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HomeMy WebLinkAboutDrain Layers Permit 46 Stedman Circle r TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6872 Location 0046 STEDMAN CIRCLE Contractor WILCOX, MICHAEL (EAGLE) Type Work NEW SAN LAT Address EAGLE EARTHWORK SERV. 101 N MOUNTAIN ROAD CANTON CT 06019 PhoneFNo's (860)693-2027 Date Insp Needed Date'F Lnsp: qWi Time Insp Needed Time Insp ? ` Inspected By Work in Progress 6 t 4 Date i l 4a4-- Permit No--. 6872 Town of South Windsor, CT , Permit Date 09/17/1998 Drain Layer Permit ' Expiration Date 10/17/1998 ' Descrip: CK 4359 LTS 10, 11 , 12 , 16, 22 PMT49 , 55 STEDMAN Applicant Location i Name WILCOX, MICHAEL (EAGLE) Addr., 0046 STEDMAN CIRCLE Addr. EAGLE EARTHWORK SERV. OwCter BLOZIE REGINA M ET AL 101 N MOUNTAIN ROAD CANTON CT 0601�9 { Phone No. (860)693-2027 I The Drain Layer assigned =this permit has a v -1-d license issued by the state and hereby agrees t©:.alI the terms and 0 hdit}io a set forth in the j attached 'Conditions' . ,Al lv 'wo.rk_ shall bei-n acc'ordaia,e ' with Town of South Windsor standards, alT, OSHA requirements, Andthe 'attached conditions. Issued By ��� _�,..✓ Title} ..:�_L°? c� Date Inspected 'Inspected By GOt. } TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: :y� l 7 BUILDING ADDRESS Zo Lol STREET SUBDIVISION: NORTH ARROW i I ! { Not `p i .L I✓ 1 _ �y i r_._ __.__�.____ Idj r • ! , f I 1 i 1 _ � f ( i CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) 6 1aw A �*A) Ate/ -STREET ADDRESS SIGN URE TE TOWN / STATE ZIP INSPE TED BY TOWN ��� -7 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER ` APPLICATION FOR DRAIN LAYERS PERMIT 687L TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work :W S"T .� � Lot # Street No. Street Name Premises owned by: / , d e15 Name of Firm: Phone: (a S 3 -2,0X-7 Address of Firm: 0 p l/►'l �` TYPE OF WORK: Lay House Drain_�; Repair House Drain ; Lay Main ; Lay Lateral for Comm.erciaVIndustrial Building of acres tl Connection will be made with / V 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 M trG/1 ael W[(Ooy, the holder of Drain layer's License No. 2e(,1(o . 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: cdc >98, 7r