HomeMy WebLinkAboutDrain Layers Permit 8 Hunter Drive ,. -OWN OP SOUTH WINDSOR INSPECTION REPORT
pdrmit&.AicS . 6747 Contractor WILCOX CONSTRUCTION CO
Locat f6 r__6 HUNTER DRIVE Address 535 OLD STAFFORD ROAD
,TaYpe 40 k NEW SAN i_AT TOLLANO CT 06084
,J) -? Phone No. ( 860 )87 1-1839
Date Insp Needed 12�Z {f� _ Date Insp. ___47�z_!f ---------
Time Ins
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Permit No. 6 /4-1 — — � 1-own or South Windsor . LT'
Permit Date 12/22/ 1 997 Drain i_ayer Perim-it
Expiration Date 01 /21 / 1998
Descrip :
App i i cant Loc:at I on
Name WILCOX CONSTRUCTION CO Addr. , .8 HUNTER DRIVE
Addr . 535 OLD STAFFORD ROAD Owner B&M ENTERPRISES
TOLLAND C.T 06084
Phone No. ( 860 )8'7 1-1839
The Drain Layer assigned 'a permit has �a ua1 id I 1cense issued oy the
state and hereby agrees, to''a I V. the ,terms,,and` cd d-l'�t t ons set forth in the
attached 'Condit-ions ' . _A 1 )- ,work shal 7 .be In aceIordan e, with Town of- South
Windsor standards, all OSHA requ i remen,ts" ",and .t�'he' attached coed i t i ons.
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Issued By � Titi'e
Date Inspected
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Z "
BUILDING ADDRESS ,/�
STREET �d G�/� �✓��� �,�`—
+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PR
�URE, // az,--eo/L���STRrEEETTADDRESSTSIGNAT
O���u CO— ��� � � �-- -i f L� Z,,'�j DATE
TOWN STATE ZIP INSPECTED BY TOWN
�` ` �--- 7 �)- DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT ¢�32
TOWN OF SOUTH WIlYDSOR 674�
PUBLIC WORKS DEPARTMENT
A - TOWN HALL ,
1540 SULLIVAN A VENUE
SOUTH WINDSOR, CT
FEE$25.00
d work ",, Lot #
Location o proposed
Street No. Street Name
Premises owned by: f— xv �
Name of Firm: —Phone:-
Address of Firm: S��c��✓ sT��- �.��!/�� �'7�� c� �/arc
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date/���� imated 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 the holder of Drain
layer's License No. pd�o Only holders of P1,0& 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 �✓���,�/� �� �
Licensed Drain Layer
Date: �� 2y