HomeMy WebLinkAboutDrain Layers Permit 65 Tumblebrook Drive `TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7302 Contractor VIOLETTE SILVESTER & SONS
Location 0065 TUMBLE BROOK DRI Address 65 CHERRY STREET
Type Work NEW SAN LAT EAST HARTFORD CT 06108
Ph0nv, No. (860)289-3466
Date Insp Needed } te.< �6sP..- --
Time Insp Neededr
Inspected By
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Permit No. 7302 Town of South Windsor, CT
Permit Date 06/26/2001 Drain Layer Permit
Expiration Date 07/26/2001
Descrip: CK 109 766. 63 CK26617 25 .00
Applicant Location
Name VIOLETTE SILVESTER & SONS Addr. 0065 TUMBLE BROOK DRI
Addr. 65 CHERRY STREET Owner DWORSKY ALAN J+BARBARA C SURV
EAST HARTFORD CT 061,08. .
Phone No. (860)289-3466
The Drain Layer ash nod this perm, t has valid license issued by the
state and hereby agrees to. 11 tie terms and conditions set forth in the
attached 'Conditions' A11:= work shall be In accordance with Town of South
Windsor standards, a l 1 OSHA; t,�qu�-rom,e-n o and th4 attached conditions.
Issued By
Date Inspected i inspected By 4V4Q
Tao z
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: 6,S-- Tvlv) /e- 6&-aav- ' _Lot #
Street No. Street Name
Premises owned by: 0Y-S
Name of Firm: V . Oz:�i -t- SQW r Phone: ak�-311C 6
Address of firm: S— g�., 147T--ib
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S 3 S —
Existing Water Supply: Public Water tlo" Well
Proposed Start Date 6,lc2mo t Estimated time for completion as/a
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 (4, &-eAv L,� the holder of Drain
Layer's License No. <P'fOO6 q . Only holders of P1 or P7 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.
CBYD No. WO Q!S 0 CS-q
Signed•Ak 1 Print Name: k; t4
Licensed Drain Layer
Date:- 6 I.REJ 0 1
Standard Forms\Permlts\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 617/,2001
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS � � � SIG E
Q�' �►-� f DATE
TOWN STATE ZIP INSPECTED BY TOWN
3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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