HomeMy WebLinkAboutDrain Layers Permit 449 Abbe Road (2) t
r
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6879 Contractor JAMES THROWE
Location 0449 ABBE ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT
97 RIVERSIDE DRIVE
VERNON CT 06066
Phonyo�Nq ,, (860)289-0095
Date Insp Needed
r
Time Insp Needed l0 -
Inspected By3 55 ` eu
in Pr �� {
Work ogress �e�
S� %� � 9p � � �.�,. � r� � � � Ind.+✓
� J
� ty� Date
..
SCANNED
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WIIITDSOR
PUBLIC WORKS DEPARTMENT k�q
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: I^ /g � 1�4 Lot #
Street No. Street Name
Premises owned by: iVV\ �,V-\
Name of Firm: ir6 5,v- t'C hone:_ Cl y
Address of Firm: ,�,
TYPE OF WORK:
Lay House Drain v Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date Estimated ti
me or com �f 4 `f pletton
ALL WORK TO BE IN ACCORDANCE WITH TQWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENT ,S CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to ''`"G the holder of Drain
layer's License No. c) W, 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.
01
Signed: 14,AA Print Name 5 pa tom-
Licensed Drain Layer
Date: 4 � T
S^ANNED
TOWN OF SOUTH WINDSOR
A
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
-I- SUBDIVISION:
-Croft e-x)T, ,l '_,J
NORTH ARROW /R5h
AL
, TV A YY t
t---'1
4n
-ow
f j I c�CMG
f TI 6t
I f f
{ i .0 //• J d r: � E
1 ,
L
!tea G,► �y
• 1 ,,,y
,
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS I ATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
f 2 DATE
TELEPHONE NUMBER SC44
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DPLOPER