HomeMy WebLinkAboutDrain Layers Permit 31 Hayes Road 4
Pprm.itj No. 6801 Town of South Windsor, CT
Permit Date 05/06/1998 _ Drain Layer Permit i!
Expiration Date 06/05/1998
Descri p' -
Applicant Location
Name ADDIT CONSTRUCTION CO A'ddr .. 00'31 HAYES ROAD
Addr. 30 PINE HILL STREET Ow"' r R I 'WATERMAN PROPERTIES INC
MANCHESTER CT
Phone No. (860)872-9110
The Drain Layer as$ign this permit has a v1id lA�cense issued by the
state and hereby agree$' tp 1i ;'the` arms `$nd do-►— ,tio'n�s set forth in the
attached 'Conditions ' : A 1 wot�k shall b `f n accordatce` with Town of South
Windsor standards, all OSHA r8quIremants', &td :"the `attached conditions.
Issued By - -� °=C�n�A T'lt' r.�; "i E�,�U".aEEC'
Date InspectedInspeot�d �y
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit Not 6801 Contractor ADDIT CONSTRUCTION CO
Location 0031 HAYES ROAD Address 30 PINE HILL STREET
Type Work NEW SAN LAT MANCHESTER CT 06040
Phone # o. (860 )872-9110
Date Insp Needed � '1 98 bat e� n.sp.
Time Insp Needed
Inspected By
Work in Progress •- , � � �c t ti
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T► put � `' C� _ Date
- TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: � � �- /�pp
BUILDING ADDRESS A'16
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT).,
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STREET ADDRES SIGNATURE
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TOWN STATE ZIP` INSPECTED BY TOWN
�Q` c) DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: '� � ? Lot #
Street No. Street Name
Premises owned by:
Name of Firm: ;= 1 `� Phone:
Address of Firm: C�
TYPE OF WORK:
Lay House Drain lam; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of / 7 acres
Connection will be made with
Proposed Start Date J 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 ,= i� IL-C-
� . ./I����� �! /�� � l the holder of Drain
layer's License No. Only holders of P1, 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.
i
Signed.. Print Name �-
Licensed Drain Layer
Date: �` �('- --�
1