HomeMy WebLinkAboutDrain Layers Permit 170 Kelly Road TOWN Of-- SOUTH WltiO OR INSPECTION REPORT
Permit No. ' 7242 Contractor, VIOL.ETTE SILVESTER & SONS
Location 0170 KFLLY ROAD Address 65 CHERRY STREET
Type Work NEW SAN LAT EAST HARTFORD t.i 06108
Phone No . i 860 )r189-3 466
Date Insp Needed t�Ji�� �� 'Date 1 / f
Time I nsp Needed' Time 3:,nsa.
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Inspected 8v
WOr-k in Progress 1 2•%3�a1_ :;00 -e,°1- , .5`co,�„
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Perm t t Nj. 7242 TOW) o r South vi t ndsor . { t
Permit Data 02/05/:�001 Drain Layer Permit
Exp i rat i sin Date 03%0307/2001
Descrip. CONNECTION FEE PAID
Applicant Location
Name VIOLETTE SILVESTER & SONS Addr,_ 0170 hELLY ROAD
Addr. 65 CHERRY STREET owner DAIGLE RONALD J & CHARRON A
EAST HARTFORD CT 06108
Phone No. f 8G0 )z8 ��3466
The Dram Laver assigned this permit has a va'i i d <1 cense issued by the
state and hereby agrees to aVI the 'terms and conditions se�t forth in the
attached ' Condition: ' . A I i wars; sha'1 1 be in accordance with -town of Souti;
Windsor standards, all]." OSHA requirements, and the attached conditions .
Issued By _ Tit'le E�=s, L
Date Inspected ���.�Ol _ Inspected By �� �.
-50C71-
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR 7Z4-7�
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: et-- Ily / C d Lot #
Street No. Stfeet Name
Name of Firm: y l o�� f7e i- °`�d s Phone:
Address of Firm: .S Cyr rr fps _ .41,ol�
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with Alyc—
Existing Water Supply: Public Water. Well
Proposed Start Date Estimated time for completion -Z a
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 :7--s --/'7 W CIA a .the holder of Drain
Layer's License No. -�2 �7?s-7 X v . 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. c;2 d 0 f _3` D C)
Signed: Print Name:
Licensed Drain Layer
Date: -"/ -X�/
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 7, - 1 .3 o/
BUILDING ADDRESS : ,70 e
STREET :
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CONTRACTOR (PRINT) NAME OF CONT CTOR'S SUPERVISOR (PRINT)
G it l^ - /3 O/
STREET ADDRESS SIGNAT
,2 17 DATE
TOWN l STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER