HomeMy WebLinkAboutDrain Layers Permit 14 Sweet Meadow Driv Permit-. No . 6923 Town of South Windsor, IT
Pe Y�Lii��u pate 12/01 /1998 Drain Layer Permit
E%Pidafion Date 12/31 /1998
Descrip : PERMIT 6905 EXPIRED-CONN / PRORATED PEES PAID
Applicant Location
1.
Name \616 DART
CONSTRUCTION CO .71� rI q� ` , �H SWEET
MEADOW OR
Adtlr . VERNON
OART HILL ROAD t, f�HABE ASSOC .gS
Vo. (8 CT
Phone No. (eeo)e]6 6664
The Drain Layer as on i PeYmT{C "ryas v"Y d, lltcenee issued by the
state and hereby agreg� tpH,aiit th4-bb'ryp3 yntl 2i�Dn§ set forth in the
attached 'Conditions ' ; Ai ) WmTk ah4'),] bry`(n alwith Town of south ,
Windsor stands do, a17 09 HA gpudra, tp an E(jp s ached conditions.,
I66Uetl BY
Date Inspected ., / /„ . ipsp pagd
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6923 Contractor GERBER CONSTRUCTION CO
Location 14 SWEET MEADOW DR Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
- Phone No. (860 )875-6684
Date IneP Needed X bate Insp .
Time Insp Needed `�' �
Thule- snag;/
Inspected By
r .,
Work in Progress W
j
Date r0-
input R1/YVA U�ss
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: I'D- - D-- a �
BUILDING ADDRESS : Lu-t
STREET : _ Sw e24 Dc -
SUBDIVISION: Ghee
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTJ S suPERNSOR (PRINT
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STREET ADDRESS SIGNATURE Y/` �
\/ecrc �J C,t . (76066 j��
TOWN STATE ZIP SIJ�PECTEO BY TOWN
(i 6 vv DATE
TELEPHONE NUMBER
ME - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : Lai II
STREET : Swee`F M(9 .SQw Ilr Vie
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NPME OF CONiRACfOR'S BUPEAVISOR (PRIN<)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWNOFSOUTHW SOR n
PUBLIC WORKS DEPARTMENT nL�
TOWNHALL -!
1540 SULL(VANAVFJME
SOUTH WINDSOR, CT
�J FEE$25.00
Locution ofproposed work / �G / � �% Lot #�
Street No. I Street Name
Premises owned by:�y u � rf� �'^ {sJ
Name ofMrm.' Phone: fs 75 ' (CE 41
Address of Firm: Cil Drl L1. /l A
TYPE OF WORK:
Lay House Drain Repair House Drain_,
Lay Main _; Lay Lateralfor CommerclaUhulustrial —
Building of_ acres
i.
Connection will be made with C� ,PNL In�
Proposed Start Date a l Estimated timefor completion ��' t
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 �.—e/��r /: T - the holder of Drain
layer's License No. q�Yy Only holders of P1, PT 9 W9 licenses will be
Issued a permit. Permit will expire thirty 1301 days after 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 CormDOT Permit No.
Signed: .SL/'_�A/� � Print Name A1411 /Sr/
Licensed Drain Layer
Date:
Ir i �