HomeMy WebLinkAboutDrain Layers Permit 70 Buckland Road 1
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7977 Contra'ttor' SPAZZAR1-NI. CONSTRUCTION
Location 0070 BUCKLAND ROAD Addreoot, FflS?;°OFF`TCE RD
Type Work SAN MAIN FIgFZELD` •C 0.6082
Phone No (86i.6)745 '5683
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Date Insp Needed ------------ --� Date Insp ��
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Time Insp Needed 'f
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Inspected By ! -Kc .,
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Work in Progress -----------
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Permit No. 7977 Town of South Windsor, CT
Permit Date 10/06/2005 Drain Layer Permit
Expiration Date 11/05/2005
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Descrip: I)
Applicant
Lod4tion
Name SPAZZARINI CONSTRUC�T31 Ob70 $LTCKLAND R:MAD
Addr. 50 POST OFFICE RD
WIae3� lS, OWN TINE ASCSCIATES LLC
ENFIELD, CT '9602 i,
Phone No. (860)745-5683
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The Drain Layer assgnet3 this permit leas as valid 10ense issued by the
state and hereby agrees.: to �al� tie .and 0vz�et�tiolis set -�QrCh in the
attached 'Conditions' 11 wsrlt shall rie h acdt� dan ..e t� tip{Town of South
Windsor standards a7
rzgireiessz shC tote attached:..conditions.
Issued By
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Date Inspected ' ""' :-,
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: �i e v 0 Lot #
Str t No. Street Name
Premises owned by: "i
Name of Firm:, Phone:_ /4'S ' g
Address.of Firm:
TYPE OF WORK:
Lay House Drains Repair House Drain
__ ;
Lay Main_ �'_ ___; Lay Lateral-for Commercial%Industrial
Building of acres
Connection will be made with eve
Existing Water Supply: Public Water_,/ Well
Proposed Start Date,41L�! _Estimated time for completion s O
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 _ ���� �2 4.,�
Layer's License No. 27 the holder of Drain
9� Z . Only holders of P-1 P-7 r 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.a
CBYD No. 005J'70 /('55'
Signed: - Print Name: 577
,
Licensed yer
Date:_ e!5Ze
Standard Forms\Permits\APPLICA110N FOR DRAIN LAYERS PERMTT.doc