HomeMy WebLinkAboutDrain Layers Permit 30 Madison Way 1
-rOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6512 Contractor JMJ CONSTRUCTION CO.
Location 30 MADISON WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. ( 860)a28-7889
Date Insp Needed _ bate Tnsp,___�1 •� ____._____-.--
Time Tnsp Needed Time Insp.
Inspected By ;_ �,, -
Work in Progress
Input `��t.�c� ..'�_ -- Date
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Permit No. 6512 town of South Windsor', CT
Permit rate 11/04/ 1996 Drain Layer Permit
Expiration Date 12/04/ 1996
Descrip:
Applicant Location
Name JMJ CONSTRUC-PION co. Addr. 30 N1ADISON WAY
Addr. 658 ELkINGTON ROAR Owner DART HILL REALTY , INC.
SOUTH WINDSOR CT06074
Phone No. (860)' 528-7889
The Drain Layer assigned this pertnit_ has a vaT:id I icense issued by the
state and hereby agrees to--' all the terms and c,onc i t i;ans set forth in she
attached 'Conditions ' , A1 . wank tfthJl 11 be ; in accordance with Town of South
Windsor standards , al f OSHA ;r6_quirements, and the attached conditions.
6
Issued By
Date Trrspect(id /�' � , . Inspected By
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH UMMSOR (�7�
PUBLIC WORKS DEPARTMENT -
TOWN HALL
1540 SULLIVAN AVENUE
Jr Z
SOUTH WINDSOR, CT
FEE$25 00
Location of proposed work: J 0 al ad`,S D k'1 V Lot #
Street No. Street Name
Premises owned by: T l kl T GD as v
Name of Firm: 10PI Phone:
Address of Firm: jg� $`f r ,' -7 A61 5-o. �' r�_ ✓'
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ,S � K
Proposed Start Date I! 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 the holder of Drain
layer's License No. U my/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 To ko-A Sq G 0 0 e S
Lice ed ain Layer
Date: q6