HomeMy WebLinkAboutDrain Layers Permit Buckland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7707 Contractor SPAZZARIN,I CONSTRUCTION
Location BUCKLAND RD '7�ddress 50 ROSE'< OFFICE RD
Type Work NEW SAN LAT ENFIELD, T_060.82
Phgrie ,Ntr 746"' 683<;
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Date Insp Needed Date ys /fir
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Permit No. 7707 Town of South Windsor, CT
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Permit Date 01/23/2004 Drain Layer Permit
Expiration Date 02/22/2004
Descrip: SANITARY LATERAL EVERG<R` ,EN WALK. PROM MH7 TO MH4::::.,,. :I
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Applicant Location
Name SPAZZARINI CONSTRUCTION AeJr1r BVCKLANDD
Addr. 50 POST OFFICE :RD POAG & MC N LIFESTYLES CENTER �!
ENFIELD, CT S 082_ >
Phone No. (860) 745 5683-
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The Drain Layer assigned this . xs -{#ia�icl license' 3s;Sued by the
state and hereby agr es: to alb the terms and con�l�t�ans se't= fprth in the
attached 'Conditions All wor7c sha1 .: #xccardaYice wz'th Town of South-
Windsor standards, al.l OSH � ci th A requlretias,;. ne attached'c'onditions.
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Issued By
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Date Inspected _____________________ Inspected By _______________ �
0I/14%:?004 'AFD 1C :50 FAX 860 644 72SO South Windsor Town Hall C�0o1 U01
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APPLICATION FOR DRAIN LAYER PERMn'
TOWN DF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL.
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: / � i Gad Lot # _
Stree Nc�. Street �Name
Premi:;es owned by: � ,� � e `
Name of Firm: S,,d &r;,1 i Phone: do � -l978
Address of Firm: 6o ®(-�� _ DropJ 2-
TYPE OF WORK:
Lay House Drain_ __; Repair House Brain
Lay Main_s3"_r L2—',; Lay Lateral for CommercialJlndustriaf
Building__ __ of_ acres
Connection will be made with�'` P4�' � ,� bv,lV/-�
Existirg Water Supply: Public Water Well
Proposed Start Date i Z-- E:Aimated time for completio i
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH W'NDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. Only holders of P-i,�r W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Uayer hereby agrees to all the terms
and conditions set forth in the permit and att:achc;d thereto. Ap)licant has received
Town .street Excavation Permit No. � and/or C)nnDOT Permit No.
CBYD No. _ . 00
Signec:_ "�' _ Print Name:_,
Lic ram Layer
Date:__ /l _
Standard =orms\Perm is\APPt.II?.TiON FOR D°AIN L FF;PERMIT.doc