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HomeMy WebLinkAboutDrain Layers Permit 580 Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7266 Contractor VIOLETTE SILVESTER & SONS Location 0580 PLEASANT VALLEY _ Address 65 CHERRY STREET Type Work NEW SAN LAT EAST HARTFORD CT 06108 Phone� 'No. (860)289-3466 i Date Insp Needed /�` � Date °Insp ©`'�/ 0/ Time Insp Needed k✓,'Z_t'' Time insp. �ia Inspected By Work in Progress 0� CAFCIA_1 �1 L/.W9 W-,,rP L16 u7 �.,4. Input Date Perm'lit- o. 7266 Town of South Windsor , CT Permit Date 04/17/2001 Drain Layer Permit Expiration Date 05/23/2001 Descrip: Applicant Location Name VIOLETTE SILVESTER & 7N 05'80 PLEASANT VALLEY Addr. 65 CHERRY STREET ;ESwri4$r,,r'WESTON AGNES G EAST HARTFORD CT.,' 06�D, Phone No. (860)289-3466 The Drain Layer assigned this piari�it has a v f�i d 'license issued by the state and hereby agroes td `411 the terms and po�d7tions set forth in the attached 'Con d i t i ons' ..-A.l l wi�rk �h _1�.. 600 i n a cordance with Town of South Windsor standards, all O f A `i��qui rements, 6-nd the attached conditions. Issued By Ti,t]Q. - Date Inspected G Ttts"psctsd 'By ,Y, �N APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUL H WINDSOR PUBLIC WORK., DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: 45-4!�° VA x`-7 Lot # Street No. Street Name Premises owned by: A 4 t--S c fe', Name of Firm: e- 95-a-�'L- Phone: Address of Firm: �c r f� �� 1'l �l, G 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 ��G Existing Water Supply: Public Water L") Well Proposed Start Date 09 Estimated time for completion Of/ /& o 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 a N`�- the holder of Drain Layer's License No. .2 7 OSYY Only holders of PI 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: - Print Name: Licensed' Drain Layer Date: yz . 0/ Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH ANDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 19A-, BUILDING ADDRESS : ,9-0 . 74 STREET + SUBDIVISION: NORTH ARROW ! 415, i 1 i i ie t ------ (_.__ c 37 __. ---------- Zhc __. y�� � Zhu CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS! ` SIG �d `�` -` DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER