HomeMy WebLinkAboutDrain Layers Permit 136 Loomis Road ,I
PermPi 6862 Town of South Windsor, +I
Ptirmit_-Date 08/03/1998 CT
-Explrit=Ion_ Date 09/02/199i1�;.i. Drain Layer Permit f
Descr i p; 831 --FOR-'PRD"RATFD USER FEE
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Applicant Location
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Name - JMJ CONSTRUCTION PO.
Adcf 0 ?65 CARDINAL WAY
Addr. 658 ELLINGTON ROAD �
� imsr. OL�R REALTY INC
SOUTH WINDSOR CT ,bsg g
Phone -No. (860)528-7889JM
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The Drain Layer asi " �
$fit is s aR{� i i iense issued by the
state and hereby agre #s ,to �tt�e "71 set forth in the
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attached 'Conditions A k
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r�rVah,64 w i th Town of South
Windsor standard al T !- Q' � � ched conditions.
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Issued By " �
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Date Inspect
.. TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No.\ 6862 !34' LOOrYl LS Contractor JMJ CONSTRUCTION CO.
Location Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860)528--7889,
Date Insp Needed e�J / mate= Insp z
Time Insp Needed Time 4rispt F '
Inspected By .�
Work in Progress CP& Ipm L M A;5-uI) `r
,Input - Date S
Permit No. 6862 Town of South Windsor, CT �Permit Date 08/03/1998 Receipt - Drain Layer Expiration Date 09/02/1998 "=F
Descrip: CK. 83-1G--FOR PRO RATED USER FEE
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Name : JMJ CONSTRUCTION CO. � � ('
Property Address 0055 CARD IN A�
!� x �nter�o ��T�.,Agreement MA T i,
User Type RESIDENTIAL � Type CK8314
4 a�ted i glade
P/R User Fee ° gt F � y
Connection Charge Paid
Permit Fee Paidwmw
Total Paid } 0tt `
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN A VENUE
SOUTH WINDSOR, CT
1�� FEE�.00
Location of proposed work: / /PIIX Lot # .
Street No. Street Nami
Premises owned by: ��tS •
Name of Firm: Phone: 6 �
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with !� 3
Proposed Start Date�--� 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
Permit is to be issued to �'� cC�1C, J' Lcaubthe holder of Drain
layer's License No. 69T'f,3D . Only ho ders of PI, 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: Print Nameif/ r
Jp C6.C�LC�ma's'
Lice a rain Layer
Date
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 1 ® f q
BUILDING ADDRESS Lo
STREET
SUBDIVISION: D erg 'n ` -� '
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRAC R'S SUPER SOR (PRINT)
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STREET ADDRESS j SI NATURE
• W 1 Y1 $`D 1�" �y DATE
TOWN STATE ZIP IN59LFCTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER