HomeMy WebLinkAboutDrain Layers Permit 195 Krawski Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6829 Contractor YANCEY
Location 0195 KRAWSKI DRIVE Address 27 R COMMERCE STREET
Type Work NEW SAN LAT
GLASTONBURY CT 06033
Pholna`ft. (860)633-0423
Date Insp Needed
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Permit No. 6829 Town of South Windsor, CT
Permit Date 07/13/1998 Drain Layer Permit
Expiration Date 08/12/1998
Descrip: PERMIT RENEWED DUE TO DELAY ON PART OF TOWN-INSIDE DROP
Applicant Location
Name YANCEY Addy./,10195 KRAWSKI DRIVE
Addr. 27 R COMMERCE STREET , 4 ,{ wrtrLACAVA CONSTRUCTION CO. , INC.
4.
GLASTONBURY CT .b6O3 =
Phone No. (860)633-0423 `
The Drain Layer asiigne ,,°th,ts pe'rmi has a ,vali,� : license issued by the
state and hereby agrees to aljI the tertns ,and condat%ons set forth in the
attached 'Conditions' Al work stia�;1 be ' i.n accordahce with Town of South
Windsor standards , all OSHa' requ'irements 'and thy, attached conditions.
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Issued By '__ _ �7� Ti.t1® 71
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Date Inspected / InspcteBe y
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD
LOCATION
DATE OF CONSTRUCTION: 6'
BUILDING ADDRESS
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SUBDIVISION: „ ,
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CONTRACTO (PRI ^�
NAME OF CONTRACTOR'S SUP VISOR (PRINT)
STREET ADDRESS �, SIGNA RE
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STATE ZIP INSPECTED BY TOWN
�33 - 0 4i•�3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR
YELLOW - CONSULTING ENGINEER / DEVELOPER
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APPLICATION FOR DRAIN LAYERS PERMIT ,
TOWN OF SOUTH WIlYDSOR
PUBLIC WORKS
TOWN HE ARTALDW 68�
9
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work iS� � �r�s Lot #
Street No. Street Name
Premises owned by:
Name of Firm: Phone:
9
Address of Firm: , ' f ,-n,
Lay House Drain l Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with e-'-- lam
Proposed Start Date timated 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 the holder of Drain
layer's License No. 00 2 - Only holders of Pl,e' & 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: /