HomeMy WebLinkAboutDrain Layers Permit 42 Stedman Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6796 Contractor WILCOX , MICHAEL t1AGLF_ )
location 42 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 _�-�� �, r' s
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Time Insp Needed --- _1f�_. � - -- -- Time nap. �'`.� TC �. ----
Inspected By
Work in Progress 10•. , _a. l�' 3 t ' s �s� _? ._i r ►��
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Permit No. 6796 "fown of. South 'W i nosor, G i
Permi-t Date o4/30/ 1998 Drain Layer Permit
Expiration Date 05/30/1998 i
Descr l,p .
Applicant Location
Name WILCOX , MICHAEL_ ( EAGLE) Addr. 42 STEDMAN
Addr. EAGLE EARTHWORK SERV . Owner MANNARINO BUILDERS
101 N MOUNTAIN ROAD
CANTON CT 060.19
Phone No. (860 )693-2027
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The Drain Layer assigned this permit has a, valid license issued by the
state and hereby agrees' tts"�a7".1 `the terms and donditions set forth in the
attached ' Conditions ' . .A 1 l work shall 'be In accor'dance"' with Town of South
Windsor standards, all OSHA-, requirements ,, and the attached conditions.
Issued BY 'S. rJ�+
Date Inspected --- ' 1 � _--____-- V-.=� l.nspected By
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS tol 1S
STREET : ladn.,^u
+ SUBDIVISION: CAer Rie,
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR' SUPERVISOR (PRINT)
STREET ADDRESS 11 SIGNATU E
L PM,40 DATE
TOWN STATE ZIP INSP ED BY TOWN
gG� 1 L 5 J d-o DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT 4196
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: CJ — 0//10 k� Lot #
Street No. Street Name
Premises owned by:
Name of Finn: w ti l Phone: Co f Zd L
Address of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
I KConnection will be made with
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
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Permit is to be issued to the holder of Drain
layer's License No. Only holders of P1, 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.
Signed: Print Name
Licensed Drain Layer
Date: l
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