HomeMy WebLinkAboutDrain Layers Permit 274 Nutmeg Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7286 Contractor STAMM CONSTRUCTION CO
Location 274 NUTMEG ROAD Address P.O. BOX 11151
Type Work NEW SAN LAT 15 HOLMES ROAD
NEWINGTON CT 06111
Phone„ No- (860)666-2401
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Date Insp Needed pate Insp.
Time Insp Needed tsp.
Inspected By
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Permit No. 7286 Town of South W-i nd>or;�-'�T
Permit Date OF/07/2001 Drain Layer Permit .-
Expiration Date 07/07/2001
Descri.p:
Applicant Location
Name STAMM CONSTRUCTION CO Addr. 274 NUTMEG ROAD
Addr. P.O. BOX 11151 Owner.
15 HOLMES ROAD
NEWINGTON CT 461.-,
Phone No. (860 )666-2401
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees; t 11„ thy 'tar s: an con set forth in the
attached 'Conditions ' Al work sha1;1 bd An aa�or�anpe with Town of South
Windsor standards, all OSHA `requirementa, and the" attached conditions.
Issued ByTit1 .�� —_Date Inspected ? D Ins ated BJ
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APPLTCATION 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: a 74 /%toc,54, Lot #
Street No. 5freet Name
Premises owned by: 44 � ate
�
4 v
Name of Firm: , r -rr,�iva umL4,f Vi c. _ Phone: ��G - �2 r y
Address of Firm: U �O l
TYPE OF WQRK:
Lay House Drain ci • Repair House Drain ;
Lay Main ,_ Lay Lateral for Commercial/Industn
Building o acres
Connection will be made with '
Existing Water Supply: Public Water Well
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 a the holder of Drain
Layer's License No.'2 h) g7 . 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.
Signed: A0411 Print Name: Q �� M
tensed Drain Layer
Date: 61 -- 7 6 '
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc