HomeMy WebLinkAboutDrain Layers Permit 565 Nevers Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6815 Contractor DAVIS CONSTRUCTION
Location 565 NEVERS ROAD Address 74 BARBER HILL RD
Type Work NEW SAN LAT BROAD BROOK CT 06016
Phonie- No. (860)872-1400
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Permit No. 6815 Town of South Windsor, CT
Permit` Date 05/28/1998 Drain Layer Permit
Expiration Date 06/27/1998
Descri.p:
Applicant Location
Name DAVIS CONSTRUCTION Addr . 56'5, NEVERS ROAD
Ad@r . 74 BARBER HILL RD Oyrer 'DAVTQ A. PATRIA
BROAD BROOK CT 060'16
Phone No. (860)872--1400
The Drain Layer ass?gned t1Tti`s permit has a t!a1 i.d l.i tense issued by the
state and hereby agrees ta".a1: ,'the terms: and cond'I:tio"ns set forth in the
attached 'Conditions' : A1 !-' Work sha'# l :,'be' 1'n acoordanoa' with Town of South
Windsor standards, alI. OSHA.;t"equirements and the attached conditions.
Issued By Title
Date Inspected Inspected
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS :
STREET : /U��ea
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF NTRACTOR'S SUPERVI (P INT)
74,
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STREET ADDRESS SIGNATURE
RM CAJ a 9$ DATE
TOWN STATE ZIP INSPECTED BY TOWN
87���® DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PROJECT: . �e ,� „) b DEVELOPER: VI'S
STREET: S/� �/V eYtS �D�. CONTRACTOR: T-
DATE: TIIVIE.
WEATHER: Su1'H1� O�° INSP:
WORK IN PROGRESS: l�IS GC
7�P ✓! 1'1ef/GrS Y __
AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR d
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work S ?5"' A) UEU ni Lot #
Street No. Street Name
Premises owned by: D19V l P fi , P,�9 7-9 1 �q
Name of Firm: DR 111S C'0 N S T/Z V C 7/910 Phone: ?72-/y06
Address of Firm: 7�Z 6,ogA o3,5-�Z /Y/LL 1Ld , 6 ,019D 13 dZOO K
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with r� S'D 2 -3s
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 RO 8 lZT /27 f1 C /O the holder of Drain
layer's License No.Oa,9 01/3g3 P. Only 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.
, _ Print Name
Signed: &LiLkCjtz.4,2 ,�er /E`l
Licensed Drain Layer
Date: S (o