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HomeMy WebLinkAboutDrain Layers Permit 70 Hayes Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7756 Con :raCt'or VI--AtTTE:,:.SILVESTER & SONS Location 0070 HAYES ROAD A'ddre", €`:.":' 65 :C SER'R.Y STREET Type Work NEW SAN LAT HART>E':ORD CT 06108 Phone No (8 0.).289 3466 Date I n sp NeededX X --------------- — Date I zs§tp , � 6 — Time Insp Needed Time It -------- -- — Inspected By I Work in Progress _C�J (� Ej 6 � �_Q._— Ai �� �6_�c,�:_a_a — i ^Z__ /�— G./`.=�,�'i.t s� .�ii�7+.tt �'�� �)'"!i�,,�,� c c.`&�j •l C��J(.�'��+T'C 'r',�p�/,. T 17 ,� `�--- �4ee 4111f4r, In tat ;Date • Permit No. 7756 Town of South Windsor, CT Permit Date 06/14/2004 Drain Layer Permit Expiration Date 07/14/2004 Descrip: #7896 $912.50 FAMILTETTI #34440 $60.00 SILVESTE'R ... Applicant Location Name VIOLETTE SILVESTER & .SON$ Adcf 0Q7Q HAYE5 ROAD Addr. 65 CHERRY STREET Owner FAMIGL F.T.�I CARLOS. A & LYNN C EAST HARTFORD GT:.06108 Phone No. (860)289-3466 ,.. The Drain Layer asszgried tYi s i [ttT has a ualsd ed by the state and hereby agrees'tol 1.?fhe t`eYmsa'nd ctin'3itaorts set .forth in the attached 'Conditions' A`ll work ski1F8` aect5.idanGe witk� Toyvn of South Windsor standards, al`1 OSHA requixemnts and- kie atta' hef .. o.riditions. Issued ByF -------------- Date Inspected ------____-- _ Tnspeeted BY ---- =—�-- •' r 7 7. 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: 70 as , Lot # Street No. Street Name a Name of Firm.. O <Sr' �.r1�r�- �r ,Z` ���-- Yd -Phone:. -3 Address:of Firm:_as- C10(er sp" TYPE of WORK: Lay House Drain_)C___; Repair House Drain—:Lay- _ Lay Main -- - ---- - ; Lay:Lateral for--Commeraal/Industrial Building of acres . Connection will be made with Existing Water Water Supply: Public Water . - Well Proposed Start Date Estimated time for completion ALL WORK-TO BE IN ACCORDANCE WITH'TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUYREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to Z7 S—1,4 , o r� the holder of Drain Layer's License No. Only holders of P-i, P-7 or W-9 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. AP and/or ConnDOT Permit No. .CBYD No. c -It 573 a- Signed: Print Name: S©s / IV censed Drain Layer. Date:_ ;''; : standard Form\PermitS\APPLJCKTION FOR DRAIN LAYERS PERMIT.doe . . , TOWN OF SOUTH WINDSOR SANITARY - SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : �s STREET SUBDIVISION: NORTH ARROW D _ 6 r o Q � , U o CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS TURE . DATE TOWN pp STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER