HomeMy WebLinkAboutDrain Layers Permit 50 Lavender Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8049 Contzadtor J 6.ACQU.tS" CONSTRUCTION (JOHN)
Location S@' Liv*U :itiAVE, Andres : , 1, RZTJG <:-ROAD..,.
Type Work NEW SAN LAT SOUTH WTNB`OR:. CP 06074
Pone R3a (8EL?)432-:]82:3
Date Insp Needed ------------- ---- Date Ins
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Time Insp Needed :T m�m� Ir ,
Inspected By
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Work in Progress
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Permit No. 8049 Town of South Windsor, CT
Permit Date 05/04/2006
Drain Layer Permit
Expiration Date 06/03/2006
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Descrip: INSTALL SANIT. SEW. ,,LA,.ALs
Applicant t
Lc)cat�;on
Name JACQUES CONSTRUCT3OJ (JDHIV) Yd x 54ENAETL f�A.NE
Addr. 67 RIDGE ROAD Oufi#ier ,JMJ COIS:TRUCTT`ON
SOUTH WINDSOR CT 06974
Phone No. (860)432-1823'::x<'
The Drain Layer assigned th .s pekt t has a y* I" d 12cense issued by the
state and hereby agreea, to,: a; ;:l :the terms and con'citan_ ::>rs.?t:>::forth in the
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.;.
� - . . W}t TOattachedCon it ons . A11 k � ¢ of South
Windsor standards, all, OSHA re irem,gks,....dYfl bhp._ at�aCfiedti,.:, :oraditions.
Issued By
Date Inspected
'
-------------------- nped "ec2.;::,BY �/ s
N APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL.
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:
Street No. Street Name Lot
Premises owned by-�ZY"M 4 cJ_
Name of Firm:
Phone:
Address.of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main . '
Lay:Lateral for Commercial/Industrial
Building of
acres
Connection.will be made with
Existing Water Supply: Public Water
Well___-__--_
Proposed Start Date Estimated time for completion
--------------
ALL WORK TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STAND
ALL OSHA.REQUIREMENTS AND CONDITIONS OF
H THE PERM S
IT
Permit is to be issued to �5 - �, �--
Oyer's Ucense No. a holder of Drain
will be issued,a . Only Ides s of P-Ir P-7 or W-9 lioenses
permifi: PERMIT WILL EXPIRE THIRTY(30)'DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer.hereby agrees to all
and conditions set forth in the the terms
Town Street Excavation Permit No. it and attached thereto. Applicant has recelved
and/or ConnDOT Permit No.
CBYD No.
Signed:
Lice
Win LaPrint Name:
Layer
Standard \Perm1MAPPLICATION FOR DRAIN LAYERS PERmrr.doc
TOWN OF SOUTH WINDSOR
SANITARY -,, SEWER LATERAL FIELD ' LOCATION
DATE OF CONSTRUCTION:
BUILDING. ADDRESS '
STREET : aLa- v e n d- e �'
SUBDIVISION:
NORTH ARROW , . Ira 7- P of Pi` '`
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�CONTRACTOR (PRINT) NAME F CONT CTO ' SU RVISOR (PRINT)
STREET ADDRESS f_ SIGNATURE
/ �y/® � e DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER