HomeMy WebLinkAboutDrain Layers Permit 17 Hunter Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6808 Contractor WILCOX CONSTRUCTION CO(DARRYL)
Location 17 HUNTER DRIVE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone N . (860)871-1839
Date I nsp Needed
Time Insp Needed 3 l�/ Tiime �s .
Inspected By ,y
Work in Progress
I`hpt Date 0to\2.(o00
Permit No. 6808 Town of South Windsor , CT
Permit 'Date 05/13/1998 Drain Layer Permit
Expiration Date 06/12/1998
Descrip: PRORATE 68
Applicant Location
Name WILCOX CONSTRUCTION CO(DARRYL- Addr. ; 17 HUNTER DRIVE
Addr . 535 OLD STAFFORD ROAD Downer fB" & M, ENTERPRISES
TOLLAND CT 060�4,
Phone No. (860)871-1839 "
The Drain Layer assigned. this permit,has valid, iicense issued by the
state and hereby agrees to; al-i' the terms and aonditiar» set forth in the
attached 'Conditions' ., A 1 1`."wohk sha 1"1 be;` 'i:n ac w i th Town of South
Windsor standards , all, OSHA', requiremer�l;e :end the attached conditions.
Issued By
Date Inspected 'Inspected 'By
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: S -,2 "7 - S
BUILDING ADDRESS �A 17
STREET : E-
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PR^NT)t/ NAME OF °CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE
yovil / /h.( S $ DATE
TOWN STATE ZIP INSPECTED BY TOWN
lot.-
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR G
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 'j' / � � /57i?/�' Lot # e'
Street No. Street Name
Premises owned by:/��.a-� �,y�,� A, f'iyc'
Name of Firm: &d !V d, Phone:
Address of Firm:
1
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 Dat // 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 toj�f/� 6� �,rrf`«i,� 6 the holder of Drain
layer's License No. Only holders of P1407 & 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: 'C5, Print Name/>��/�'��r
Licensed Drain Layer
Date: