HomeMy WebLinkAboutDrain Layers Permit 151 buckland road (2) i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7782 ContrgC—be1r>^'T`iTf7NBU:L- CONSTRUCTION CO.,INC
Location 0151 BUCKLAND ROAD Am.kesa. y'. 4 RCSEI:SIfg-:.DRIVE
Type Work SAN MAIN ANSO� AX-:: T 64(1;.-1224
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Permit No. 7782 Town of South Windsor, CT
Permit Date 07/16/2004 Drain Layer Permit
Expiration Date 08/15/2004 ;,> {
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Descrip: INSTALL EVERGREEN WA '3TR7IKA'S`EV�EF2
Applicant Ld:: ati:on
Na
me TRUMB ULL CONSTRUC'x
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Addr. 14 RIVERSIDE DRIVE ' C r EVERGRh A7..MALK:'T;LC`<,.
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ANSONIA CT 66401
Phone No. (203)732-37�3fe...
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The Drain Layer .ss n 4i';:�i s':"' : > hap `; :d li ;e3z:s' -s.upd by the
state and hereby agre o11 theetni�d CC
hereby <;�orth in the
attached 'Conditions':=. ><> 3`1 ':wo: ;k'sha;...; �>; _ p0;�' wj>�12,'Tdw:i of South
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Windsor standards, all: OSHA xequiret4 ttaed conditions.
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, Cr
FEE $60.00
Evergreen Walk Trunk Sewer
Location of proposed work: Clark St., so.windsor Lot #
Street No. Street Name
Premises owned by: Poag & McE.wen Lifestyle Cetners
Name of Firm: Trumbull construction Company, Inc. (203) 732-3733
Phone:
Address.of Firm: 14 Riverside Dr., Ansonia, CT 06401-1224
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main .sewer
Lay Lateral for Commercial/Industrial
Building of acres
Connection Will be made with plans from Fuss & O'Neill, Inc. dated 4/22/2004
Existing Water Supply: Public Water x Well
Proposed Start Date 7/19./04 Estimated time for completion 60 days
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 Luis Santos the holder of Drain
Layer's License No. P7 .279198 Only holders of P-1, P-7 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. 2004,29025351 /..2004,2902548
1 Signed:— Luis Santos
Print Name:
Licensed Drain Layer Trumbull construction mpany, Inc.
Date: 7 /
standard FormAPermits\APPLICATION FOR DRAIN LAYERS PERMrr.doe - ::