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HomeMy WebLinkAboutDrain Layers Permit 28 Kingsley Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7045 Contractor GERBER CONSTRUCTION CO Location 0028 KINGSLEY Address 616 DART HILL ROAD Type Work NEW SAN LAT VERNON CT 06066 Phone No. (860)875-6684 !i ;i Date Insp Needed ©ate Insp.� Time Insp Needed eiF7t�►e Irtsp �� , . . . it Inspected By Work in Progress I? i i 77 Input Date Ij i I+ !I I° i 'Rer :*-;,No. 7045 Town of South Windsor, CT Perit` Date 08/27/1999 Drain Layer Permit Expiration Date 09/26/1999 De s c r,i p: Applicant Location Name GERBER CONSTRUGTION CO A 0r. 0028 KINGSLEY Addr. 616 DART HILL ROAD Owner CHASE ORCHARDS LLC VERNON CT 060 6 Phone No. (860)875-6684 a The Drain Layer ads"49ned this per�nit" has a val""it# 1=icense issued by the state and hereby agr+ e"S t4 �11'' the.<,ter�m� and condi tiohs set forth in the attached 'Conditions' ." All :wa_1^k shal." bs "in acesrdanc with Town of South Windsor standards, a i�l ,.OSHA reout rem4nts-,` a,nd tFi ;' attached conditions. Issued By Date Inspec Inspected By' I APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT ` U TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 )t Location of proposed work: Lot # / Street No. Street N me Premises owned by: ----c4G.s Name of Firm: �s . �'—�� / Phone: Address of Firm: / 4 ����p�,/ 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 L 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 e--7 Permit is to be issued to "� Cc"�4 the holder o der of Dram Layer's License No. 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. / ✓(, Licensed Drain Layer Date; Standard forms\Perm1ts\APPLICA130N FOR DRAIN LAYERS PERMrr.doc TOWN OF -'SOUTH ' 'WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: i BUILDINGADDRESS • STREET : Z:6- . � SUBDIVISION: ■ ■ _ l: '■■ ■ ■ ■■�� m • � r rrL isifil � 1• I •