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HomeMy WebLinkAboutdrain layer permit 953 Sullivan Avenue (2) :. 3 P4r mit No. 6887 Town of South Windsor, CT .Permjt�,-kte 09/29/1998 Drain Layer Permit Exp1 ret-i` in Date 10/29/1998 -De.scrip;: REPAIR OF LATERAL TO BUILDING Applicant Location Name SILVESTER VIOLETTE & SON`8 ,4dc(r�.� 95 ,. SULLIVAN AVE r� �E Addr. 65. CHERRY STREET ff re EAST HARTFORD CT Phone No. (860)289-3466 _ - The Drain Layer ass i npd, i h7s perm "-,x teas val4d .l,,i'cense issued by the state and hereby agre0s tt1 .-0Li1 the terms and 0onditio'hs set forth in the attached 'Conditions' . ;A) 7w-6r'k sha �_� b , % accor, Anne with Town of South Windsor stand rds, all OSH tquremer�" s end 1; e, attached conditions. Issued By Titlg." Date Inspected /O --1 - !f b' 'Inspeotoii jav , a TOWN OF SOUTH WINDSOR INSPECTION REPORT 'mit No. 6887 Contractor SILVESTER VIOLETTE & SONS ration 953 SULLIVAN AVE Address 65 CHERRY STREET ►e Work RPR SAN LAT EAST HARTFORD CT 06108 P.hone ,No. (860)289-3466 :e Insp Needed � j Date Insp. 16-K-- ?E ie Insp Needed �o✓O Tite Insp. 9.`�UAaI ,pected By ��Cb �° k in Progress �'�lS�d`�� •�L � •'1J�c��"c�, ,-�ig��'..�it`9`7�,L' -A��/'-`��' Cc.+iY��� 1�i8'!�s/�fi1�/r rtis��o���''�i iQ,.rr�a'�'.Y13 ems- �` � ;�rr,,,/ y,,rl�.�.,t/ :51�/��-✓.C� 6/12,�L /� G Input Date 71°IDU � it/ l�/�.ZP��/S /- Coiyl�°�26 5��r/ ► RiG 5 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION- DATE OF CONSTRUCTION: OCT 9 1998 BUILDING ADDRESS STREET 75-3 <S�J/XV'a 01 v SUBDIVISION: NORTH ARROW { t { i i ! I I t ! J r Ill f _ r— t ' a.._ i 1 , i i ! i i. { s i jj t + 1 u i t U��! �" � J ►'l'U�S��}� �'sbrfs off- h� �o � !� ���l�v�'�- CONTRACTOR (PRINT) NAME OF CONT CTOR'S SUPERVISOR (PRINT) ` STREET ADDRESSr Scp TU rQr' h� C� DATE TOWN STATE ZIP INSPECTED BY TOWN $b 0 o2W ,3116 d DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER t TOWN OF SOUTH WI N DSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT NO 5111 4711zll , 19k�- Pursuant to written application, permission is here gr ed to the Lic nsed Drain Layer named herein to perform t e work indicat. d below at _; at premises owned by whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other , for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR ( ) Connection will be made with Show sketch of proposed work or furnish two (2) copies of separate drawings. PO t6/ SPECIAL CONDITIONS Desired Starting Date G'-/a -:�8 Estimated Time for Completion G -/d-8 8 Permit to be issued to S T F/S h o T/_1 the holder of Drain Layer's License No. ZGYa 70 . 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 the reverse side thereof. App cant bas received Town Permit No. and/or CHD Permit No. a Si e L' a se Drain Layer The above named Drain Layer has a valid license issued by the State of Connecticut and has filed a satisfactory bond and insurance policy in a na of the Town of South Windsor: Engineering Department Date Connection Charge Paid d lU Permit Fee: Paid $ Check Numb 3 (� Issued by Tax Office INSPECTION Date work started Date completed Sufficient notification received: Yes No Special Conditions APPROVED: Inspector Date r APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 C Location of proposed work Lot # treet o. Street N me T Premises owned by: — 4-1- I Name of Firm: 1, -F Phone: 2,!2 3 4ee2�- Address of Firm: C W1 TYPE OF WORK. Lay House Drain 4�-- Repair House Drain Lay Main ; Lay Lateral for C mmercial/Industrial Building of acres Connection will be made with C'" /©�/C Proposed Start Date 1G�If Estimated time for completion 4 t 7 G 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 the holder of Drain layer's License No. Only holders of Pl, P7 & W9 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. A � Signed: g Print Name Licensed Drain Layer Dater 6/71 7