HomeMy WebLinkAboutDrain Layers Permit 19 Kingsley Drive ♦ z
Permit No. 7044 Town of South Windsor, CT
Permit Date 08/27/1999 Drain Layer Permit
Expiration Date 09/26/1999
Descrip: LOT 20
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Applicant Location
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Name GERBER CONSTRUCTION CO � Addrs 0019 KINGSLEY
Addr. 616 DART HILL ROAD sOwrpr PHASE ORCHARDS LLC
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VERNON CT"=060 8 '
Phone No. (860)875-66841 "
The Drain Layer assvin6d fh,is permit has `a val d license issued by the
state and hereby agrees tQ I. " tom- i and oondl tib s set forth in the
attached 'Conditions�. ' Alt .Wdf-k shalI b6" in accordance with Town of South
Windsor standards, all' OSH requirements "and . the attached conditions.
Issued By itlw •^ 4
Date Inspected _ 3_ <� Inspeced �y
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7044 Contractor GERBER CONSTRUCTION CO
Location 0019 KINGSLEY Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
Phone-.,No. (860)875-6684
Date Insp Needed Date Insp.
Time Insp Needed Time -.zrsp /52.
Inspected By
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Work in Progresslzz�c �
Input _ Date io/�145
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR 1�44-
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of ro ose / s�,
p p d work. � Lot # Zd
Street No. S e t me
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Premises owned by: C � 0c
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Name of Firms - �1 Phone: f�
Address of Firm: f�/ 6 �'' ll a i✓
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
ii.
Connection will be made with �U�--
Proposed Start Date 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 �r 6;� s • C. the holder of Dra
in
Layer's License No. Ip9 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:- s�'`�
g Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: L.
BUILDING ADDRESS 10
STREET ,
SUBDIVISION: rdl S
NORTH ARROW
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CONTRACT ��-= " -.►5�'"� ..-- _._ Q C1 t....f
OR {PRIM) NAME OF CO R'S SUPERVISOR (PRINT)
STREET ADDRESS -�� 4INSPECT
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TOWN STATE ZIP DATE
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TELEPHONE NUMBER DATE
WHITE , TOWN PINK - CONTRACTOR
YELLOW - CONSULTING ENGINEER / DEVELOPER