HomeMy WebLinkAboutDrain Layers Permit 11 Kingsley Drive zi
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7065 Contractor GERBER CONSTRUCTION CO
Location 0011 KINGSLEY Address 616 DART HILL ROAD
Type Wo
rk ork NEW SAN LAT VERNON CT 06066
Phone._No. (860)875-6684
Date Insp NeededDat�. nsp� ra 7 1'
Time Insp Needed me Tnsp •
Inspected BY
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+ mIt No. 7065
Town of South Windsor , CT
Permit Date 10/06/1999 Drain Layer Permit
Expiration Date 11/05/1999
Descrip: USER FEE PAID
Applicant Location
Name GERBER CONSTRUCTION CO Add,r_. 00 1 KINGSLEY
Addr. 616 DART HILL ROAD tw ►er =CHA ORCHARDS LLC
VERNON
Phone No. (860)875-6684 .
The Drain Layer ass`i grfe+d the s ®,r has -A' val a d .1 cense issued by the t.
state and hereby agrees' to aid the :t®to,4 .,and' canditions set forth in the
attached Conditions' . 11 ` ik shll in aco:rin`ce with Town of South
Windsor standards, a 1 1 aSf#A rcjtttits, end tho attached conditions .
pe
Issued By J. r NA :T ;l` :�L f
Date InspectedInspected By
-$ 7®6S
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: Kingsley 21
Lot
Street No. Street Name
Premises owned by; Chase Associates
Name of Firm: Gerber Construction Inc. Phone: 875-6684
Address of Firm:61 6 Dart Hill Road Vernon
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 6" PVC
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 Gerber Construction Inc, the holder of Drain
Layer's License No.P7 2 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: Ron Gerber
Licensed Drain Layer
Date: 10-6-99
Standard Forms\Perm1ts\APPLICA170N FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET 51�
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CONTRACTOR (PRINT) NA OF RACTOR'S SUP SOR (PRINT)
STREET/ADDRESS SI A
DATE
TOWN STATE ZIP INSPECTE N
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER