HomeMy WebLinkAboutDrain Layers Permit 62 Riverview Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7683 Cont:r.a>cti J &`H' SLATER CONST CO
Location 62 RIVERVIEW DR Ai3dress; 75 QMME.RC ,.WAY
Type Work NEW SAN LAT SOUTH WINDSOR1C 06074
Phone."No (E}6:0.).S 8_5252
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Date Insp Needed
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Time Insp NeededIds p/
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Input Date _11_�-02)--
Permit No. 7683 Town of South Windsor, CT
Permit Date 10/22/2003 Drain Layer Permit
Expiration Date 11/21/2003
Descrip: CK 10900 $6639.00 SIX PERMITS $.3F.00 CAS.Ii
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Applicant Location
Name J & H SLATER CONST CO Ad,dx 62,:RIVE9VIEW DR'
Addr. 75 COMMERCE WAY QW �xr, RSK KELLCO
SOUTH WINDSOR CT<0607} i..-
Phone No. (860)528-5252...`
The Drain Layer assigned tYris pezmit �xas a Velid ] tense sSued by the I
state and hereby agrees:: to all the, tar�tts andE�;nd�tictns set: fprth in the 1
attached 'Conditions' . All work shaon:]1 ben acerrdanc:e with::Town of South
Windsor standards, all OSHA retfui.r #4iner ,t� the att'ached.:conditions.
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Issued By�� T tr^� -------------
Date Inspected ----___---—----—_ Inspebted By
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL . FIELD LOCATION
DATE OF CONSTRUCTION: 1�--0
BUILDING. ADDRESS (off LOT I `1
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SUBDIVISION: k
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
�S D n.Cstic.C-- L) A
STREET ADDRESS SIGNATURE
li o•�TA cJ I^� b5�� G1 DATE
D�T?'7� �rr...,�-�.�,�� .�� �c���d��3
TOWN STATE ZIP INSPECTED BY TOWN
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: PO U lC- zw6 # �7
Street No. Street Name
Premises owned by:
Name of Firm: CA 4r �, �r,�C, Phone: Zf-S z
Address.of Firm: IS uU
TYPE OF WORK:
Lay House Drain_ /C _; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 6:11, QV(_
Existing Water Supply: Public Water X Well
Proposed Start Date L 11-�>-03 Estimated time for completion Z W�5,
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 •c t9 5-(-,q1rz1'L the holder of Drain
Layer's License No. Z67"7yQ 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:_ J� ES Vj• SL4TU
Licensed in Layer
Date: l
Standard Forms\Permits\APPLIGATION FOR DRAIN LAYERS PERMrF.doc