HomeMy WebLinkAboutDrain Layers Permit 37 Ridge Road `iOWN' OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7285 Contractor ADDIT CONSTRUCTION CO
Location 0037 RIDGE ROAD Address 30 PINE HILL STREET
Type Work NEW SAN LAT' MANCHESTER CT 06040
Phone No. (860 )872-9110
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Permit No. 7285 Town of South Windsor, CT
Permit Date 06/05/2001 Drain Layer Permit
Expiration Date 07/05/2001
Descrip: USER PAID CK#104
Applicant Location
Name ADDIT CONSTRUCTION CO Addr. 0037 RIDGE ROAD
Addr. 30 PINE HILL STREET Owner, EVERETT DAWN A
MANCHESTER CT 06040
Phone No. (860)872-9110
The Drain Layer assigned th.ia permit has a valid license issued by the
state and hereby agreed tb -all:-'the terms and condi'tiors set forth in the
attached 'Conditions A11 : vo:ra{ sh
alllllba, in accordance with Town of South
Windsor standards, all OSHA r quireme'nts, `and the attached conditions.
Issued By _ 2, n✓A Tit 7
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Date Inspected 6vr d�' _ G� d� Inspected By
Example 1 — No Building Existing Example 2 — Existing Building
TOWN OF SOUTH WINDSOR TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: �cf& 4 9 9 0 DATE OF CONSTRUCTION: 'Yet. 20, 1997
BUILDING ADDRESS : # 100 BUILDING ADDRESS : 157
STREET : `Woof R. STREET
SUBDIVISION: ,l mm;wp Arne, SUBDIVISION: "4
NORTH ARROW NORTH ARROW
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Trek Excavating Inc. J�o�hn Smith Digger Const. Co. Dan Digger
CONTRACTORNT) m , 0/U►L SUPERVISOR —9/ CONTRACTOR R RoINT)ck
NAME OF ou. 2fLIL S SUPERVISOR (PRI�12 0Z9 7
7 �T E ,, UGtI SIREEr ADDRESS e� 06999 SIGNATURE �� 06123 SIGNATURE DATE
(8 6 0) 2 �—5 6 78 nP INSPECTED BY TOWN DATE 6 0) 9 9 9—115 5 ZIP INSPECTED BY rowN DATE
TELEPHONE NUMBER TELEPHONE NUMBER
WHITE-TOWN PINK- CONTRACTOR YELLOW-CONSULTING ENGINEER/DEVELOPER WE-TOWN PINK-CONTRACTOR YELLOW-CONSULTING ENGINEER/DEVELOPER
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f 70WN 'OF SOUTH WINDSOR iNSPECTION REPORT
Permit No. 72135 Contractor ADDIT CONSTRUCTION CO
Location 0037 RIDGE ROAD Address 30 PINE HILL STREET
Type Work NEW SAN LAT MANCHESTER CT 06040
` Phone No. ( 860 )872--91 10
Date Insp Needed _._.__ .--W�t-L _ ,az G, _ Date Insp/
Time Insp Needed
----------- -----'_ _�-_ Time Insp. ��_------------.___------Inspected By '_�r-�cc—
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Work in Progress �t- Tu
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Date
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Permit,,.No. 7285 Towr; of South ,W-i ndsor , C t
Permit Date 06/05/2001 Drain Layer Permit
Expiration Date 07/05/2001
Descrip: USER PAID CK# 104
AppIicanl Location
Name ADDIT CONSTRUCTION CO Addr . 0037 RIDGE ROAD
Addr. 30 PINE HILL ;STREET Owner EVERETT DAWN A
MANCHESTER CT 06040
Phone No . (,860 i872--91 10
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees to all the terms and conditions set forth in the
attached 'Conditions ' . All wore shall be in accordance with Town of South
Windsor standards, all OSHA requirements, and the attached conditions .
Issued By --- �(� Title
Date Inspected
Inspected By - --
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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 work: 3 -7 g i Jg' g Lot #
Street No. Street Name
Premises owned by: ?,jlawn ,,
Name of Firm: Phone( 3-Og-7k
Address of Firm: 3o All 974 o6�'y,J
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres Scwe,-
Connection will be made with
Existing Water Supply: Public Water Well �-
Proposed Start Date —L-_o Estimated time for completion 9- 4Qy S
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH 1NIN690R STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to "4- m 4cv-17 the holder of Drain
Layer's License No. 20 3 d i . 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, Print Name
Licensed Dr)frr LayeF
Date: A
Standard Forms\Permits�APPLICATION FOR DRAIN LAYERS PERMIT.doc .