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HomeMy WebLinkAboutDrain Layers Permit 11 McGrath Road TOWN OF SOUTH WINDSOR INSPECTION REPORT i Permit No. 7185 Contractor COVEN CONSTRUCTION CO. Location 0011 MCGRATH ROAD Address P.O. BOX 427 Type Work NEW SAN LAT COVENTRY CT 06238 i'ho ne No. (860)282-0526 Date Insp Needed Date Tns{ ll� Time Insp Needed fimo Insp Inspected By Work in Progress 1as3a. �� c, 'T ts-�n,�1� cc�lcxil vj,64 ) 201--R 'Cl la1' t +la&. r �► .0 ip rML, tq"o-�aa to r F-go VL Al L sauD, UND AM2 8N l kr ,/ huA �,S- L� �C4�Gj1 Sc�81�b►1TCfl,... Input, Date Perm "t No. 7185 Town of South Windsor, CT Permnt Date 09/11/2000 Drain Layer Permit Exp Wat i on Date 10/1 1/2000 Descrip: CONN FEE PD 4981 INS TO BE RCD Applicant :.. Location Name COVEN CONSTRUCTION CO.,' "', ` , ,r. � . Addr�� 0'01.1 MCGRATH ROAD Addr. P.O. BOX_ 427 Owner ASELTON BEATRICE M COVENTRY CT Phone No. (860)282-0520 " The Drain Layer 'has v lid 1 i cense issued by the state and hereby agres6 'to ai.1 the' t4e ;and t©nditions set forth in the attached 'Conditions,%, �A, f 1 , �rk sh a 1 i_n acc9r,ddnc6 with Town of South Windsor standards, al-1- OS, A I-equ7 rel'a ti& . .'and 1:he attached conditions. Issued By '�~� -' Tithes `' +�`• -- Date Inspected 9 ap In"et;ted By _ _ i s 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: , -124 4 _L�_� Lot # Street No. reet Name Premises owned by: '8 cr4 s L Name of Firm: Pho ne: 17 O, U 7G1� Address of Firm: ?(3 FJ 6_X I 7 )) v 4 co Ufa ` TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 6 Existing Water Supply: Public Water Well Proposed Start Date v Estimated time for completion. LiA ALL WORK TO BE IN CC DANCE WITH TOWN OF SOUTH WINDS RDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Coo)�— tis Permit is to be issued to « vL�� l th -holder of Drain Layer's License No. �6 -7 cic� . Only ho ders of P1 o P7 censes will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS ER 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. Y w a Signed: Print Name: 1 ko L vL � \, Lice Dr 'n Layer Date: it 0 Standard for s\Permits PPLICATION FOR DRAIN LAYERS PERMIT.doc M TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 66 BUILDING ,ADDRESS K rA- PA STREET SUBDIVISION: NORTH ARROW F ..._ i .__.�___L._t_i___ I I CONTRACTOR (PRINT) _ NA F ONTRA OR' SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE DATE TOWN STATE ZIP INSPE ED bY TOWN DATE - AlEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER