HomeMy WebLinkAboutdrain layer permit 488 Sullivan Avenue JJJ/ TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit'No. 6726 Contractor COVEN CONSTRUCTION CO.
Location 0488 SULLIVAN AVENUE Address P.O. BOX 427
Type Work NEW' SAN LAT COVENTRY CT 06238
Phone No. (860)282-0526
Date Insp Needed ��`4��� ,_ ' Oatensp°
Time I nsp Needed r1sp �
Inspected By
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Work in Progress " %
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Input, �`\` QeZ- Date
ermit Date 11/03/1997 Drain Layer Permit
xpiration Date 12/03/1997
Descrio;
Applicant Location
Name COVEN CONSTRUCTION CO. 0488 SULLIVAN AVENUE
Addr. P.O. BOX 427 ARBONNEAU ANDRE
COVENTRY CT 06
Phone No. (860)282-0526
The Drain Layer as i s 'd 1 'cense issued by the
state and hereby agre , he s set forth in the
attached 'Conditions' n n with Town of South
Windsor standards, al OS u re and hed conditions.
Issued By F �4k -� �`
tot P `
Date Inspected -Jsv�
w TOWN OF SOUTH WIrFDSOR b7-L
PUBLIC WORKS DEPARTMENT 6
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work q FF SvLti UX1^ floc Lot #
Street No. Street Name
Premises owned by: A N n 2 Lc
Name of Firm: (70 11 E.v (0 ti f � In I K C Phone: y,2), D 7 1/
Address of Firm: %moo 43 v,Y itd� Co U En-42\i C I C*Q d
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 PU C
Proposed Start Date/ 6 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
�.� the holder o Drain
Permit is to be tssued to CaU� �� �� � � f
layer's License No. "�o � c C44 . Only holders of PT, 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.
ASigned: _4APrint Name wLCv„,�
LL'L'cens'edD in Layer
Date:
r TOWN OF SOUTH WINDSOR
�'SANITARY -SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: / YA
BUILDING ADDRESS 9U CC'vAeJ J9 t,1E
STREET 4) c/E kO fi / 9 q
SUBDIVISION: AzzD E r �-IARr3a"1vCAy owAi s2
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CO CT 'S S ERVISOR (PRINT)
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TREET ADDRESS SIG RE
�� U E/1J�2 0 .� DATE
TOWN O STATE ZIP INSPECTED BY TOWN
�b Cj DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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