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HomeMy WebLinkAboutSanitary Lateral Street Cut Permits 87 G TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7370 Contractor JACQUES CONSTRUCTION (JOHN)Location Address 67 RIDGE ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Phone No. ( 860)432-1823 Date Insp Needed f,J1 C7 G-A7ate ,Insp. ,1 D - Time Insp Needed �.,, �,� �., ° ( ►e Insp. Inspected By Work in Progress Date Out C* Pernfif-%. 7370 Town of South Windsor , CT Perms t D&te 01 /02/2002 Drai r! Laves Permit Expiration Date 02/01/2002 Descrip: USER ,FEE PAID CK#11236 Applicant Location Name JACQUES CONSTRUCTION t ��F�� � : �,��d� � 0��8�,' GI LBERT LANE Addr. 67 RIDGE ROAD �' oWMri r.,, 6LARK REALTY INC SOUTH WINDSOR CT Phone No. (864 )432-1823 .> The Drain Layer ass 1 n d }� s p s^m t has a vat i d l i.,cense issued by the \. state and hereby agrees t��. ai the„t,ern�s and Gc3it:i`grs set forth in the South attached 'Conditions ' : Ai is irr"ck shy i be .in acctrdance with 'Town of Windsor standards, all OSHA r;,eauremerts, .ard the-, attached conditions. z Issued @y r — — Date Inspected Insp6ote' dy 7s7o • 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: Lot # Street No. Street Name Premises owned by: Name of Firm: `` . Phone: Address of Firm: ,-5—g 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 j 1z ,3 Existing Water Supply: Public Water Well Proposed Start Date f_2 ©?-, Estimated time for completion D jA — 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 L;E;h 0 X cl�3z the holder of Drain Layer's License No 00 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. Signed: Print Name: Jo n �ICIUE3 Licen d Layer Date: /— �— Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS ��' t �r�,1 �✓ �� STREET : '7 SUBDIVISION: t, NORTH ARROW S �' S c wopr I ca f e v-,-t r in y : (( f • t - i i ..i - 1 ; i ; t� qq V r 0 CONTRACTOR (PRINT) NAME OF CONTRACT 'S SU RVISOR (PRINT) STREET ADDRESS SIGNATURE ,D/ DATE -04 �°7 � wit <�` �� �.i 0�- TOWN / STATE ZIP INSPECTED BY TOWN b �`�Z r) 1 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER