HomeMy WebLinkAboutDrain Layers Permit 15 Hunter Drive ° TOWN OF SOUTH WINDSOR INSPECTION REPORT
Dermit No. 6807 Contractor WILCOX CONSTRUCTION CO(DARRYL)
Location 15 HUNTER DRIVE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT _ TOLLAND CT 06084
Rt1ot�e'"N . (860)871-1839
Date Insp Needed Date . In�pp
Time Insp Needed j,�o5 I, Time Insp,, 3os�
Inspected By
Work in Progresso' * - iri :S'
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Permit No. 6807 Town of South Windsor , CT
Permit Date 05/13/1998 Drain Layer Permit
Expiration Date 06/12/1998
Descrip: PRORATE 67
Applicant Location
Name WILCOX CONSTRUCTION CO(DARR,YL) Addr„15 HUNTER DRIVE
Addr. 535 OLD STAFFORD ROAD Y .Owtsr B, & M ENTERPRISES
TOLLAND Cl 06
Phone No. (860 )871-1839
The Drain Layer assign" this permit has valA',d', license issued by the
state and hereby agree: to afi ,_the terms and aof4,*''.:ions set forth in the
attached 'Conditions ' Al I .Wo `k sha I ���a: ,its accc�rdar���e;�� with Town of South
Windsor standards, al t OSHA",r'�quiretn hte h the` attached conditions .
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Issued Bs . -: L�j ----- ---
Date Inspected �� t I nspected BY
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: s-
BUILDING ADDRESS
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE t�
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� 0ATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR Yvm
W - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PROJECT:
�t/G✓ DEVELOPER:
STREET:STREET: Ifv�, Y �Y,,✓G- CONTRACTOR: /GO X, �n
DATE: �a y � TIME:
WEATHER: �iI ea✓ I Sv»,� g j-g ° INSP: .2F
woRx IN PROGRESS: �nsoc '4. 0.0
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
APPLICATION FOR DRAIN LAYERS PERMIT -44 G
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HAIL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: /,'/%/w Lot # 2 3'
Street No. Street Name
Premises owned by:
Name of Firm: l/ a,-,r l- ( /fit c✓ Phone: ��'— �� 1���
Address of Firm:_5�j S d11
TYPE OF WORK:
Lay House Drain (/ Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with
Proposed Start Dat /� Estimated time for completion `�d dYS-
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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 e7 the holder of Drain
layer's License No. o�2a f�? Only holders of PI, e)& 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: G0' -;� Print Name L� r✓.��1 /= �ii�G�,r-S,
Licensed Drain Layer
Date:
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