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HomeMy WebLinkAboutDrain Layers Permit 107 Mark Drive I t TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7316 Contractor VIOLETTE SILVESTER & SONS Location Address 65 CHERRY STREET Type Work %NEWRLAT EAST HARTFORD CT 06108 Phone No. (860)289-3466 Date Insp Needed G tte I�sp, D G �1/ T--Y—' Time Insp Needed Time' Inspl� " Inspected By Work in Progress ' 'L.� ?C_ J = /�i '"L� �' f,✓�r n.v� j.�r >„'� i i Input date Permit. No. 7316 Town of South Windsor, CT Perri'-Date 07/26/20.01 Drain Layer Permit Expiration Date 08/25/2001 Descrip: CK 26889 1310.00 477 GRAHAM & 107 MARK Applicant Location Name VIOLE TTE SILVESTER & SONS Addr. , 0107 MARK DRIVE Addr . 65 CHERRY STREET Owner MERCURE DONALD C & I EAST HARTFORD CT C�614� Phone No. (860)289-3466 r I The Drain Layer asei gneti th err f t Chas =t va1 fd l i,cense issued by the state and hereby agrees " 1.1 '" th ,terps end gsrhdi;tidr�s set forth in the attached 'Conditions ' Al } vc -k sha��,l ;:�;.n accordance with Town of South Windsor standards, al SHA,� r�egr� t^ eC�t a'; And the attached conditions. r Issued By "C7 CJ� © ns ectt B. Date Inspected 7 P, . Y APPLICATION FOR DRAIN LAYERS PERMIT 7_?l� TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: '7 M a v- r c- Lot # Street No. Street Name Premises owned by:c LpA (�V.—S m -e rr ( A ✓' Name of Firm: �, e,�tT� Phone: (00- Address of Firm: Jr" y- �, p r e 1 DG. t U� TYPE OF WORK: Lay House Drain Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with _� J` ; s Proposed Start Datr g/a Estimated time or com n C 15 P letio .f P 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 tojj ���� the holder of Drain layer's License No. 6 Only holders of PI, 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 Name4d Licensed Drain Layer Date: -- -6 - 9-0 C) ( TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: I e/7 /0/ BUILDING ADDRESS : lo-7 Dr STREET SUBDIVISION: NORTH ARROW !. {a i r AD-- - - -.. 1 ! } ! 1 } ' i � e 1;_ , r • , . i I ; S ' 1 i : ! 1 , } ' t 1 i 1 i { CONTRACTOR (PRINT) NAME OF CO TRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS / SIG R DATE TOWN STATE ZIP INSPECTED BY TOWN -2 �3��� DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 71uI 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 work: � /�lT�' k A, proposed // � Lot # Street No. Street Name Premises owned by. Name of Firm: g Phone: (F Address of Firm: r ) Y TYPE OF WORK: Lay House Drain '4 ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with :wwlb - Existing Water Supply: Public Water '�Q Well Proposed Start Date jJ d C0 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 CID- �� J�> &4 ro the holder of Drain Layer's License No. Only holders of P1 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. 3-3 Signed: Print Name: -J0n-e,,� 61 Licensed Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc