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HomeMy WebLinkAboutDrain Layers Permit 176 Smith Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7243 Contractor CARON COLLISION, DBA Location 0176 SMITH STREET Address CARON PAVING CONSTR. Type Work SAN MAIN 115 PARK AVE. EAST HARTFORD CT 06108 Phone No. (860)297-1840 Date I nsp Needed /1ilo.. SZ>_� .{ Date Insp. Time Insp Needed .T t're Inep i Inspected By Work in Progress ,vs°p� �r-tom a 'S � �✓d; afZ- �SrS /llo Z,eT ✓1,A[.la1 ���r�;6ry�� �Q��' ,Aar✓-��d -2 ' ' , Input Date -------------------- Permit No. 7243 Town of South Windsor, CT Perm it 'D ate 03/01/200-1 Drain Layer Permit . , Expiration Date 03/31/2001 Descrip: WHEELER ESTATES Applicant Location Name CARON COLLISION, DBAddr.; 0176 5h1ITH STREET Addr. CARON PAVING CONSTR . „Ownet` K F,-PROPERTIES LLC 115 PARK AVE. EAST HARTFORD CT t5 t38 Phone No. (860 )297-1840 � a4 7 The Drain Layer asi, ne th ls pert t`;has :a � ,�d 1 ?cease issued by the state and hereby agrees t'tie and ohs set forth in the attached 'Conditions "' "A 1 Work sY I, 'bA `.J n ado© dance with Town of South Windsor standards , a1i 'OSHA$ er�u�rements� and the attached conditions . .r Issued By Date Inspected _ /Va[__�� Xnspecl. ci $y =- ---------- 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: I') to SrrA"t % tc Lot # '5Vb a%V,5%o J Street No. Street Name Premises owned by: Name of Firm: Phone:Go'sN L�® Address of Firm:—V> ��� �►� ���{� �,�� TYPE OF WORK: Repair House Drain ; Lay Main L%—e ay Lateral for Commercial/Industrial uI mg of acres Connection will be made with Existing Water Supply: Public Water_ Well Proposed Start Dat 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 ds xa=e the holder of Drain Layer's License No. Only holbers 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. t;�b o O 1-t CN Ocnvc� Signed: Print Name: �,�.�.c.. Lice sed Drain r Date:\A!,.A U-\ Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc