HomeMy WebLinkAboutSanitary Lateral Street Cut Permits 41-4 TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 8114 Contra'C'tor KESSL 'A QQNSTRUCT ION CO.Location
Andres .' 44 �PRO5PECT'AVE
Type Work NEW SAN LAT T-RT ORT7 C 0.bl'D:6
Phon.� No E83328� b'83:3
Date Insp Needed _—____----- _— Date"Insp
Time Insp Needed f
Inspected By
Work in Progress _ r��7Qc x
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Permit No. 8114 Town of South Windsor, CT
Permit Date 11/14/2006 Drain Layer Permit
Expiration Date 12/14/2006
Descrip: INSTALL SANITARY LAT;R:9 L
Applicant
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Name KESSLER CONSTRUCTION S 3dd l 4A
.... TAMARACK AVE
Addr. 244 PROSPECT AVE:, OWvii r POAG MCFW.EN �T ESTyLES CENTERS
HARTFORD 'Ci 06'206
Phone No. (860)286-08;33 ..
The Drain Layer assign e se :Slued by the
state and hereby agrees tp ��.}, the terms xiY`d or�h in the
attached Conditions .,,.:All <wo k'':<.;:spa;11>.> e;`.<. i<, .i Ytia.n '',.wq.t ocan of South
Windsor standards, all OSHA requiremes, .aride`attaliedonciitions.
Issued By
Date Inspected
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: -1— 43 jAMANa4- ALL- Lot #
Street No. Street Name
Premises owned by: )00j y-9'- nWb—V
Name of Firm: &97z& 69t)� & , Phone:
Address of Firm: p/� �_ � � �7 J ezl®y
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date S Estimated time for completion oZW&LA 0
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 di ��� the holder of Drain
Layer's License No. d063' Only holders of P-1 P-7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(36f6AYS 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:
Livense d b ai Lay
Date: �
Standard Forms\PermitsXAPPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH MINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: -lea" _a 7
BUILDING ADDRESS`
STREET .4--e
SUBDIVISION: vt-y®-�c �, ' / -� ✓~,e
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONT CTOR'S SUPE OR (PRINT)-
STREET ADDRESS IGNATURE
' DATE
TOWN STATE ZIP INSPECTED BY TOWN
g83-48'33 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW .- CONSULTING ENGINEER / DEVELOPER