Loading...
HomeMy WebLinkAboutdrain layer permit 1504 Sullivan Avenue f • TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6986 Contractor EASTERN WATERPROOFING Location 1504 SULLIVAN AVENUE Address P.O. BOX 504 Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Pore ,No. (860)875-6646 Date Insp Needed tens ra i'1 19,9 Time I nsp Needed � .."a 1f e'k ? QS QmTh: Inspected By " Work in Progress 8:45- .� c •4J �, til ; /i1W i a �tJDATI� .-Donif.✓ �� npu,t Date S fj Perrol."t No. - 6986 Town of South Windsor, CT P4rmi.t Date ^Aa/"14/1999 Drain Layer Permit Exp�i rat i or. Oate 46/13/1999 "Desbrip $260(:r-- K' 15159 $25 CASH w, Applicant Location Name EASTERN WATERPROOFING k A �r ' �SP4 SULLIVAN AVENUE Addr. P.O. BOX 504 MEMORIAL HOSPITAL � A SOUTH WINDSOR CTQ � Phone No. (860 )87.5-6646r" r '' Ora The Drain Layer as r �i s q �r s M' �cense issued by the state and hereby agr iw t nd fi 's set forth i n the attached 'Conditions".`alp k n a nc6 with Town of South Windsor standards ally, tched conditions. il ,. Issued By -- a Date Inspected In PQbix %`. -?azt o 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: I SCH Su\(t 0 C.LY'\ ( e-- Lot # Street No. Street Name Premises owned by: Name of Firm: w Phonef�)5(k� �V Address of Firm:(-)Ln Ay\"",\) Q7;� � �c��� Qr TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with (0 Proposed Start Dat )� � Estimated time for completion ) �L 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 6eo!f -c ,'k e, the holder of Drain Layer's License No. 0&)-0 60 . Only holders of P1'6& 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. d Signed: Print Name: Li nsed brain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc .� WSW STATE OF CONNECTICUT 9,22,98 � DEPARTMENT OF CONSUMER PROTECTION l 165 CAPITOL AVE + HARTFORD CT 061064630 PLUMBING:&PIPING WORK BOARD Be it known that " GEORGE FITCH 263 HEMLOCK PYDRIVE' COVENTRY CT,06238 Is hereby certified by the Department of C©nsumer Protection as aaicensed PLUMBING LTD CONTRACTOR TYPE.: P 7 LICENSE TV UMBER:.00208038 :EFFECTIVEDATE: 11/01/98 Mark A:Shiffrin EXPIRATION DATE: 10/31/99 Commissioner _J WJOZ71 1 °° ""' CRASS ` U) J M — _ LLJ 15TP 11 5J03�9(a6b9 16'SpRUC£ a .� "j N I ii ii� WJ032.8 �� = NIt II I I Wo$ I IuST �-..J PILE SN uii I I n � i N I •68 1 I I I ' N i N 6"C BIT n I II I II B CL 106.82 5r 24•{jA�� JO IN w � _Nc S if f ry / h /2 STY -B_C 10626 IIcOv4a Wf I Q p `cl- TS WFqg3 ' QwF- W � FF42a c5 yq/, Z ,N' 1496oD LL 3..• O 3•� C�IV Q O c 5EP come ' P�, iG „ S t cn to Z 5 -y . ��� I 0 co p to W1 Z = J 1- I SN( r W if ,S U W 1 N/r •�j If ,T W r - �z II /�/ �� -n% Q.fit �n/ o ( W ° I /7 A `° J I- VGS > V MqR VSTY CLOTHES LINE !ST1' Q � n ii Ac✓ W.F. II 1 FF•I08.40 I o BRICK • 1503 �efl (� '�. v a & WOOD 3 Q FF•115.43 7 J� 0 S 1504 I ��' 4b2 I ii `�,� = M 76 III ,` I/3 BIT 67'VC p I'C.g4 It; (/T 1/ W MgpL III WF. HED 1 V / -1 3 Q I STY 0 l J k GI f w l Z Wf. tlIx Q � ICk — ~ u BC R/I58i �vJBRCK I�IC 4 & Wf. c , �F• w I5/0 �lit O C -J a Q O � �w o Q zw BIT I 87 TANI uit SJ 5q5 7 --�-- . � S, *q � Q � Ma Y'� -�- - -_ ( 0 . • T 1P CONC CURB :�1 V/F �'�P aid III v�/4 STY 3~ I iI CONC RB _ C z ! II ,1 CONC: W 5 9 I i CONC WALK No pR&S FF-l09XO t� n w - - - -4--- ------ — — W © i u w BIF I i i a 0 J /� Z a BIT ii H Z 1 rY ' a w �X > 1 I Q w POST 0'-FICE y �L AL I STY .4 FF•Ir .75 z °SHED W.F. J ►� BIRD o o '1527 CRASS ! Ii II ��. FEEDER P01FS F•122J2 " � �� CONC. oLAG Po Q r o o yET ii 4'ASH - __ CONC * - � CBC 111b3 ---�---- 'J I =� 10797 �� � B1T .- cB cL � � T I I �I .eo I O loe NJO572 CONC. Al L1_ .. cQ�C'�. �j i i CONC. E105.i 0 N/P /CURB 1 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS Uck.,,n PAP! STREET —�— SUBDIVISION: NORTH ARROW i � 3 i CONTRACTOR (PRINT) NAME OF CONTRALTO SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE Z� oZ DATE TOWN STATE ZIP INSPEf 6 TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER