HomeMy WebLinkAboutDrain Layers Permit 432 Buckland Road (4) i
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No, 6913 Contractor DERITA CONSTRUCTION CO. INC.
Location 432 BUCKLAND RD Address P.O. BOX 1804
Type Work NEW SAN LAT MIDDLETOWN CT 06457
Pho-ne_ No. (860)347-8072
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i?eroiit_,0o'. 6913 Town of South Windsor , CT
Permit Date.�� 11 /10 1998
#� Drain Layer Permit
'' E,cp i ration Date 12/10/1998
-Descrip: CK9749& $25 CASH
Applicant Location
Name DERITA CONSTRUCTION CO. � Aid . BUCKLAND RD
Addr. P.O. BOX 1804 � , �`�' yrnqe�,&AN` RMANO CONSTRUCTION
MIDDLETOWN CT
Phone No. (860 )347-8072 `
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The Drain Layer ast2`gp ' th t pert��� sae � �v` ���d 1 �Cense issued by the
state and hereby agrees- t6, .: i 7 tl tt `end Vbnndt=lrris set forth in the
attached 'Conditions' A 1 w v", S, a b � n ao c r a e with Town of South
Windsor standar s, a 1 1 `OSHA' gti t^et1+�I"1 `, ;end tk% a` tached conditions.
Issued By
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APPLICATION FOR DRAIN LAYERS PERMIT l
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work.4W`Buckland Road LOt # 2, lA
Street No. Street Name
Premises owned by: Peter J. Sangermano Construction, Inc.
NameofFirm: DeRita Construction Co. , Inc. Phone: (860) 347-8072
Address of Firm: P.O. Box 1804, Middletown, CT 06457
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main x Lay Lateral for Com.m.erciaVIndustrial x
Building of acres
Connection will be made with
Proposed Start Date 12/1/9.Estimated timefor completion 2/1/99
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 Peter N. DeRita, Sr. the holder of Drain
layer's License No. 00207987 Only holders of Pl, P7 W9 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.
Signed: Q Print Name Peter N. DeRita, Sr.
Licensed Drain Layer
Date: 11/3/98
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Nod i�I�
BUILDING ADDRESS
STREET 3z RUC WNW Rat
SUBDIVISION: V�IIgG�e of 'Buck ll ond ej(>"R-V
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CONTRACTOR (PRINT) - NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATUR
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TOWN STATE ZIP INS ECTED BY'16WN
aco _ 397_ f�lc DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
S��IN Sfq(
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y . 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074
s AREA CODE 860/644-2511
SEWER TEST REPORT
PROJECT: A4,- ,jT,f icI,NCISait
LOCATION: ��;��
-DATE: 7/71p�
MANHOLE NO. TEST PRESSURE (PSI) TEST TIME RESULTS
OR STATION START STOP DROP START STOP TIME
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TESTED BY:
INSPECTED BY:
REMARKS:
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