HomeMy WebLinkAboutDrain Layers Permit 37 Ronda Drive C
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7131 Contractor JACQUES CONSTRUCTION (JOHN)
Location 0037 RONDA DRIVE Address 67 RIDGE ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
P�or�e No. (860)432-1823
Date Insp Needed �� '� Date �Insp,.
Time Insp Needed ime Tns
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Inspected By
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Work in Progress
Input Date 41(i1rrD
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Perm"I7ti No. 7131 Town of South Windsor, CT
Pe`rmN Date 03/29/2000 Drain Layer Permit
Expiration Date 04/28/2000
Descrip:
Applicant Location
Name JACQUES CONSTRUCTION (JOWNJ Adddr.,."0037 RONDA DRIVE
Addr. 67 RIDGE ROAD Qwne ,COIRTURE REAL. G+GISELE R
SOUTH WINDSOR CT 06i
Phone No. (860)432-1823 "
I
The Drain Layer assaned ma's pe'fttvvt has a v1id license issued by the
state and hereby agres =tys,: t „ and . �ii#i tos set forth in the
attached 'Cond i t i ons 'L` 10 T ` k shal 1 be, n acca:rciance with Town of South
Windsor standards. a l 1, 51 ,; e"q# [rri $, and tie attached conditions.
Issued By / Tt:le
Date Inspected __em s'/—® Tn'Spectad By --
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: / b¢ _Lot #
Street No. Street Name
Premises owned by:
Name of Firm:
Phone:
Address of Firm: l� ,' 5a,' ✓r�sy�
TYPE OF WORK:
Lay House Drai _ Repair House Drain
Lay Main_ ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with _ S ) T -:k�
Existing Water Supply: Public Water Well
Proposed Start Date k �-00 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 _� U � LLG
Layer's License No. the holder of Drain
�` Only holders of P1 or P7 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: �kv\.3�C.�v�S
Licen rai ayer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS ��--
STREET
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C�2UC'S �✓IS i^�CC!2 ,� L1, �i
CONTRACTOR (PRlN ) NAME F ONT 'S SUPERVISOR (PRINT)
STREET AD RESS RE
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� DATE
TOWN STATE ZIP
o b 1 � INSPECTED BY TOWN
_ DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER