name
Lic sed Drain er
Date: r �.
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME 00 F C NNT CTOR'S SUPER SO (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECT E Y TOWN
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DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER