HomeMy WebLinkAboutDrain Layers Permit 27 Hunter Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6715 Contractor WILCOX CONSTRUCTION CO
Locat-ion 27 HUNTER DR Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone ,No. (860)871-1839
Date Insp Needed Qate Insp.,.
Time Insp Needed 'Cme ':Ihs�:>
Inspected By Ask"
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Permit No. 6715 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 WILCOX CONSTRUCTION CO t Atd*` 23: HUNTER DR
Addr. 535 OLD STAFFORD ROAD �- 'ENT.
F
TOLLAND CT (36,0:
Phone No. (860)871-1839 - ,
The Drain Layer ash
d nth i per � ►as �� 'v (gad l rcense issued by the
state and hereby agre6s :to 1 ;'tl i f nd § t ri set forth in the
attached 'Conditions' : '-Al w r shad n ar q C6 with Town of South
Windsor standards, all,
atached conditions.
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Issued By '7 tl 4 -
B,X
date InspectedT�ts�ec,tp J. QRN�
APPLICATION FOR DRAIN LAYERS PERMIT ygi�
TOWN OF SOUTH WINDSOR 45' -7
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: ��� �`�< �' ��'' Lot #
Z
Street No. Street Name
Premises owned by:
Name of Firm: ~� �' -�-a� e ✓
Address of Firm:
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 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_�/ ?ham / l�-'�' �'U '� the holder of Drain
y Only holders of Pl,�8a' W9 licenses will be
la er s License No. �1
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 � ��9- �
Licensed Lrain Layer
Date: � `
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET : LV/XAA; -e ,�
+ SUBDIVISION:
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