HomeMy WebLinkAboutDrain Layers Permit 62 Crestwood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8083_ Contr:ac'E'or JAMES°"I°HI;.pWE
LocationMqW lkddres .€i €`>„;VAN$'_S~fiA]ER `&'>::,5EPTIC
Type Work NEW SAN LAT S:+3:E:;DR'T;VE
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Permit No. 8083 Town of South Windsor, CT
Permit Date 08/15/2006 Drain Layer Permit
Expiration Date 09/14/2006
Descrip: INSTALL SANIT SEW LATH AL `4
N 1
A l i c an t Lo`c`tt.t' ..on
PP
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Name JAMES THROWECdd ODR �WdbD':DRTVE
Addr. VANS SEWER & SEPTIC Owner GAVINI NARK H
97 RIVERSIDE DRIVE,-
VERNON (T. Of065
Phone No. (860)289-0095
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The Drain La er as. ine.q this y g el m$ }�&s +t 3.d. l ense .i s.sued by the
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state and hereby r a e :a"t3':� '1�<:.he"'`£'erms"'and`cd'ri't3" :'"on`'><s.'t:>>. or h in the
attached n 't ed Co ditions ::;. 7iI1s't?Y �� a'�';dan�e'°;w�:tli Town of South at
Windsor standards, all.. OSHA tequirem�z}tsF ��d tY�e att'aChed ,con'ditions.
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Issued By Ti.tis.
Date Inspected --------------------- Iris' d:. :e ::gy ---------------------------
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:! �� �c/�c�G
Lot#
Street No.
Street Name
Premises owned by: j c C .
Name of Firm I
�-c ) v-Lt..Phone:
Address.of Firm: �, c �.� ,y)D
TYPE OF WORK:
Lay House Drain__�0_____; Repair House Drain
Lay Main • Lay-Lateral'for Commercial/Industrial
Building of acres
Connection will be made with AR ,R
Existing Water Supply: Public Water Well
Proposed Start DateJ J.'b G� Estimated time for completion - & D � .
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 I vrl,e r �
Layer's License No. the holder of Drain
Will be issued.a Only holders of P-1, P-7 or W-9 licenses
permit: PERMIT WILL EXPIRE THIRTY(30)'DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to-all the term
-and conditions-set forth in the permit and attached thereto.
Town Street Excavation Permit No. Applicant has received s
and/or ConnDOT Permit No.
CBYD No. 6 c) -0 D J(;Z-A-
Signed: Print Name:
Li lawt��
Licensed Dram Layer
Date:
Standard FOMIAPerMIMAPPLICATION FOR DRAIN LAYERS PERMIT.doc
` TOWN OF SOUTH ANDSOR
SANITARY ' SEWER LATERAL TIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS C
• _ a
STREET C✓' �1'G✓C�r� �r�
SUBDIVISION:
NORTH ARROW
22
7:7
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YT _
4
CONTRACTOR(�(PRINT) 1 NAM OF CONTJOWS SUPERVISOR (PRINT),
),
(7 A-
STREET ADDRESS SI TURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER