HomeMy WebLinkAboutDrain Layers Permit 90 Buckland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8000 CoIk 'r'aG.tor,;S.PAZZA T=N:I CONSTRUCTION
Location 009'0. BUCKLAND ROAD Adc�;,res 5i0 P55T QFF ' E RD
Type Work NEW SAN LATLD T .060..2
s s I
Date Insp Needed Date IY# irt �
Time Insp Needed
-------------
µ
Inspected By
Work in Progressi'a
-fin -
r/
�
—( --------------------- -- a — ----
f �y
Input :_ Date
is
a
" Permit No. 8000 Town of South Windsor, CT
Permit Date 11/16/2005 Drain Layer Permit
Expiration Date 12/16/2005
Descrip: BLDG A
w. .... i.
Applicant hocation
Name SPAZZARINI CONSTRUCTION; Ar d #1490 B.UCKLA D JAOAD
Addr. 50 POST OFFICE R'b Dw t r CIS TC3WN LINE ASSOCIATES LLC
ENFIELD, CT 060U2
Phone No. (860) 745 5683
i!
The Drain Layer asgir}ed_Ghi pxmlt bias va1d: ��erise 1ss.ued by the
state and hereby ac3x,6 's n(Iit As s:et .forth in the
attached 'Conditions' . Ala'...wo ;d>''sha 3: ' r:>%a'e'cor'dance; with 'Ta.;Wn of South
Windsor standards, 11 gSHA;..requize�tt�sxtSr ��d.:the attdclie.d.coYiditions.
y
Issued By --- --- 1'Z�)� Title ------------------ h
..
- .. —
_
Date Inspected ;., Trispected
APPLICATION FOR DRAIN LAYER PERMI I
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: xleev ize� ,�?,/ Lot #
Street No. Street Name
Premises owned by:��s
Name of Firm: -�Dk zzG„�, 14,Hs,� Phone:_7y,�-s<�
Address.of Firm: lfC—�
TYPE OF WORK:
Lay House Drain -; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building ry cif acres
Connection will be made with /���•
Existing Water Supply: Public Water__ Well
Proposed Start DateA_ Estimated time for completion 5 p•
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit-is to be issued to the holder of Drain
Layer's License No. �i73 3
will be issued a Only holders of P-i�r W-9 licenses
permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
oel�lz'
Signed: Print Name:
License r yer
Date:rC, Zov�
\ Standard Forms\Permits\APPUCATION FOR DRAIN LAYERS PERMIT.doc
r TOWN OF SOUTH WINDSOR
SANITARY - SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS �� _ �® �� � Y
10
STREET
No
-1- SUBDIVISION: R L"
NORTH ARROW
c
L
co'., rt. 9 ,W,r y L A4kiC
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
Sb G'os o F�►c� Ro(.
STREET ADDRESS SIGNATURE
IYA` DATE
�-Vr �I'�f� C-� O �d$'�. ,/mac
TOWN STATE ZIP INSPECTED BY TOWN
Fr(o c ? S/g;;- DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER