HomeMy WebLinkAboutDrain Layers Permit 295 Scott Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6836 bontractor YANCEY
Location 0295 SCOTT DRIVE Address 27 R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
Phone No. (860)633-0423
Date Insp Needed Date Insp ,�oe
Time Insp Needed T10e ;insp:
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Permit No. 6836 Town of South Windsor , CT
Permit Date 06/12/1998 Drain Layer Permit
Expiration Date 07/12/1998
Descrip: CK2711 2PERMITS
Applicant Location
Name YANCEY Addr. - 0295 SCOTT DRIVE
Addr . 27 R COMMERCE STREET Owner:- LACAVA CONSTRUCTION COMPANY
GLASTONBURY CT 060333
Phone No. (860)633-0423
The Drain Layer assighed` =this perM ft has a val1,d license issued by the
state and hereby agre6sn t6(''al 1,''the, Let s and cq idi',tlons set forth in the
attached 'Conditions ' . ;A11;, ark shah .i,n ao a dance with Town of South
Windsor standards, all OsH _requireix �+;ts ,and tYialached conditions.
Issued By
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Date ,rins Inspected / . -_ ��� d
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 6 lT9'8 fee,` 4
BUILDING ADDRESS Za14 7
STREET
SUBDIVISION: �.,,m.�„��
NORTH ARROW
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CONTRACTO (PRINT) NAME OF CONT TOR'S SU ER OR (PRI
P6. .3a �i
STREET ADDRESS SIGN URE /
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT "8 7
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: of 9 SCG 17r. Lot #
Street No. Street Name
Premises owned by: liij a/!rA GWJ •
Name of Firm: J*,04fr&ett Cell Phone: gets •d MA 3
Address of Firm. ,rwr �t��ir��. .!�• sr w j�r� G�'•
TYPE OF WORK: /
Lay House Drain y ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with d r,p see
Proposed Start Date 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 e holder of Drain
layer's License No. 40=O Only holders of P1, 7 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: �'i � � `� , t��1 Z Print Name
Licensed Drain Layer
Date: ���`�