HomeMy WebLinkAboutDrain Layers Permit 70 Buckland Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7999 ContYactor SPAZZARINI CONSTRUCTION
Location G070 BU(yiE�"�A3 ,ft€ D «2�ddke�S : 50 POST pFI'GE RD
Type Work NEW SAN LAT jl -IrjD CT 0.6O>$2
Phczrie No {80)745 56$3
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Date Insp Needed f 'Dat -Ir �-
Time Insp Needed rt fiirtle
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Permit No. 7999 Town of South Windsor, CT
Permit Date 11/16/2005 Drain Layer Permit I'
Expiration Date 12/16/2005
Descrip: BLDG B
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Applicant Loe:ation
Name SPAZZARINI CONS TR.UC>Ti6k Adtlr - f50;70 BUC'KLUD ROAD
Addr. 50 POST OFFICE FD E?C+txi NI$ TC3WN LZ E ASSOCIATES LLC
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ENFIELD, CZ Qbl7� Y
Phone No. (860)745-5683 J
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The Drain Layer assigned th 's Rerjalt �xas va11d licen.sd_ �ss'ued by the
state and hereby agx s 'to ail tie is tlYs aYY :onditicrns et .:Eo�th in the
attached 'Conditions' . All woxk"'shall Ta 3n ccore3 nce with Ta-Wn of South
Windsor standards, all' OSHA .re�iuiX,q;, entsF ancl..the at't'ached::..cotiditions.
Issued By -------------- Titl ---------
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Date Inspected iris ected B..
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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: v CLL' �� Lot #
Street No. Street Name
Premises owned by:
Name of Firm:_S/,�a z� �� �oK, Phone:
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Address.of Frm: Pc C'��
TYPE OF WORK:
Lay House Drain______J Repair House Drain . •
Lay Main ; Lay ateral'for Commercial/Industrial
Building_ //r♦,k of ecres
Connection will be made with
Existing Water Supply: Public Water ✓ Well
Proposed Start DateG , 4 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
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Permit-is to be issued to SPO P>72�� :.�° th 'der of Drain
Layer's License No. 2 Only holders of P-1 P-7 or W-9 licenses
Will be issued,a permit. PERMIT WILL EXPIRE THIRTY(30) AYS 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.
Signed:
Print Name: 56 v 2ZP2�„
Lice in Layer
Date: C X5- V-
standard FOrmsTermits\APPLICATION FOR DRAIN LAYERS PERMIT.dec
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : 70 - 5'D �; 1.! y
STREET : 6 ve-1c L-•a,, . lkol
-F- SUBDIVISION: �' �� �- L
NORTH ARROW
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CONTRACTOR (PRINT) NAM OF CONTRACTO 'S SUPERVISOR (PRINT)
Pass ej(I e-c- Rol,
STREET ADDRESS SIGNATUR
O G O�� ..��..... ,/1/ e� DATE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER