HomeMy WebLinkAboutDrain Layers Permit 65 Heatherwood Drive I
TOWN OF SOUTH WIt'JDSOR INSPECTION REPORT
r
Permit. No. 6608 Contractor JMJ CONSTRUCTION CO.
Location 0065 HFATHERWOOD DRIV Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUT! ;�llr;pSO,q CT 06074
nP:_ o . (860 ;528-7330
Date Insp tdeeCls—d 1+�. te;, �ov
Time Insp Needed T;jme : hip
Inspected By
Inou Date
arm± t Nth. 6608 Town of South Windsor, CT
:)er'm,4 t '6ate 05/06/ 199 7 Drain Layer Permit
- p4iration Date 06/05/ 1997 ,..
)escr i p: LOT 1b0 FAD $625 . 00 4/8/96 C,K 141 72
Applicant Location
dame JMJ CONSTRUCTION•CO. Addr. 0065 HEATHERWOOD DRIV
kddr. 658 ELLINGTON ROAD y Owner DART HILL REALTY, INC.
SOUTH WINDSOR CT 06074
Rhone No. (860 )528-7889
The Drain Layer assigned, 'thy s permit .has a val i d 1;i c;ense issued by the
state and hereby agrees to -a)J the termer and conditia`ns set forth in the
attached 'Conditions' . A i V work sha11 be `tn accordance' with Town of South
Windsor standards , all OSHA 'requirements, and the attached conditions .
Issued By Title _ >—----- - -----------
� s `
Date Inspected y1_.._� 4z____ T Inspected, 13
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: (�r �_ �� � � �; rf Lot # >
Street No. Street Name
Premises owned by: J
Name of Firm: -5'.6 az C' Phone:
Address of Firm:
TYPE OF WORK:
Lay House Dra' Repair House Drain ;
Lay Main ); Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S D Pi 3 z-
Proposed Start Date-5'_&'_2)7Estimated 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 -;� 41 ).• J% �,T. �1' 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.
Signed: / ' � Print Name jc4l. yi
L c nse , rain Layer
Date: