HomeMy WebLinkAboutDrain Layers Permit 90 Lewis Drive TOWN OF .SOUTH WINDSOR INSPECTION REPORT
Permit No. 6954 Contractor JAMES THROWE
Location 0090 LEWIS DRIVE Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
Phoney No" (860)289-0095
Date Insp Needed ( ate:`� nsr 8 p
Time Insp Needed imeIn`8p
Inspected By
I
Work in Progress
g I �- f
Z.'i 1' G�X'c. f✓T �m:�.s'cr .�'w./.��„�6rG��� .��.���.�'.�1.e?d'�i.r/C
vr, `y6put: _ Date
i
I
Peofiti.t, No. 6954 Town of South Windsor, CT
Pa.rmi-t Date 03/08/1999 Drain Layer Permit
Expiration Date 04/07/1999
bescrip;
Applicant Location
Name JAMES THROWE ddr: -0090 LEWIS DRIVE
Addr. VANS SEWER & SEPTIC -', rner.�HEAL -CARL C & ARLENE M
97 RIVERSIDE DRIVE , 4
VERNON CT.-i'06 ;6;
f
Phone No. (860)289-0095 `
The Drain Layer ass_„gtie _ tti s pin has Sri Q tense issued by the
state and hereby agrees �`_ thear nd � i� s set forth in the
attached 'Conditions ' �x '1
R F n acs ¢ � with Town of South
Windsor standards, al �trqumente; naached conditions .
Issued By ��
Date Inspected . 3r ;ihsiee'c19�y, �
I
i
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCAT-l'ON
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET :
+ SUBDIVISION:
NORTH ARROW
T I 1
104
_ �a _3.____..2
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S UPERVISOR (PRINT)
STREET ADDRESS TURE
��✓`��1'1 � C � � DATE
TOWN STATE ZIP INSPECTED Y TOWN
-271 6Y DATE
TELEPHONr NUMBER
WHITE - TOWN PINK7 CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
G�
Location of proposed wor 4-
N # V
Street N Street Name
Premises owned by: C, I
Name of Firm: C Phone: l
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
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 I^oL"C� the holder of Drain
layer's License No. Only holders of Pl, 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.
-7 Signed: Print Name Jabs
Licensed Drain Layer
Date: im,�w � 2�