HomeMy WebLinkAboutDrain Layers Permit 16 Sunrise Lane PeYFtY4AP0 . 6938
Pernt_Oate 12/17/1998 Town of South Windsor, CT
Expiration Date 01/16/1999 Drain Layer Permit
Desorlp: LOT ] SUNRISE
Applicant
l}" Location
ON C
Addr. WILCOX. 536OLD CSTAFFOROIg0A00� L "`4 � �tl ' ><`UNRISE LN
ENTERPRISES
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Phone Not: L(860)8)1-1839T 06U` N L.�,�., Ax" �I1 �, l
The Drain La 1 x S Layer as* �gryg'�k'tM is qIF t Yeas a ye] p h{tense issued by the
state and hereby ndit ons 'agr, tb, A10 the teYme 11ntl agnYfi<tYbI set forth in the
attached 'Conditions ' . ,All WOfkhg71„p)q. In SA{c)e Windsor standards , alL 0 H!y" peGU YemafYy6 hG4 with Town of South
1 r + ' EkR,'I tI ad conditions.
Issued By ��Q _ ll� T l I _
Date Inspected
—T— "Inaaect§a By,
' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No . 0938 Contractor WILCOX CONSTRUCTION CO( DARRYL)
Location 16 SUNRISE LN Address 636 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone Na. (800)871-1839
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Date Inap Needed � 94'te� In�P::'A ,L/>ls9
time Insp Nestled Ti ma Ibsp� rile
Inspected By
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Vork in Progress (' /l�>.� ,p�
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Intlut 'A. ! //Og�_ Date /2h7,4y/
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: i2 - n- W
BUILDING ADDRESS :
STREET :
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PPoM) NAME OF COMRACTOR'S SUPERVISOR (PRINQ
2s QIA A.� / off _ ( ....GO
9REET ADDRESS SICNAiURE
T ll...d C�- o(a8�/ _� l / 7 i
TOWN SPATE ZIP SPECTER BY TOWN
829- 193P My
TELEPHONE NUMBER
WHIM - TOWN PINK - CONTRACTOR YEILOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAW LAYERS PERMIT G932?
TOWN OFSOUTH WWDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLNAN AVENUE
SOUTH WWOSOR, CT
FEE$25.00
Location ofproposed work 1,� .S�/V/riXk- �i¢ Lot fi
Street No. Street Name
Premises owned by: - ,r 7 I+
Name of Firm: ' po oar it Phone: ky
Address of Firm: o!✓ rrf�,<>eo <✓ y3S/ rol/,� e'rr�6a�Gs!'
TYPE OF WORK:
Lay HouseDretn h�"i; Repair House Drain_
Lay Main_; Lay Lateralfor CommerclaWndwnrial
Building_ of acres
Connection will be made wit�hj
Proposed Start Date/ /Jlftstima�ted time f—or completion I✓G`/�S
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUWEMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to &,2�e 6G//ler f' the holder of Drain
layer's License No. a a2ag77 Only holders of Pl,(19 A W9 licenses will be
issued a permit. Permit will expire thirty 130) days qfter date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions setforth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No. ^�-
Signed� Print Name {jv/r/rdl �r /✓rlcoys..
Licensed Drain Layer
Date: /.z /71i99'�