HomeMy WebLinkAboutDrain Layers Permit 69 Lewis Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7137 Contractor S.J . HOFFMAN CONSTRUCTION LLC
Location 0059 LEWIS DRIVE Address 77 HOFFMAN ROAD
Type Work NEW SAN LAT ELLINGTON CT 06029
Phone. No. (860)872-8375
Date Insp Needed V1119 -• - D�te. .nsp. / oo
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Time I nsp Needed
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Inspected By
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Work in Progress
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In Date y-26-M
Permit 'Not. 7137 "`" Town of South Windsor, CT
Pet it Date 04/18/2000 Drain Layer Permit
Exp,it- Date
Date 06/18/2000
Descrip:
Applicant Location
Name S.J . HOFFMAN CONSTRUCTION, L`L&,' A"ddr, 0059 LEWIS DRIVE
Addr. 77 HOFFMAN ROAD . «_�; 3Wr�r -WEST_BROOK G ANTHONY &
s
ELLINGTON CT '060-1 9 ,
Phone No. (860)872-8375
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The Drain Layer ass1 greed, h s pet't ti t\°;has v�f) i d license issued by the
state and hereby agrees tc7 i tote .:tet�,ms ;and coney tions set forth in the
attached 'Cond i t i ons'¢ -Al 1 -k_ shad 1 ` n appor, 4nc' o with Town of South
Windsor standards, all 08 et(4tz►�" 11'0ttly y `an i h attached conditions.
Issued By _ �A_ I - v)^�
Date Inspected _ l ��' Inspei;®d By e _
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: 1' �t/ r Lot #
Street No. Street Name
Premises owned by:
Name of Firm: J�11A e I'e ho eXGu It P ne: J
Address of Firm: ll a
TYPE OF WORK:
Lay House Drain �; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with � 7 T
Existing Water Supply: Public Water Well
Proposed Start Date �'� Y' aw 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 Sot Ile- k 11- f"A&.Ar- the holder of Drain
Layer's License No. 00 a ? � Dz � Only holders of Pi or P7 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.
CBYD No.
Signed, Print Name:
Licens d brain 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: - 19 - 00 y a - o o
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) �J NAME OF CONTRACTOR' SUPERVISOR (PRINT)
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STREET ADDRESS UR
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TOWN STATE ZIP INSPECTED" N
S 0 r DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER