HomeMy WebLinkAboutDrain Layers Permit 55 Stedman Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6873 Contractor WILCOX, MICHAEL (EAGLE)
Location 0055 STEDMAN. CIRCLE Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone� 'N� (860)693-2027
Date Insp Needed ft inapt° C1 l4Aj�
Time Insp Needed Time InSp. Cka
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Work in Progress
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Permit No. 6873 Town of South Windsor, CT
Permit Date 09/17/1998 Drain Layer Permit
Expiration Date 10/17/1998
Descrip: CK4359 LTS10, 11 , 12, 16 , 22 PMT 49,55 STEDMAN PR PD
Applicant Location
Name WILCOX, MICHAEL (EAGLE) Addr. -0055 STEDMAN CIRCLE tom/9
Addr. EAGLE EARTHWORK SERV. , Owner 'BLOZI;E REGINA M ET AL
101 N MOUNTAIN ROAD
CANTON CT 0601,9
Phone No. (860)693-2027 ;
The Drain Layer assigned .this per has a V.&T'td,: 1.1cense issued by the
state and hereby agrees to'all- 'the terms and ton i:�tions set forth in the
attached 'Conditions' .' A11 iyork sh611 be: -n accordance' with Town of South
Windsor standards, all," OSHA',requ vrements anal the attached conditions.
Issued By � /-d-�+ '�i tl. �t
Date Inspected ��f�d� 1�spec3dy
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: , ( 7
BUILDING ADDRESS ` I
STREET �'��
-I- SUBDIVISION:
NORTH ARROW
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CONTRACTOR RINT) NAME OF NTRACTO 'S SUPERVISOR (PRINT)
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STREET AAD'DRES�S1 SIGNAT
ATE
TOWN STATE ZIP (INS[I CTED 4BYWN
oho ` DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT 6 87
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work �j 's aff Lot #
Street No. Street Name
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Premises owned by:Al2 a a e,,Plo
Name of Firm: �Ijff A, o 2 Phone: 2 0 7
Address of Firm: l 0 `
TYPE OF WORK:
Lay House Drain_�; Repair House Drain ;
La Main La Lateral or Commer 'y y f ccal/Industria.i
Building of acres
Connection will be made with
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Proposed Start Date 7 Estimated time for completion `l7
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 _ U�� � ro,te O,k 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. 6�111ei�Lj� Print Name f�c ' Cho GQ�. ��
Licensed Drain Layer
Date: /`( 9