HomeMy WebLinkAboutDrain Layers Permit 23 Carman Road OWN OF SOUTH WINIJ—Dfc)R fNSPECT i:ON REPORT
Permit No. 7229 Contractor, UNDERGROUND ')Y STEMS
Location 0023 CARMAN ROAD Address 47 BARRY LA .
Type work: NEW SAti LA.'I" C-i 060 7C
Cate Insp Needed 0aLe Inso .
Time I nsp Needed
Inspected By
Wor< in !7rogress
Input ------ --- --- Date --- ----
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Permit No. 7229 lowo or SouT,h Winasor , CT
Permit Date 12 i 14/2000 Drain I-aver Permit
Expiraticn Date 01 /13/2001
Descrip :
Applicant Location
Name UNDERGROUND SYSTEMS Addr., 0023 CARMAN ROAD
Addr. 47 BARRY LA . Owner 'SHERI'DAN KEVIN j & MAUREEN A
SIMSBURY CT 0,6070
Phone No. { 860 )661 -6646
The Drain Layer assigned th.fs' nerm t has a valid license issued by the
state and hereby agrees to all the terms and conditions set -Forth in the
attached 'Conditions All work shall be in accordance with Town of South
Windsor standards, all OSHA requirements, and the attached conditions.
Issued By ----- _.__ ►_� ' '�. Title
Date Inspected Inspected By
-A 7229
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR ��
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE e
SOUTH WINDSOR, CT e6=,
FEE $25.00
Location of proposed work: 21�-> G, g a:, Lot #
Street No. Street Name
Premises owned by: w -�
Name of Firm: r�� =�,� �•ts Phone: lt
Address of Firm: A-[ OG6-)0
TYPE OF WORK:
Lay House Drain ✓ ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ram" F'�t� s
Existing Water Supply: Public Water Well
weed 04 4ri
Proposed Start Date tZ OD Estimated time for completion Anm,.e—
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 C _(� the holder of Drain
Layer's License No.p2 zoE5��z4 . Only holders of P1 or P7 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.
CBYD No.
Signed: !r� Print Name: �v �
-��—
License D in Layer
Date: t d tzA�
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc