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HomeMy WebLinkAboutDrain Layers Permit 38 Ident Road (3) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6894 Contractor COVEN CONSTRUCTION CO. Location 0038 IDENT ROAD Address P.O. BOX 427 Type Work RPR SAN LAT COVENTRY CT 06238 Rhonii -No. (860)282-0526 Date I n s p Needed © Time Insp Needed T'iae-'IDspr ' l; 30 -1rt Inspected BY 1 York in Progress Wirt '`;z � I Y 1 I VADOL)Lc o , r Input Date 1 PQrV!t No. 6894 Town of South Windsor, CT Permit Date 10/07/1998 Drain Layer Permit Expiration Date 11/06/1998 DescrAp: CONNECT SEWER TO TRAILER Applicant Location Name COVEN CONSTRUCTION CO. = Aj d 8 IDENT ROAD Addr. P.O. BOX 427 ;Owner�DIdE INARO FRANK & COVENTRY CT Phone No. (860)282-0526 Y z. The Drain Layer asi;gt�ec3 tn� x perm his v` lid 1 i cense issued by the state and hereby agreee--mot1 `tte T�� m .�nd "oo �tts set forth in the attached 'Conditions ' ,',' 1 � k shad Windsor stand rds al Her r� b�£ n ac��^i$ with Town of South ' ► gw� ertr�d e a ched conditions. -a . e, Issued By �' � , f of of )ate Inspected TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ' BUILDING ADDRESS STREET UBDIVISION: �� f� �� Gf -i c ��' i if NORTH ARROW i � • _ F,_ rya. E •.___ ` , ' S ! 1 t r : 7-- I 4-7 , r r : --, - i co r r i • i � �t i UL�' 06 � t CO CTOR (PRINT) NA E F CONTRA C 'S SUPERVISOR (PRINT) 3 S - 4� STREET ADDRESS SIG ATU E AA l� �T7 DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER • APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WI11lDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work U L✓�J� Q0 Lot # Street No. _ Street Name Premises owned by. Name of Firm: o (f oJALw Phone: 6, v 7 c 4 Address of Firm: , 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 DatelO 'Estimated time for completion lv 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 11' - �, �, ✓�� the holder of Drain layer's License No. <�� Only holders of P1,�& 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: Print Name t;iiceged Drain Layer Date: %Ob/