HomeMy WebLinkAboutDrain Layers Permit 146 Kelly Road w
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6915 Contractor SILVESTER VIOLETTE & SONS
Location 0146 KELLY ROAD Address 65 CHERRY STREET
Type_ Work NEW SAN LAT EAST HARTFORD CT 06108
Porte No. (860)289-3466
Date Insp Needed r` Qte Insp=
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Pe �&%No.. 6915 Town of South Windsor , CT
Permit Date 11/17/1998 Drain Layer Permit
Expiratfon Date 12/17/1998
Descrip : CK1261 & 1002 & 19494
Applicant Location
Name SILVESTER VIOLETTE & SO A 6 KELLY ROAD
Addr. 65 CHERRY, STREET ` [ S RAIS GARY &
1
EAST HARTFORD CT ,.
Phone No. (860 )289-3466 ` ' ;
The Drain Layer as 1�i° P. � 1 i cense issued by the
state and hereby agret ` nd ' set forth in the i
,n a attached 'Conditions' `A:�i s e with Town of South
Windsor standards, al }x1il
F rQ'" nda� ched conditions. l
Issued By
Date Inspected �ZZY! �� ' �� �insoecteo BY"
a#
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: - '///?F
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW kit, occl
*1 k
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIG"PE
4 1 , e)y�-c DATE
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TOWN StATE ZIP INSPECT P' BY TOWN
etc 2�,L7-32466 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT �� 5
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work11-I� LA Lot #
Street N�/ reet Name
Premises owned ,by:
Name of Firm: Phone:
Address of Firm: vr-'
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with �/ C
Proposed Start Date ll 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 ��� (/� the holder of Drain
layer's License No. CC)6 � . Only holders of Pl, P7 & 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. � � l
esSigned: Print Name
Licensed Drain Layer
Date: (l l