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HomeMy WebLinkAboutDrain Layers Permit 966 Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT 1 Permit No. 7864 Contr...�.ct'or 9ktNH:E,1T MECHANICAL SERVICES Location 0966 PLEASANT VALLEY &d4res.a »56 DSpOT;.:;ST" Type Work NEW SAN LAT &ROAD B''ROOt CT`"4,6106 Phony. Ito (8 )623 :2991 t Date Insp Needed *� ------------ --� Dates leis ' F „. Time Insp NeededT ------------ G ��. f Inspected By :v' 4r Work in Progress ------------ - _ r + r yam' / /� _. .:r •. -------------------------- --- �� — ` � c1 / — r J. -,-� Aate r Permit No. 7864 Town of South Windsor, CT Permit Date 11/23/2004 Drain Layer Permit Expiration Date 12/23/2004 Descrip: CK 143 $6396.00 FOR,;6' UNIT I PERM I,T FEE TENS. 1�RRMIT FEE WAIVED Applicant LOC `ion Name FAHRENHEIT MECHANICAL SERV'ICSS `Acs Q966 PLEASANT VAL-LEY Addr. 56 DEPOT ST :.,::...:>><: .9o7tYerKF REAI;ETS',<.,I,].0<: BROAD BROOK CT „061�6 Phone No. (860) 623-1991 ; The Drain Layer cssi:fined Chris3# Yhas as Yd.J.,fcens:e by the state and hereby agrees "to dl :the terms "arid cdYf�Tn set;,forh in the attached 'Conditions' All wrr 'k s3tal'1tct5rdane with TONn of South Windsor standards, all OSHA require:m.. nts;,,.,;and the* attached:;,conditions. Issued By tI& Date Inspected ------------------ InspecCeci" BY l'E - � -- s TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS 966 STREET : ']Unscn4 SUBDIVISION: NORTH ARROW i a 1 7 E 4 , i f" E ( 1 I 7 � 1 .J I covIaR a w .r r_.. �J.__.__ ' 7 , } t 1 I j 1 ! a i E { a t ..._.. -,C,o_- _ i } Ic a 1 E S r i I E i I 1 l ) f tt i P i } , _ ,48s� 1 TO I r ' } 4�;�c icy j a CONTRACTOR (PRINT) NAME OF 0 T CTOR'S SUPE SOR (PRINT) STREET ADDRESS TURE "' e", 061a DATE TOWN STATE ZIP INSPECTED BY TOWN 6,?-3 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER i 78 4 V. APPLICATION FOR RAIN LAYER PER TOWN OF SOUTH WINDSOR PUBLIC WORDS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: q .�0 LEASANt i1A6u�E • Lot # Street No. Street Name Premises owned by: KF iL� LLB Name of Firm: u F SALT �L- Phone: 0qq 12�fi Address.of Firm._- _..W U EE-L&L "Ayl S Umot 114-nC 0, CT- TYPE OF WORK: GAY CDn pg4lpjj AwE Li4A L To S✓�r �OQ©S Lay House Drain Repair.House Drain Lay Main Building .OLay Lateral'for Commercial/Industrial acres Connection will be made with Existing Water Supply: Public Water �Well Proposed Start Date / -•12.-OyEstimated time for com lesion P ALL WORK TO BE IN ACCORDANCE WITH"TOWN OF SOUTH'WINDSOP STANDARDS ALL OSHA REQUIREMENTS AND CONDITIONS A 'ATTACHED.TO THE PERMIT Permit is.tc be.Issued to /G �.�/r ma's a , th Dyer's License No. 20 y � a-holder of Drain will be issued a ; Only hol ers ,P-7 or W=9 licenses permit: �VERMIT WILL EXPIRE THIRTY(30) DAY5 aE=TER DATt DP ISSUANCE: The undersigned Drain Layer. hereby egrees to all the terms and condidons,set forth In the permit andattached hereto. Applicant.has received Town Str t.L='xcavation Permit No. and/or ConnDOT Permit No. CBYD No. Signed: 602 G V YFC) Print Name:_ Licensed Drain Layer Date:__ „;.:5fiandard•Fq m NPerMjtsWpjjcAjT0N FOR DRAIN.LAYERS PERMFr.doc