HomeMy WebLinkAboutDrain Layers Permit 20 Homestead Drive (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7499 Contractor CARMICHAEL PLUMBING CO.
Location b020 H NFES`f' Af DRIVE Address 235 HARTFORD TPKE
Type Work RPR SAN LAT TOLLAND CT 06084
ne No. (860)875-7388
Date I nsp Needed q �a
Time Insp Needed
Inspected By JON
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Nsr �,�No - __7499 Town of :South Windsor, CT 1
PermTt Date 08/29/2002 Drain Layer Permit
Expiration Date 09/=28/2002
Descrip
Applicant Location
Name CARMICHAEL PLUMBIN CC 20 HOMESTEAD DRIVE
Addr. 235 HARTFORD TPKE e r RIE DAVID A & SUSANNE M SURV
TOLLAND C t
Phone No. (860)875-7
The. Drain Layer Pee t ; _ h arl license issued by the
state and hereby a all s a ions set forth in the ,
attached 'Conditio i nce with Town of South
Windsor standards, r e ttached conditions.
Issued By o
Date Inspected SOed By
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 M
ro sed work: �C� .WS-42 / Lot #
!'
Street No. �Street Name
Premises owned by.- F--
? S 3
,� Phone: 7 ��
Name •f Firm //
Address of Firm:�3 S- /� '�AV An � �- �`l A-4410• C T
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with V C--
Existing 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 REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to G w the holder of Drain
Layer's License No. -1 J 0 6.0 Only holders df Pl or P7 licenses will be
issued a permit. P RMIT 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.
CBYD No.
Print Name: jQ Cl4 +e GC 1
Signed• _—!
Licensed Drain Layer
Date: Q
standard Forms\Permits\APPUCA'TION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: /r2_
BUILDING ADDRESS a®
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SU FRVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER