HomeMy WebLinkAboutDrain Layers Permit 339 Oakland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6844 Contractor LATULIPE BROS. INC.
( Location 0339 OAKLAND ROAD Address 780 VERNON STREET
! Type Work NEW SAN LAT MANCHESTER CT 06040
'Phone No. (860)646-5114
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'ermit No. 6844 Town of South Windsor, CT
Dermit Date 07/01/1998 Drain Layer Permit
xpirataon Date 07/31/1998
)escrip: USER FEE PAID CASH
Applicant Location
Jame LATULIPE BROS. INC. Ad`dr. 'D0339 OAKLAND ROAD
kddr. 780 VERNON STREET Owner `LANIER MORRIS M & GLADYS SURV
MANCHESTER CT o604.0
'hone No. (860)646-5114
The Drain Layer assigned this' permit his afValYd, 1°icense issued by the
state and hereby agrees to`1;4l1 ,the tetit4 And oond tions set forth in the
attached 'Conditions' � A 1 i��w€ r;k shaft 1 ` b4 In a off"ance with Town of South
Windsor standards, al1 ;OSHA: rquremert`ts�. and the; att"ached conditions.
Issued By , Ir.�A T:it1e � ryG►r�� tL
)ate Inspected _ `Inspected:1 By,
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Lot #
Street No. Street Name
Premises owned by:
Name of Firm: 1,4 7-U,L I J0F Z Q 8-0-1-74£((S IAIC. Phone:
Address of Firm: y7 SO Vt r rt10 rV S 1 iMg �/(_N ES j E '_C�-
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date 7`� q`� Estimated time for completion p YS
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 A108 MArl) 1,,q,j UL lPP6 the holder of Drain
layer's License No. —'?®G 76 G . 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.
Signed: „ten Print Name IV,01i MAI\l
Licensed Drain Layer
Date: % circle
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TOWN OF SOUTH WINDSOR
Y SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: J uL y 6 l 99e
BUILDING ADDRESS 337 O qk LAND 5
STREET 4 fvb
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SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIG NATU
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TOWN STATE ZIP INSPECTED BY TOWNor Jv
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER