HomeMy WebLinkAboutDrain Layers Permit 95 Buckland Hills Dr (2) i
'Permit No. 7191 Town of South Windsor, CT
Permit Date 10/12/2000 Drain Layer Permit
Expiration Date 11/11/2000 6 D
Descrip: CK 6753 PARCEL T - 2 LOTS 95 & 105 BUCKLAND HILLS DR /
Applicant Location
Name CHERRY HILL CONSTRUCTION kddr,, 95 BUCKLAND HILLS DR
Addr. P.O. BOX 134 f, tter .NORTHERN HILLS
h.
BRANFORD CT5
Phone No. (203)488-7929
The Drain Layer as`sa dha thh s permit has 1-1 tense issued by the
state and hereby agrees ,,and con i tions set forth in the
attached 'Conditions' . T 1 �t&kh 1 t �i n accotianp' with Town of South
Windsor standards, all }SHA reu�lg1$ht ,. and the; attached conditions.
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Issued BY
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Date Inspected Inspected gy
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Permit No. 7191 Town of South Windsor, CT
Permit Date 10/12/2000 Receipt - Drain Layer
Expiration Date 11/11/'2000
Descrip: CK 6753 PARCEL T - 2 LOTS 95 & 105 BUCKLAND HILLS DR
Name : CHERRY HILL CONSTRUCTION ,,.
Property Address 95 BUCKLAND HrL R Intertown Agreement N Type CK 6753
User Type COMMERCIAL . CollecteBy lapien
P/R User Fee (� d
Connection Charge Paid 3$-6A.,b,Q
Permit Fee Paid6� .Q
Total Paid 58;75,00
Tendered.-CK 6753
71911
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: �1 S -Aock/J � �On.; Lot #
Street No. Street Name
Premises owned by: °^ •rh t UL
Name of Firm: �-{1 �ct, Phone:
n � r--
Address of Firm:-9 �«� 1�.0 /(f (��,"�,�, L1
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with P, V'�--
Existing Water Supply: Public Wate Well
Proposed Start Date__ j.&P Estimated'time for completion 3 �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 OCWJ � �� the holder of Drain
Layer's License No. PLA\ an itA3 Only holders of P1 or P7 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�T/o�wn
Street Excavation Permit No. and/or ConnDOT Permit No. T'
CBYD No.
Signed:4 Print Name: 44 L'j-
Licensed5rain Layer
Date: �o�(✓��
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc