HomeMy WebLinkAboutDrain Layers Permit Joseph Lane Estates ' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7746 Cont:xacor SIMSC`R'f3F> ECHO FARMS
Location ...,A''ddress': ` ' P.O'. -BOX 581:.
Type Work SAN MAIN
YP . -ajMSBUR'Y<:LT o6b-go
Pho�e Na ($6b•.).651 "0:231 :>.
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Date Insp Needed -------------- Date IAA
Time Insp Needed aim x Al
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Inspected By _ 1- ��
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Work in Progress
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Input Dane
Permit No. 7746 Town of South Windsor, CT
i Permit Date 05/24/2004 Drain Layer Permit
Expiration Date 06/23/2004
Descrip: SEWER MAIN EXTENSION
Applicant Lgtation
Name SIMSCROFT ECHO FARMS £ �dar TRSEP�I L8 N� ESfiATEs
Addr. P.O. BOX 581 t7wner
SIMSBURY CT. 060710
Phone No. (860)651 0231
4.
The Drain Layerss�grid tds pti�st his #� Ylid ]tense ass Lied by the
state and hereby agee tq1 the"terms and cbYsit�ons set .;for;th in the
attached 'Conditions' m }ates3Q' da ce` with Town of South
Windsor standards, a17, OSHA rewire AAA.-' ched :conditions. �
s
Issued By cJ' �`� ---------------
Date Inspected _—_--_ Irisped't'ed By 1' _---
#77+4
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE_
SOUTH WINDSOR, CT
FEE $60.00
67
Location of proposed work: ` Lot #
Str t No. Street Name
Premises owned by: A
Name of Frm: v�ts. 11 S Phone: — ���-7Z
Address:of Firm: -
TYPE OF WORK:
Lay House Drainer Repair House Drain_:
Lay Main . � : Lay Lateraf for Commerdai/Industrial
Building of acres
Connection will be made with 8'wc srae
-Asting Water Supply: Public Waterer Well
Proposed Start Date s sal,,;� Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUYREMENTS-AND CONDITIONS ATTA ED TO THE PERMIT
Permit-is to be issued to a e- ' the holder of Drain
Layer's License No. Only holders of P-1, P-7 or W 9 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 Stroet Excavation Permit No. = '
�. and/or ConnDOT Permit No.
.CBYD No. b "Vads
Signed: Print Name: e./
Licensed Drain.Layer. _ ---
Date:
Standard Forms\Perm itt\APPLICA'ION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7357 Contractor JDC ENTERPRISES INC.
Location 0- ;. Address 2640 BERLIN TNPKE
Type Work NEW SAN LAT NEWINGTON CT 06111
Phone:No. (860) -
Date Insp Needed 4 ;i!:4- Date ,nsp.
Time Insp Needed to w Time Insp.'
Inspected By
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Work in Progress �� ' � = j�,e.rco /•-srQ� :=
3=�� off'i`?. .S7z�-�'P io ar. -C'GG`o:•✓ v irr--�,; C7-lC:
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Input Date
Pe mit No. 7357 Town of South Windsor, CT
Permit Date 11/21/2001 Drain Layer Permit
Expiration Date 12/21/2001
Descrip: CK 113 $136 . 68 CK 3943 $25 . 00
Applicant Location
Name JDC ENTERPRISES INC. ,Addy. 0067 JOSEPH LANE a
Addr. 2640 BERLIN TNPKE Owner KESHAVAN SAVITHA & NAUDEN RASHA
ix
NEWINGTON CT 061'11.
Phone No. (860) -
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The Drain Layer as ign�d: th s der-mit, h s a �a'1id license issued by the
state and hereby agrees to � "T the terms nd cor),ditions set forth in the
attached 'Conditions' = `A1,1 ;work 16h-31 °be ri accar�iance with Town of South
Windsor standards, all .nts, and the attached conditions.
Issued By
.01
Date Inspected /Y., _2 i'Thspected By
z APPLICATION ;FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: lO amt7 t #
Street No. Street Name
Premises owned by-
Name of Firm:'7',21) , Phone: 69y��O&
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
Existing Water Supply: Public Water Well
Proposed Start Date/ /01/ Estimated time for completion l y
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 the holder of Drain
Layer's License No U V,52�&3 a 3 Only holders of P1 or P7 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.
CBYD No.
Signed: Print Name:
Licensed Drain Lay
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SURDIVISInN-
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS S61ATURE
�✓�w/�.w--o, c- �1 2 fll DATE
TOWN STATE ZIP INSPECTED BY TOWN
�zg,�)v DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER