HomeMy WebLinkAboutDrain Layers Permit 65 Riverview Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7682 Conts:a<c't'or" `&`'H°S:LATER CONST CO
Location 65 RIVERVIEW DR Azgdres: i; 75QMM=E.RCE' :WAY
Type Work NEW SAN LAT $ . W1NZ70R CT 06074
Phone .No (860)528 5252
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Date Insp Needed Dakssp J`
Time Insp Needed Time Irt
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Permit No. 7682 Town of South Windsor, CT
Permit Date 10/22/2003 Drain Layer Permit
Expiration Date 11/21/2003
Descrip: CK 10900 $6639.00 SIX PE:RMITS.:, $;3_6.00 :;.GASH.
Applicant Looation
Name J & H SLATER CONS O 3idd 65 :WIVE I2VIEW DR:...
Addr. 75 COMMERCE WAY £+aMex RSK XELLCO
SOUTH WINDSOR CT 06474
Phone No. (860)528-5$.52'
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The Drain Layer,assiga�d this permxt. ,ttas a valid l: Cense iissued by the
state and hereby agrees, o all the C'OVa#s and eoiiditions oet ,forth in the
attached 'Conditions' All wC.rk sh l>l lae .in aacerrdan.ee .. il. "Town of South
Windsor standards, a11. OSHA .re.quir:ements,<:a�iel tlas attached conditions.
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Issued Bye
Date Inspected ----—__—_ Inspctd B ^ �!
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
.PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
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Location of proposed work: Poo'(441L pC� Lot # T
Street No. Street Name
Premises owned by: 6aLco
Name of Firm: Phone: Le ITn
Address.of Firm: a'C6 uj
TYPE OF WORK:
Lay House Drain X Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building rof acres
64
Connection will be made with YVC.
Existing Water Supply: Public Water )c, Well
Proposed Start Date_11-23-d3 Estimated time for completion z u4rx
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 kj s( +j—d_ the holder of Drain
Layer's License No. 2_a'1 7`toj . 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.
S gne Print Name: tJ 6mes w- '
Licensed Drain Layer
Date: " 22-- 63
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY 'SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: a_A_o3
BUILDING ADDRESS- ,. :
STREET p/Li u _
SUBDIVISION: Pb6LA,0
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
7k 0 S:D " DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER