HomeMy WebLinkAboutDrain Layers Permit 9 Hunter Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6805 Contractor WILCOX CONSTRUCTION CO(DARRYL)
Location 9 HUNTER DRIVE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone'"NQ. (.860)871-1839
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Date Insp Needed 1�"2"9 Date; Insp,
Time Insp Needed �j ``T'ime Inep
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Input 'eZ- Date
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Permit No. 6805 flown of South Windsor , CT 1
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Permit Date 05/13/1998 Drain Layer Permit I
Expiration Date 06/12/1998
Descrip : PRORATE 65
Applicant Location
Name WILCOX CONSTRUCTION CU(pARRYL ) Addf-. 9 HUNTER DRIVE
Addr . 535 OLD STAFFORD ROAD :Owner 'B3 & M, ENTERPRISES INC.
TOLLAND CT 060$4 j
Phone No. (860 )871 -1839
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The Drain Layer, ass grheti ;th +`s permit ias a ya1;Y d; license issued by the
state and hereby agree to . lj:`,"the berms" nd co-nditiOrls set forth in the
attached 'Conditions ' Al 1 work shad 1 "fin acc,' dance' with Town of South
Windsor standards , all OSHA—r•equi"rements °and th"e attached conditions .
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Issued By _.� — 1 f 1 (.elow
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Date Inspected --- —�1�__ Inspecte ! "By -----
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Z - 98"
BUILDING ADDRESS q w -,, L 0-see
STREET 9,
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SUBDIVISION: Mos ����► S �o `/r ('ro ' .
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT)
STREET ADDRESS 0 SIGNATURE
eta G�a �L l� Z gDATE
TOWN STATE ZIP INSPECTED BY TOWN
ef V `9 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER
• TOWN OF SOUTH WINDSOR INSPECTION REPORT
PROJECT: . D c 1 �� C✓r Q ss�n a DEVELOPER:l, 8�rh f-��ryor�sc s
STREET: 9 d� CONTRACTOR: /` f
DATE: $ TM E:
WEATHER: eotr S® INSP:
WORK IN PROGRESS:
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
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: /0' /ilv,�i � /,>���,� Lot # 2/
Street No. Street Name
Premises owned by: /Zz ,� J-�r�� i�,�1r �✓
Name of Firm: /,r//��'oY �o�� ev C' Phone: 67
Address of Firm: ,�`",�� 6�� S'7` i�/� 'c� ,�'y�i��u<<✓�'O�D�ai
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TYPE OF WORK:
Lay House Drain l/ Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 10 L&
Proposed Start Datarlll 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 A"/�c'�,r the holder of Drain
layer's License No. pa.2o Only holders of Pl,g� & 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: _S Print Name
Licensed Drain Layer
Date: