HomeMy WebLinkAboutDrain Layers Permit 10 Judge Lane ;f
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6849 Contractor RI-CHE CONCRETE CONST.
Location 10 JUDGE LANE Address RICHARD CHENEY D/B/A
Type Work NEW SAN LAT 42 OAK DR
MANSFIELD CENTER CT 06250
Phone' No. (860 )423-1450
Date Insp Needed / �pate :Insp.
Time Insp Needed 1 Ta me Insp.
Inspected By
Work i n ..Progress
Inpu = L ;�,� Date `_!
Permit No. 6849 Town of South Windsor, CT
Permit Date 07/10/1998 Drain Layer Permit
Expiration Date 08/09/1998
Desc,rip: CK 3010 831 . 25 CASH 26 .00`
Applicant Location
Name RI-CHE CONCRETE CONST. Addr . '10 JUDGE LANE
Addr. RICHARD CHENEY D/B/A CONSTR.
42 OAK DR
MANSFIELD CENT CT 0625,10
Phone No. (860)423-1450
The Drain Layer assi,3nee� this perm :t ':has a v d. license issued by the
state and hereby agrees to- 61I1 ', `the_ �r�lS' and carO ti�s set forth in the
attached 'Conditions ' ; All�:uv4 shall ,:,be; in accardange;:. with Town of South
Windsor standards, alfi HA' requirements :and thol .att°ached conditions .
Issued By /�
Date Inspected ? A .$e Inspected, By,,:
TI-694--9
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 13 l
BUILDING ADDRESS
STREET
SUBDIVISION6
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF COT TOR'S AUPEAISOR (PRINT)
Lb d4 k �Y
STREET ADDR SS �/ SIG ATURE
d VD ��3�D ATE
r� 0 � `Z/3
TOWN // STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER
' APPLICATION��O SOUTHN LAYERS ER
WINDSOR 11�11T 6 �'�9
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH W1IVDSOR, CT
FEE$25.00
Location of proposed work /l U Lot #-4
Street No. St eet Name
Premises owned by: f fL &f
Name of Firm: z Phone: (J
Address of Firm: ,Z
Lay House Drain '�/; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 111 c
Proposed Start Date p 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 /4e#A,2>6ft the holder of Drain
layer's License No. e� 6 Only holders of P1, P7 8a 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:6'1,, Print Name as. 50 o t/4-To
Li eased Drain Layer
Date:
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