HomeMy WebLinkAboutDrain Layers Permit 49 Stevens Road i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7338 Contractor JACQUES CONSTRUCTION (JOHN)
Location 0049 o8TEVrE1NS .-,RD ' Address 67 RIDGE ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone,_ No. (860)432-1823
Date Insp Needed f!-L c :4ate nsp .
Time Insp Needed Time Insp,
Inspected By '✓
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Work in Progress �c.ou� :� d`K °J�a,��
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Input' C � Date
:)er.rrtit No. 7338 Town of South Windsor , CT
De'-rdi't'Date 10/19/2001 Drain Layer Permit
:-:xpi_ration Date 11/18/2001
)escrip: CK 17274 $133 . 37 CK 17275 $153. 76 LOT 41 PMII3&4
Applicant Location
Vame JACQUES CONSTRUCTION ( JOHN) Addr. 0049 STEVENS RD
Addr. 67 RIDGE ROAD JMJ- CONSTRUCTION COMPANY
SOUTH WINDSOR CT64
Phone No. (860 )432-1823
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The Drain Layer asiign�d ,;this perrrl�t has Yc 1= d ljcense issued by the
state and hereby agreesa�tip 1 I ;`'tl t+ t � end `con# 1,tibns set forth in the
attached 'Conditions' * Altc k sha:l.l be n ac+crciance with Town of South
Windsor standards, all, bBHA _�"E:Qu; r�tnntt,: and the attached conditions.
Issued By
Date Inspected
�3 O/ Inspected By
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS ® `�
• STREET
SUBDIVISION: �'a ✓�' �� e- e �y �✓
NORTH ARROW
P.-
40
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CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPER OR (PRINT)
6 51, .22L�� /-b)-% 6vulv
STREET ADDRESS ,r *� SIGNATURE
I / n�Sb� CT OE�O ! e' / C�� �J ' DATE
TOWN STATE
q STATE ZIP INSPECTED BY TOWN
U �"(1 C> DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: �q S7 eP I-el'1 S Lot #!Z
Street No. Street Name
Premises owned by:
Name of Firm: Phone:
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with .3-rs
Existing Water Supply: Public Water Well
Proposed Start Date O Estimated time for completion
ALL WORK TO BE IN ACC 'RDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENT=7x
CHED TO THE PERMIT
Permit is to be issued to Div ohe holder of Drain
Layer's License No. �gV' Layer
043)
holders of P1 or P7 Licenses will be
issued a permit. PER T WILL RTY (30) DAYS AFTER DATE OF
ISSUANCE. The undersigned Dr 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.
CBYD No.
Signed: Print Name:
Signed:
ice d D n ayer
Date: /
Standard For s\Per Zts�APPLIWION FOR DRAIN LAYERS PERMIT.doc