HomeMy WebLinkAboutDrain Layers Permit 86 Riverview Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7724 Conk, .r�>dt''6T:....J..,.&"11:SLATER CONST CO
Location 0086 RIVERVIEW DRIVE ..Ztr3dres::s `:<`: 75 .�-7-,QMMERC2-'..WAY
Type Work NEW SAN LAT SOUTH WIN.b8OR "CT 06074
Phone.,1Vo (80)528 5252
Date Insp Needed
Time Insp Needed _ Time Timmy _.
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Inspected By
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Work in Progress
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Permit No. 7724 Town of South Windsor, CT
Permit Date 04/02/2004 Drain Layer Permit
Expiration Date 05/02/2004
Descrip:
Applicant Lc aC' on
Name J & H SLATER CONSfi ;CO Addx 008.� _KTVERVIEW.DPIVE
Addr. 75 COMMERCE WAY f7tvt22r RSK KELLCO INC
SOUTH WINDSOR Q.T., 06074
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Phone No. (860)528-5252
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The Drain Layer assz'gned th1s }Y[�t has a uala d ] censer:acted by the
state and hereby agree" to a11`.the e'erms and Coizit?ons Sit";for;th in the
attached 'Conditions' . Ail Work shall .} _axe ordanee witb Town of South
Windsor standards, all OSHA requi �rtrents :a�td tki'e attaehed. .coriditions.
Issued By
T.J.- �✓�
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Date Inspected —� oc I'risp�ct'e'd" U
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_ TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL 'FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS L_n
STREET
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SUBDIVISION: 10c)i) LAA)!'<
NORTH ARROW
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CONTRACTOR (PRINT) NA E OF CONTRACTO ' RVISOR (PRINT)
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STREET ADDRESS IG RE
r' DATE
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, Cr
FEE $60.00
Location of proposed work: 4N-1aNjfW D2- Lot #—I
Street No. Street Name
Premises owned by: fz�
Name of Firm:_ Phone: 5Za—IS2,J2
Address.of Firm:
TYPE OF WORK:
Lay House Drain_,; Repair House Drain
Lay Main . ; Lay Lateran for Commercial/Industrial
Building of acres
Connection will be made with t 4 PJC,
Existing Water Supply: Public Water ___ Well
Proposed Start Date -5-Of Estimated time for completion 'L
�� AtL-WORK't'b VE INACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
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Permit is to be issued to the holder of Drain
Layer's License No. Z-07 I 4q 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 an attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD Nq,
Sign in
Name
Li ensed Drain Layer
Standard Forms\Permits\APPUCA']ION FOR DRAIN LAYERS PERMIT.doc