HomeMy WebLinkAboutDrain Layers Permit 30 McGrath Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. R, , y5 Contractor EASTERN WATERPROOFING
Location ` Address P.O. BOX 504
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone ,No. (860)875-6646
Date Insp Needed �LInsp, l o�
I
Time Insp Neededime "Insp"J
i
Inspected By
Work in ProgressQ�' . cr"cos1J -- r"D.✓ �T'G1i.m� l/iJ�
Input` Date
Per. t4- 0. 7337 Town of South Windsor, CT
Perm! -Date 10/09/2001 Drain Layer Permit
Expiration Date 11/08/2001
Descrip:
Applicant Location
Name EASTERN WATERPROOFING Addr . :0030 MCGRATH ROAD
Addr. P.O. BOX 504 ow ner'�QMKgL DOLORES B &
SOUTH WINDSOR CT p6Q74
Phone No. (860 )875-6646
The Drain Layer assign�idthi� Pert»it ha"s � Val"id license issued by the
state and hereby agrees t6 ? `, An dancFr.tioris set forth in the
attached 'Conditions ' 'A1vdt~k sh$i„1 be in ac�Ctrdance with Town of South
Windsor standards, a 1 f 'ONA Ct?g1► C`t$t11?lSt13 and{ h4 Eattached conditions.
Issued By v� T1t1,
Date Inspected >rnspsc tcl By
-- _ .
APPLICATION FOR DRAIN LAYER PERMIT ��'�'" '
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
UNc- vP Poh
Location of proposed work: 3 (' Lot #
Street No. Street Name
Premises owned by: n� L
Name of Firm: CS 2 r Phone: ?Q 6&Y
U�
Address of Firm:L1 y 7 MQgxry jh/vY,C&z��1
TYPE OF WORK:
Lay House Drain; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water_ Well
Proposed Start Date Lb L fa i Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STA DARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to (5:7zc)f5 --e IC the holder of Drain
Layer's License No.2L-d 2'0 3 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 Nod
Signed: Print Name:
Licensed Drain Layer
Dater 91O'!
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc.