HomeMy WebLinkAboutDrain Layers Permit 31 Kingsley Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7047 Contractor GERBER CONSTRUCTION CO
Location 0031 KINGSLEY Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
'Phone No. (860)875-6684
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F041Wm4 No. 7047 Town of South Windsor, CT
Permit, Date 09/01 /1999 Drain Layer Permit
Expiration Date 10/01/1999
. Descrip: LOT 19
Applicant Location
Name GERBER CONSTRUCTION CO
ddr.,, `0<031 KINGSLEY
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Addr. 616 DART HILL ROAD ` pwn"ef CHASE ORCHARDS LLC I
VERNON CT ,# � f
Phone No. (860)875-6684 � `
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The Drain Layer a thi's 06eo`1V`has vat i t, "l' cense issued by the
state and hereby agrees'- gal '" the , erm _and c6hditiohs set forth in the
attached 'Conditions'_..' -Ato we k shai b an avbbr"tlancp with Town of South
Windsor standards, a 1 13S #A 'e �^+ ien ;, end` hie: attached conditions.
Issued By T t��6 '3
Date Inspected "In "p a
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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: Lot #_Zl
Street No. Stree Nam
Premises owned by:
Name of Firm: Phone:
Address of Firm: ab
TYPE OF WORK:
:Lay.House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date Z- 01Estimated 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
.,D the holder of Drain
Layer's License No. f ?Lay Only holders of P1, 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.
Signed:--,� Print Name: - C
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: el -%,I 0�c-
BUILDING ADDRESS
STREET Kin 5
+ SUBDIVISION: a
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF NTRACT UPERVISOR (PRIW)
STREET ADDRESS SIG
d G�r ATE
TOWN STATE ZIP INSPECTED B TOWN
C)7DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER