HomeMy WebLinkAboutDrain Layers Permit 173 Pheasant Way TOWN OF SOUTH WINDSOR INSPECTION REPORT 3
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Permit No. 7066 Contractor GERBER CONSTRUCTION CO
Location 0173 PHEASANT WAY Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
Phone No. (860)875-6684
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Permit No. - 7066 Town of South Windsor, CT
Pefm ft,,Date 10/06/1999 Drain Layer Permit
Exp i a-ti on Date 1 1/05/1999
Descr_ 'p: USER FEE PAID
Applicant Location
Name GERBER CONSTRUCTION CO Addr., 0173 PHEASANT WAY
Addr. 616 DART HILL ROAD C?wner. CHASE ORCHARDS LLC
VERNON CT 06Q�6
Phone No. (860)875-6684
The Drain Layer ash f gnu ! tit#. va1 i d ,license issued by the
state and hereby agreed to �1l =the " m ' an�# ." Qndiions set forth in the
attached 'Conditions""-AT 'x Work �ha1 T "be ,i n ac�,�r#-dance with Town of South
Windsor standards, atl OSH4 requi.r�men s; , and 'tkte attached conditions.
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Issued By tT05NG�� 2.
Date Inspected �/ 7�9 inspected :By __ A
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APPLICATION 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 worlt:/73 Pheasant Way Lot # 33
Street No. Street Name
Premises owned by: CHASE ASSOCIATES
Name of Firm: Gerber Construction Phone: 875-6684
Address of Firm: 616 Dart Hill Rd Vernon
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 6" pvc
Proposed Start Date 10-6-99 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 Gerber EConstruction Inc. the holder of Drain
Layer's License No. p7 0 . 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: Ron Gerber
Licensed Drain Layer
- Date: A/4-
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
4 TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: .5 - �► °�
BUILDING ADDRESS o ��
STREET : �Cfi�'S C'VA
SUBDIVISION: ,�wS
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CO CTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNAT - -���
� ec,jp,� C� 06 0 6 DATE
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TOWN STATE ZIP INSPECTED BY TOWN
L) -61 S- 6� g DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER