HomeMy WebLinkAboutDrain Layers Permit 655 John Fitch Boule TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6928 Contractor COVEN CONSTRUCTION CO.
Location 655 JOHN FITCH BLVD Address P.O. BOX 427
Type Work RPR SAN LAT COVENTRY CT 06238
PhdneNo. (860)282-0526
Date I nsp Needed
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Permj-t* No. 6928 Town of South Windsor, CT
Pfem.At; Date, 12/02/1998 Drain Layer Permit
Expir.qtta on Date 01/01/1999
Descr.i'p
Applicant Location
Name COVEN CONSTRUCTION CO. Addr.r,65 JOHN FITCH BLVD
Addr. P.O. BOX 427
COVENTRY -- CT 06238
Phone No. (860)282-0526
The Drain Layer ass t. pdrr t hay `v tic 1 ftense issued by the
state and hereby agre ;� .t 17:'thy t m end `r4n tic r s set forth i n the
attached` 'Conditions' A l `wear stja 7 ``off n aeoc i^d"ante with Town of South
Windsor standards, al jF9,r`4qu.�rembr4t�*F end tho attached conditions.
Issued By
date Inspect `inspected` B,y f ----�
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: a� 09
BUILDING ADDRESS j �JN C 4c
STREET : 1-
4� SUBDIVISION: &caj ADD �CiU A �SV-E�VkOk7
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CO CTOR (PRINT) NAME OF CONT 'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNAT E
ct g ,a l DATE
TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WDYDSOR qzr02
PUBLIC WORKS DEPARTMENT 6
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 6 S S ( 1 (lc� P tT Lot At
Street No. Street Name
Premises owned by:
Name of Firm: c'ru ,v-� , Phone: 7 q4
Address of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain D�
Lay Main ; Lay Lateral for CommerciaVIndust 1
6
Building of acres L,;41
Connection will be made with Ol f u c
Proposed Start Date Estimated time for completion 5Pj
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 I c710", c- CAK r the holder of Drain
layer's License No. �2: q . Only holders of Pl, 0& 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 T unn Street
Excavation Permit No. 4jlj4 and/or ConnDOT Permit No.
Signed: Print Name
used prain Layer
Date: