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HomeMy WebLinkAboutDrain Layers Permit 133 Hayes Road ipp w TOWN OF SOUTH WINDSOR INSPECTION REPORT 3ermit No. 6919 Contractor SILVESTER VIOLETTE &- SONS _ocation 0133 HAYES ROAD Address 65 CHERRY STREET type Work NEW SAN LAT EAST HARTFORD CT 06108 Phone No. (860)289-3466 }ate I nsp Needed �� 30lte I nsp I rime Insp Needed fi'ime hn �. i [nspected By rJork in Progress ,,1�le `c,— ,a . ,r•�,f ` ar�r- I Input Date (�s,� Per #c *o. 6919 Town of South Windsor, CT Permit Date 11/24/1998 Drain Layer Permit Expiration Date 12/24/1998 Descrip: CHECKS 19620, 810 , 2252 Applicant Location Name SILVESTER VIOLETTE & SONS ' AddIr'. ,:01;$3 HAYES ROAD Addr. 65 CHERRY STREET ` .Cfwner" PAGE;OLI RICHARD T & GAIL B EAST HARTFORD CT 0618 Phone No. (860)289-3466 The Drain Layer as�f�eid �th� pprmz`t has valid license issued by the state and hereby agrees= td 411 tho, terms *nd r�nd4t�o s set forth in the attached 'Condi ti ons ' ,Al + k shah; b� i{n accordance;' with Town of South Windsor standards, al T, aOSH�► ;requlr� er t8 and �►8 ai;ta`ched conditions. Issued Brt/ww_ _ Y �-= --�— Date Inspece 1�� /� � rtspctlt. 7---- g 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 # St r et N . Street Name Premises owned by: Name of Firm: ]:)hone: Address of Firm: TYPE OF WORK: Lay House Drain y Repair House Drain ; Lay Main ; Lay Lateral for Comm.erciaVIndustrial 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 � the holder of Drain layer's License No. GUa Only holders of Pl, 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: v - Print Name � ' ����� `J / Ike �� Licensed Drain Layer Date: / S� �F TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE Of CONSTRUCTION: BUILDING ADDRESS : f �� e--r STREET SUBDIVISION:. NORTH ARROW f i AS t 10 1 , , ! i a s }1} } .IZ, rfl J/cy/_ OL Z g c • owe�c. fit ©Yt CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS1� � / SIGNA E 4,t tt r7"' 06IZ) DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER