HomeMy WebLinkAboutDrain Layers Permit 59 Riverview Drive i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7681 Contra:ct6t-.J""&'`Rx SLATER CONST CO
Location 59 RIVERVIEW DR Address; 75 COMMERCE :WAY
Type Work NEW SAN LAT SOUTH WINDSOR' 06074
Phone T7o ($Fa:Q)528 =5252
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Date Insp Needed ___________ -_ Date Lill -T—
Time Insp Needed Time -
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Inspected By -_
Work in ProgressAl
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Permit No. 7681 Town of South Windsor, CT
Permit Date 10/22/2003 Drain Layer Permit
Expiration Date 11/21/2003
Descrip: CK 10900 $6639.00 SIX PERMIT$ $i3,6.00 :;GAS.H'
Applicant Lod:ation
Name J & H SLATER CONST C:O ddr. 59 - IVF,RVIEW
Addr. 75 COMMERCE WAY .IEDLCO
SOUTH WINDSOR CT :,06074--;,
Phone No. (860)528-5252
The Drain Layer assxgxed this permst ksas a Valid 1.icQme issued by the
state and hereby agrees': to aI_ the terTtt tz nd czditioii5 set;:: oxth in the
attached 'Conditions' .:A11 work sh4 b e -3n acorsr ha dance xrtith"Town of South
Windsor standards, all 0811A r.e.quvremenCs, �aAd%- t'he attached conditions.
Issued By / T 1p,, «r- - ---------------
Date Inspected ---------------- -- 'Tnpeted By
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TOWN OF SOUTH WINDSOR
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SANITARY' . SEWER LATERALJI-ELD LOCATION
DATE OF CONSTRUCTION: 03
BUILDING ADDRESS .59 Lo-r L6
STREET .. el�C�,+�/Gw
SUBDIVISION: 1,6 4
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
L.)AY
STREET ADDRESS SIGNATURE
z a 50'ti' Gr an Li � �� %�� DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
a
r APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
3-9 .t'i✓Gr'r��K �r ,
Location of proposed work:_ �d Q q i4 y_ Zvi)(, Lot # 16
Street No. Street Name
Premises owned by: R24(__ . �C CjJ
Name of Firm:_ 1 `� � �l.�ac � Phone: 'SZg-EZ-.�Z
Address.of Firm:= am t?x6 UJA-4
TYPE OF WORK:
Lay House Drain,_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 4 Y P V(_
Existing Water Supply: Public Water K Well
Proposed Start Date l I Z3-b3 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 J :- LA-1-ff(L the holder of Drain
Layer's License No. Zc.'l 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 and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed: Print Name:_
Licensed Drain Layer
Date:
Standard.Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc