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HomeMy WebLinkAboutDrain Layers Permit 141 Scott Drive i TOWN OF SOUTH WINDSOR INSPECTION REPORT ;I Permit No. 7624 Contractor S.11 ASSOCIATES, INC. , DAY INC. Location 0141 SCOTT DRIVE ;{ Add�es.s Cj O D7>,Y;-$'I'I 'i;LC. Type Work NEW SAN LAT P 0 BOX 797 Vk:RNQN CT 06 0.fr6 v4one TIo (508j 943 4104._ Date Insp Needed ` , ------------ A:a t Time Insp Needed Time IxtSg j�# i s Inspected By �,����� �+� - L �1 t Work in Progress rtia ✓ n3 /1<<3, �'��145 o` oZ�tl ------------- p---- 5�- �-- - .h ------ ®� Input '---�", --'Date 4 Permit No. 7624 Town of South Windsor, CT Permit Date 05/02/2003 Drain Layer Permit Expiration Date 06/01/2003 Descrip: Applicant Looat'7on Name STI ASSOCIATES, INC..; 3AY INCdd 141 SCOTT:.DRIVE :. Addr. C/O DAY-STI, LLC Owner FERRUGLO ��iOMAS;ENE P.O. BOX 797 ". VERNON CT 06066 Phone No. (508)943 4104 The Drain Layer .:assigricd fihi.s permit ki ValYd license -189.: ed by the state and hereby agrees dnd conditions set forth in the attached 'Conditions' 7,1,1 wool s17a11 r1 _a jae dance with: Town of South Windsor standards, all OSHA requi attachd ::ccnditions. Issued By � --`S Titles --- -- --- - —.��'� y, Date Inspected Inspected B TOWN OF SOUTH ` WINDSOR SANITARY SEWER LATERAL FIELD UCATION DATE OF CONSTRUCTION: 5—)6 Ice',3. BUILDING ADDRESS 1 / s60 77 — STREET Cd-77- SUBDIVISION: peg NORTH ARROW �a r 1 { r , r i r i t y s f r 41 { t ! 1 1 i j t i r f � e_-.. __- _._._ _._ . .�—T.._ � �_.._-_. .._. :+—_. i { .r._— .yam.. t. t ' � r i I r � i ! ! f CONTRACTOR (PRINT) NAME 6F CONT CTOR'S SUPERVISOR (PRINT) &t/_ STREET ADDRESS SIGNATURE — DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 01 4 qq 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:_ / 4t Sea rt Oc. Lot # Street No. Street N,at•ne Premises owned by:�'v N Name of Firm:_� • 't. g y��, ,�f cs 2✓t a Phone:sa 9q3 &Iloq Address of Firm:_Do Q,,l 7!1 -7 L/ C--AN,ft TYPE OF WORK: Lay House Drain._; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with G ,�•y. �B� Existing Water Supply: Public Water. X Well Proposed Start Date E�3 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 S fl ACS6-e1 e 46 S the holder of Drain Layer's License No.2 6 G sro.? . . 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. �2,0 0 J Id-6 /z c -7 Signed: 2% Print Name: F,l hw- { ©s Licens Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc