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HomeMy WebLinkAboutDrain Layers Permit 25 Sunrise Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6889 Contractor WILCOX CONSTRUCTION CO(DARRYL) Location 25 SUNRISE LN Address 535 OLD STAFFORD ROAD Type Work NEW SAN LAT - TOLLAND CT 06086 Phone No. (860)8I1-1839 Date Insp Nestled � Q Z� ( Dnte Insp; Time Insp Needed /}r 'A ' ,Time {90," v °a'.30 Inspected By Work in Progress Q4E �ro5A1� . vTk ¢. ( 5 ok ` e,�'rl/a ' 7eC A5—Gn uY 5Y58d1 b� Input Date m401 Paf•ntt No. 6889 Town of South Windsor, di Permit Date 09/30/1998 Drain Layer Permit Expiration . Date 10/30/1998 Descri p„ Applicant Location Name . WILCOX CONSTRUCTION CO(DARRYL)' . Addr. 2,5 SUNRISE LN Addr , 535 OLD STAFFORD ROAD/ OwDer B& MCENTERPRISES TOLLAND CT 06fYa4y. a".: Phone No. (8e0)871 1839 The Drain Layer aselvgneSY b 1 pormlt has a'wdTltl license issued by the state and hereby agrees toyalll the tegma sntl c.I Mons set forth in the attached 'Conditions' .. .gli.work ahaI 6e in at or ends with Town of South Windsor st ne rds, all '0 HA, requ9 ram9nts, and ha attached conditions . xaauee By TYge , Date Insp ct tl \oMqb Insp dted BY TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: [o- 2 - 99 BUILDING ADDRESS : 25 STREET SUBDIVISION: NORTH ARROW r r � 4 a 1 7 I a JI i �j 4 L ( I T IT 1 -I I I I GJYe T) <CONTRACTOR PRINT] N ©OEC'O RCiOP'S SUPER ISOR (PRNT) Gras olds«..12J (�_ &x STREET ADDRESS SIGa' .OP,. V 7:11 {- / R4 �VI G.�+. 10�2�95 DATE TOWN STATE ZIP INSPE BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSUI ENGINEER / DEVELOPER APPLICATIONFOR OFSOUAINLAYERSPERMIT / /q\ TOWNWORKS H VMYDSOR DEPARTMENT ---PUBLIC WORKS DEPARTMENT In TOWN HALL V 1590 SULLNAN AVENUE SOUTH W�R, CT Location ofproposed work 7S , �rrN/P/`/� /i< Lot #--;5 Street No. Street Name Premises owned by: /s W22ffi,-C , /SDI <«I A� Name ofFirm:,Azz/ &ZL /bkr s/' ,/S (q Phone. e Address ofMrm: �'" 3 d.�r✓ Cg2fZ, Zei JT�/ TYPE OF WORK: Lay House Drain L�; Repair House Drain_ Lay Main _; Lay Lateral for CommerclaU/Industrlm Building _ of_ ocres Connection will 6e made with vP / Proposed Start Date�9E3timatsd Unnefor campletion L/ 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 [o �rpF- /,r//CPo S the holder of Drain layer's License No.h'v9¢Pr'97 . Only holders of P1, 7 Wg licenses will be Issued a permit. Permit will expire thirty 130) 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 ConnDOTPermlt No. Signed:����c.-�`"-T�" Prim NameOl>ia/ X/ I,..Xcy'S Licensed Drain Layer Date: a � qr{" �t49 /7