HomeMy WebLinkAboutDrain Layers Permit 151 Buckland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7714 Con:tr`actor SPAZ'ZAR:INI CONSTRUCTION
Location 0151 BUCKLAND ROAD Address 50 :POST OFFICE RD
Type Work SAN MAIN
,:• ;>:ENF.IET'rD, :CT 66::Q82
Phone.No
Date Insp Needed S`+"'+ ��iS/oy Date Isis
Time Insp Needed _______ Tame �p
Inspected BY A„ .
Work in Progress
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Permit No. 7714 Town of South Windsor, CT
Permit Date 03/11/2004 Drain Layer Permit
Expiration Date 04/10/2004 !
Descrip: MAIN EVERGREEN WALK
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Applicant La.cation 3
Name SPAZZARINI CONSTRUCTION 7addx 0151 BUCKLAND"ROAD I
Addr. 50 POST OFFICE RD Owner EVSGREEN WALK LLC II
A
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ENFIELD, CT- 06082
Phone No. (860)745 56$3
The Drain Layet assigned this permit had valid ligense' assued by the
state and hereby agressto all . hUO terms antl ct'rldations set. forth in the
attached 'Conditiohs' A13 w&'Xk shall be:-in acG'tardar�c. with Town of South
Windsor standards, al1:OS at' aehed `conditions.
Issued B �.rr- It3 /' �� �,`e
Date Inspected Inspected By
•' 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 proposed work: c em�� f/ /0444 Lot #
Street fqo. Street Name
Premises owned by: a P
Name of Firm: 5����Q ,n!' C a„ �. Phone: No -' Sre-?
Address.of Firm: _So
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 / Well
- Proposed Start Date 1 . 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
Permit is to be issued to ?P4/-.�/ • the holder of Drain
Layer's License No. 271 ? I3 Only holders of P-1,,� or W-9 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.
CBYD No. -0o!f D f,D 20 f/
NMED
Signed: Print Name: .2,1�-, ,?
Li Drain Layer
Date:A/�
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMTT.doc