HomeMy WebLinkAboutDrain Layers Permit 56 Stedman Circle S
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6794 Contractor, WILCOX , MICHAEL ( EAGLE )
Location 56 STEDMAN Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No. ( 860 )693-2027
Date Insp Needed _ __-,- _ Date Tnsp. 5/417 __-- - __-
Time Insp Needed ----___A ' Time Insp.
Inspected BY
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Work i n ProgressGf"E:
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Permit No. 6794 Town of South Windsor , CT
Permit, Date 04/30/1998 Drain Layer Permit
E>Apiration Gate 05/30/ 1998
Descrip:
Applicant i...ouat on j
Name WILCOX , MICHAEL ( EAGLE) Addr. 56 ,STEDMAN
Addr. EAGLE EARTHWORM: SERV. , OwnerMANNARINO BUILDERS
101 N MOUNTAIN ROAD
CANTON CT 060,,1,9
Phone No. (860 )69:3-202 7
The Drain Layer assigned-this permit has a valid License issued by the
state and hereby agrees to, al,1 the terms and concj tioni�3 set forth in the
attached 'Conditions ' . -Al V work shall be in acor"dahce with Town of South
Windsor standards , a i I ()SHA .requ i rements, and the attached cond i ti ort:.,-.
Issued By 'S �r -F�f� T'i t l e
Date Inspected --_-__.S 4- 8 ___`` _ �._ .Inspected By ---
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 5z�he
BUILDING ADDRESS 56
STREET .
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-I- SUBDIVISION: Cd jer �
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CONTRACTOR (PRINT) NAME 0 TRACTOR'S SUP VISOR (PRINT)
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STREET ADDRESS SIGNAT E
�ti7b►� �" / 1701wlm
DATE
TO STATE ZIP INSP ED BY TOWN
d, DATE
TELEPHONE NU BER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT ����
TOWN OF SOUTH WINDSOR
' PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: S r
EQ 10 -4 jing I Ci Lot # % v
Street No. Street Name
Premises owned by: A 'A 0
Name of Firm: Phone:
Address of Firm: /Q/ /ye, t. ICb 0,41 If1-0�1
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 6 `(FC
16
Proposed Start Date , Estimated time for completion r'3
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 ►C �� � e-6Y, the holder of Drain
layer's License No. Only holders of PI, 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.
6#
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Signed: Print Name
Licensed Drain Layer
Date:
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