HomeMy WebLinkAboutDrain Layers Permit 1140 Pleasant Valley i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7237 Contractor R.J . FIJOL INC
Location 1140 PLEASANT VALLEY
Type Work SAN MAIN Address PO BOX 296
600 OLD WEST WARREN RD
W. WARREN MA 01092
Rhone No. (413)436-5674
Date Insp Needed '
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Permit No. 7237 Town of South Windsor , CT
KPermit Date 01 /29/2001 Drain Layer Permit
'Exp ration Date 02/28/2001
Descrip : TEST HOLES ON MAIN LINE ONLY
Applicant Location
Name R. J . FIJVL INC -Addr- 1140 PLEASANT VALLEY
Addr. PO BOX 296 Ow
SOUTH WINDSOR ESTATES LLC
600 OLD WEST WARREfJ .RD "
W. WARREN MA" 1092"
Phone No. (413 )436-5674
The Drain Layer and th i s ' m`+t his zva 1 i d l i cense i ssued by the
state and hereby a'rloe ,ail t- t arm and tip ions set forth in the
attached 'Conditions' . A f ..work1e i n �tflr dance with Town of South
Windsor standards, 'a OSHA regmeir%tS, aril`-the'attached conditions.
Issued By
Date Inspected I,nspe'dted BY
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j 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 work: &y'q (T � Lot # /o �
Street No. Street Na e
Premises owned by:'� v4t, G C—
Name of Firm: 4Ar- Phone:
Address of Firm: /D a nGO tu
TYPE OF WORK:
Lay House Drain 0 ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
tr
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date 1 /S/- O/ Estimated time for completion 2 o l
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 the holder of Drain
Layer's License No. � 2? 2L Only holders of P1 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: ` dup-a4co % Print Name:"-�oA.-L.Jo LPwa
n ds� r
Licensed Drain Layer
Date: /P- - >5-- 2-6
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT:doc