HomeMy WebLinkAboutDrain Layers Permit 420 Benedict Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7647 Contxa'C-br CORR 'A EXCAVATORS INC
Location 0420 BENEDICT DRIVE At3'dre.„a< 47 ,5^MTTHBR604, TERRACE
Type Work NEW SAN LAT GLASTONBURYT` a._.6033
Phone No ( )
Date Ins
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Time Insp Needed -_�Vr�� a, ► Time Tixi R r �
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Permit No. 7647 Town of South Windsor, CT
Permit Date 07/22/2003 "' Drain Layer Permit
Expiration Date O8/21/2003 j
Descrip: USER FEE PAID CK#1561 j
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Applicant LCYat 3,on
Name CORREIA EXCAVATORS TNC 1ldC x 04 :k BENED.1 1]RIv
Addr. 47 SMITHBROOK TFRRAC$ OwtYQr SOUCY AUK A.
GLASTONBURY CT. 06033
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The Drain Layer assigned t::!i l xM:: has a u lI license issued by the
state and hereby ag ees 'to a13` the "ti'erms slid coriditic3nb set:!forth in the
attached 'Conditions' A l we3rk sh l'1 be k �tcoordan e writh Town of South
Windsor standards, all: OSHA requiretnts and th`e attached;:�oriditions.
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Issued By ���__
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Date Inspected —_ Ins'pe'ct`e'd-By
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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 work: 0 P o f ��l
proposed o9 � A � Lot #
Street N Street Name
Premises owned by:
Name of Firm: P0,mim. Phone: 46�,5- 7.21?-S-
Address.of Firm: Cl a )f 1Dal
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 G/ Well
Proposed Start Date '� Estimated time for completion I d4
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 6 Pik.ti` the Ider of Drain
Layer's License No. Only holders of P-1, -7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(36 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.
CBYD No. 9 G 0 3 g 0 A 3 0 ,
Signed: 0 2" Print Name: ' o S,64- le ?
Licensed Drain Layer
Dater A I
Standard Forms\Pennits\APPLICAj10N FOR DRAIN LAYERS PERMIT.doc = ;:
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211,800 - 'E 212,000
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✓OHN W � MARY A. ✓OHN C. NEL!//N M. DAVID C � CATHER/NE G,
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TOWN OF SOUTH WINDSOR
SANITARY -SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 7 oo .3
BUILDING ADDRESS 0r
STREET
SUBDIVISION:
NORTH ARROW
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CONTRAA OR (PRINT) NAM 0 CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIG TURE
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TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER JC5 "7X1 8>11
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