HomeMy WebLinkAboutDrain Layers Permit 23 Hunter Drive -,, •� TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6713 Contractor WILCOX CONSTRUCTION CO
it
Location 23 HUNTER DR5 Address 535 OLD STAFFORD ROAD II
Type Work NEW SAN LAT TOLLAND CT 06084
Phone No. ( 860)871 -1839
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Inspected By
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Permit No. 6713 Town of South Windsor', CT
Permit Date 10/23/ 1997 Drain Layer Permit
Expiration Date 11 /22/1997
Descrip: CK 2249 4 LOTS
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Applicant Location
Name WI.LCOX CONSTRUCTION CO Addr. 23 HUNTER DR5
Addr. 6'35 OLD STAFFORD ROAD Owner `B&M ENT .
TOLLAND CT 06084
Phone No. (860 )871-1839
The Drain Layer assigned °this permffa has a-v l d, license issued by the
state and hereby agrees to all the terms and c "h itians set forth in the
attached `Cond-i t i ons' . A 1 l work shall be in accordance with Town of South
Windsor standards , all OSHA, requirements., and the attached conditions.
Issued By Title�.
Date Inspected o�23g7 -. Inspected By .�-
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
+ SUBDIVISION: LI�NsD
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT `/8/a
TOWN OF SOUTH WLNDSOR �• 7`�
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 7— 3 ff� Lot #
Street No. Street Name
Premises owned by: - " �/� 1'�'ls•� �c`
Name of Firm &— Phone:
Address of Firm:{S >> .S�'!�i;, J,�'G✓ iG '�' '£�G '
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 Date 27/E&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 tom!✓«�r�� L�''��'�'�i" the holder of Drain
layer's License No. />a u � ='' Only holders of P1,�7 & 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.
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Signed: Print Name/�7X;t-/
Licensed Drain Layer
Date: f���J