HomeMy WebLinkAboutDrain Layers Permit 154 Scott Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7067 Contractor COVEN CONSTRUCTION CO.
Location 0154 SCOTT DRIVE Address P.O. BOX 427
Type Work NEW SAN LAT COVENTRY CT 06238
Phone.,_,,No. (860)282-0526
Date Insp Needed
Time Insp Needed T me I rls,P
Inspected By /� T1 �(
t
Work in Progress �C?.YT/zs�efT�J2 � 5 " /� /��� s, .
Input _ Date _/GJ�ib��'�
PwrM, t No. 7067 Town of South Windsor, CT
Permit Date 10/12/ 1999 Drain Layer Permit
Expiration Date 11/11/1999
Descrip: CONN CHARGE PAID #4952
Applicant Location
Name COVEN CONSTRUCTION CO. 'Ad�d,r,, 0154 SCOTT DRIVE
Addr. P.O. BOX 427 ;.owner =SINGER ETHEL H
COVENTRY CT ,O�L $
Phone No. (860)282-0526
The Drain Layer ass i:gr 0 th-'s pprM-1 t has s v 1 J d 1 7 cease issued by the
state and hereby agrees' 1;Q; 1 the tertos <and` c6r iitions set forth in the
attached 'Conditions' AI Or s1*1 1 . A n acai n-ce with Town of South
Windsor standards, a1 1 OSi-(�A rejt � ',� .end ii :attached conditions.
Issued By
Date I nspec /Z/3 9P eY _
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: /O �
BUILDING ADDRESS
STREET S CGtf Ole-
SUBDIVISION:
NORTH ARROW
S
i
T
I C� END ! Ii
�.
j
LL
T
1 ,
} � rsC _ _
Imo,
Cou cc ,'j lovc
,
CONTRACTOR (PRINT) NAME OF CO T C 'S /SUPERVISOR (PRINT)
STREET ADDRESS SIG URA
TOWN (/ STATE ZIP I TED BY OWN
66 � 7c� O Cl-t� DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYER PERMIT Q
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: Lot
Street No. Street Name
Premises owned by: gcaq �l A) .
r
Name of Firm: Eno (C-,. I n4_-'r4 \ � 1 A-C, Phone:. O � d�
Address of Firm: ?(:5 �� oak q,), au�_S�2y �-� 06a,F
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date /q j "I L 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 41 q JXthe holder of Drain
Layer's License No. 41 e)7 Gib' 4 Only holders of P1, P7 & W9 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.
Signed: A/c aa �g Prmt Name: � cT✓�-✓
icensed Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc