HomeMy WebLinkAboutDrain Layers Permit 23 Carman Road (2) • TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7238 Contractor UNDERGROUND SYSTEMS
Location 0023 CARMAN ROAD Address 47 BARRY LA.
Type Work NEW SAN LAT SIMSBURY CT 06070
Phone No. (860)651-6545
Date Insp Needed , ��' 0a' e� Insp.//, b
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Time Insp Needed '�� * Time Ir%sp
x;
Inspected By
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Input Date
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Permit, No. /2.38 fown or South Windsor . CT
Permit Date 01 /30/2001 Drain Layer Permit
Exp`i ra't4on Date 031 01 /2001
Desc'rip : PERMIT 7229 EXPIRED
Applicant Location
Name UNDERGROUND SYSTEMS �Add`r.,, 0023 CARMAN ROAD
Addr. 47 BARRY LA. awtier S,HERIDAN KEVIN J & MAUREEN A
s:
SIM_SBURY Gfi 4i07u .<
Phone No. ( 860 )651 -6546
The Drain Layer k a1ei h s permit has a =valid
te license issued by the
state and he ar terms and °esni�7 t.i or«s set forth in the
attached 'Cond z t i oh: ' A .;K o k shall, be in-accordance with Town of South
Windsor standards , ` a l i-(A r gjAi.r"dments, and,f:the attached Bond i t i ons .
Issued B y � ir £i Ti t e
Date Inspected
(o�E4� 7Z43o
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: ZS fr Lot #
Street No. Street Name
Premises owned by: V-ayiP Es J
Name of Firm: )1.94_ Phone:
Address of Firm: 4- x
TYPE OF WORK:
Lay House Drain ✓� ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with f7v 6-
Existing Water Supply: Public Water Well
Proposed Start Date 4 49- ok Estimated time for completion Z ok
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. -i�"7 W �4 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: C-- KL:��
Print Name:
Licensed D t Layer
Date: ► I-solo 1
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: a,2-113LOI
BUILDING ADDRESS a 3
STREET : C,4 rz A A n1
SUBDIVISION:
NORTH ARROW
' 111 f
ww-
3
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS RE
/j/7 DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER