HomeMy WebLinkAboutDrain Layers Permit 43 Riverview Drive i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7726
Location Cont.r:aetor J & Ii S:LAT ER CONST CO
0043 RIVERVIEW DRIVE
Type Work NEW SAN LAT Address 75 COMMERCE°:::WAY
.............QUTH W°IN.bSO$ C2 06074
Fhorae IJd (8 0 528-5252 ;I
Date Insp Needed GJ(It
Time Insp Needed
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Inspected By ��•
Work in Progresstip—
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7-7,77
Input Date
Permit No. 7726 Town of South Windsor, CT
Permit Date 04/02/2004 Drain Layer Permit
Expiration Date 05/02/2004
Descrip:
Applicant Lodation
Name J & H SLATER CONST C.O Addr 0093 �IV.ER�1T$W;'ARIVE
Addr. 75 COMMERCE WAY f3wrzer RSK WELTCC
.......... ;
SOUTH WINDSOR CT,...,06074
Phone No. (860) 528-5252
The Drain Layer assigYaed this permit has a valid �:icense issttied by the
state and hereby agree5; tq all; theers and coriditiais set;;- o.rth in the
attached 'Conditions' 11T tygijc shah be in a�..O ancei h Town of South
Windsor standards, al]. 0SHA r. #xui> em83tsF .: d-tkze attached canclitions. i
Issued By ----�
—0— — --- ^-----------------
Date Inspected InSpCted By T__________________________
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: G 'ID --o 4
BUILDING ADDRESS
STREET kiVeA�-yt6so Diqj UG
SUBDIVISION: PoDNak P,IJG"E
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SI NATURE
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TOWN STATE ZIP INSPECTED BY TOWN
S�-$-- S �. DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT-
FEE $60.00
Location of proposed work: � Lot # l
Street No. Street Name
Premises owned by:
Name of Firm: l ICc�-TgCL z- Phone: S� Z
1 G
Address.of Firm:�7i/!.9 jA/ W
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main ,
Building .of y Lateral for Commercial/Industrial
acres
Connection will be made with 6'e (�
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion
WORKTO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued_ to Jw. Z the holder of Dram
Layer's License No. zd77' Only holders of P-1, P-7 or W-9 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 anpl attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed: Print Name: � ST�
Licensed Drain Layer
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Standard Forms\Permits\APPLICAlION FOR DRAIN LAYERS PERMIT.doc