HomeMy WebLinkAboutDrain Layers Permit 70 Steep Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6867 Contractor HILLS PAVING
Location 0070 STEEP ROAD Address 245 SCANTIC ROAD
Type Work NEW SAN LAT EAST WINDSOR CT 06088
Pho0e,E.No. (860)654-1707
Date Insp Needed ;!-gs Date: Insp = w —
Time Insp Needed
a`
Inspected By � �
Work in Progress --Despio eML.tb c4 ' N�
e
Input b Date '�dO/y�
Ass baj:1--I-D l
Perrkiti. 6867 Town of South Windsor, CT I
Perrhit :date 08/17/1998 Drain Layer Permit
EVi,rati.ori .mate 09/16/1998
Debcrip: .CK 3737 P/R FEE & PERMIT FEE
Applicant Location
Name HILLS PAVING 4,?` STEEP ROAD
Addr. 245 SCANTIC ROAD s 4Nt S JOSE C & LURDES B
-
EAST WINDSOR CT 0 ,
Phone No. (860)654-1707
The Drain Layer as ig otty' t,'s, s void icense issued by the
state and hereby agree; ts1 1 'theer °end set forth in the
attached 'Conditions' A 1 WOrk :_s ► ;1 b�-� a6rb—' with Town of South
Windsor standards, ail O t -'' " qU4 fis0 d 'tre;�att�xched conditions.
Issued By
Date Inspecte �Inspectod av
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 70 P
STREET
+ SUBDIVISION: J-1f/fs%fe
NORTH ARROW
1 + I S
t-
'b
1
?
:
a/f
,
1 k
16 1 I ' , f ! I 1
,
1
t
` � 1
i 1
1 `
1
-ftr l� dry d-�o�rs s t�
CONTRACTOR ( INT) OF CONTRACTOR'S SUP ISOR (PRINT)
aq6 Scowlr� �� NAME / 8--/l�-17(9
STREET ADDRESS SIGNATU
0 6 0FP C DATE
TOWN STATE ZIP INS C ED BY TOWN
a -- Cy /`70`*7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
J
MHm
. • / •c71
8 SMT FL.145.31 FAA
rp
—ON
WE
2 STY FR.
loll
46
I�
•
�► ' ; �-�
g ,� • , r ��
/�
APPLICATION FOR DRAIN LAYERS PERMIT pjg#
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work �I: 70 ,e!4 �� Lot #
_ Street No. Street Name
Premises owned by: "c GN/o
Name of Firm: 1 1 d--1 j-a-lsf 61._ Phone: 66-y-/1I0
Address of Firm: Vic% ,j",v4 r �cl �J �✓(/�'��c.
TYPE OF WORK:
Lay House Drain�_; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with Pt/(f ,3y
Proposed Start Date'- n 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 P-:j r--11 - Hrkf the holder of Drain
layer's License No. 26r?o y5 Only holders of Pl, 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 ct r r G
Li used Drain Layer
Dater/'� g