HomeMy WebLinkAboutDrain Layers Permit 164 Pheasant Way s
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7008 Contractor GERBER CONSTRUCTION CO
Location 164 PHEASANT WAY Address 616 DART HILL ROAD
Type Work NEW SAN LAT LOT VERNON CT 06066
P 0-he_No. (860)875-6684
Date I nsp Needed
s
Time Insp Needed `� Time I'nsp.
Inspected By
Work in Progress
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Permit No, 7008 Town of South Windsor, CT
P6rWi t, Date 06/18/1999 Drain Layer Permit
Expiraiion Date 07/18/1999
Descrio: CK 10016 FOR 6 LOTS Lojr'„�y
Applicant Location !
Name GERBER CONSTRUCTION CO Ad ,r, i`64 PHEASANT WAY
Add r. 616 DART HILL ROADQw r -,CHASjE ASSOC.
VERNON CT6
*!e No. (860)875-6684 P,
a,,
The Drain Layer a4s" r* cense issued by the
state and hereby agrees 1 �� t =fit end t= rs set forth i n the
attached 'Cond i t i ons' . 1 �kk1 >i 1 n aitn with Town of South
�
Windsor standards, al " � t t rld � �� a ,t*ched conditions .
Issued Byv
Date Inspected ,I.nsp®6tt
APPLICATION FOR DRAIN LAYER PERMIT
.TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
�16q FEE $25.00
67 Location of proposed work: AIC4 [/
p p S� Lot # 3
Street No, Street Name
Premises owned by: d,�__ ��'S'o G ��
Name of Firm: 6 FL
f Phone..
Address of Firm: v/6 /V 11 64�wa,�
TYPE OF WORK:
Lay House Drain_/ i Repair House Drain
an ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ^ L--
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 sue „ the holder of Drain
Layer's License No. 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: "
Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS L o-t 4-
STREET : 9 S C.,
SUBDIVISION: n r(-v\c&rct S
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONT TOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNAT
l aej DATE
TOWN STATE ZIP INSPECTED Y Toff
Ico DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER