HomeMy WebLinkAboutDrain Layers Permit 136 Ridgefield Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6768 Contractor YANCEY`
Locatiqn 0136 RIDGEFIELD CAR Address 27, R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
Phone No. (.860)633-0423
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_Permit No. 6768 Town of South Windsor, CT
Permit Date 03/03/ 1998 Drairi Layer, Permit
Expir-ation Date (�4/02111998
Descr- ip: CK 2580 LOT 22&58
App i i cant L.ocat. i on
Name YANCEY Addy. 01:36 RIDGEFIELD DR G ar S j
Addr . 27 R COMMERCE S`!-REL'T .Owner LACAYA CONS1"RUCTION COMPANY
GLASTONBURY CT 06.6. 3 =
Phone No. ( 860 )633-0423
The Drain Layer ass ignad, perr�ntit. has 'a vIa,i 1 d .1 i tense issued by the
state and hereby agrees tp a1,i the terms and COtndition.s set forth in the
attached ' Cond 1 t 1 ons ' Al 1 Work shal') 'tie i ri acc,orIdah ae with Town of South
Windsor, standards, a 1 1. bS+4A' .t eq0 refflents,. And the ,- attached conditions . �
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Issued By ` T'i.irla �, _ __ ..- - - --- --- ------- -
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Date Inspected _- _ Inspected B 9" -
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work:' Lot #
Street No. Street Name
Premises owned by: c
Name of Firm: Phone: / _,`'>= rk
Address of Firm: _1? ; i'sT.,","e<< r . 7-' ef:�'`�s e-
TYPE OF WORK.,
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ,-,-,"
Proposed Start Date 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 _ the holder of Drain
layer's License No. der od /�' my h lders of PI, PT& 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. o " 7 t—
Signed: Print Name
Licensed Drain Layer
Date: /�"
TOWN OF SOUTH WINDSOR
SANITARY SEWE.R
LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
== BUILDING ADDRESS .Cam
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACT QQ(PRIN� NAME OF CONT CTOR'S SUP OR (PRINT)
STREET ADDRESS SIGNATUR
0�, O6' `.. DATE
TOWN STATE ZIP INS CTED BY TOWN
O r� DATE
TELEPHONE NUMBER ,
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER