HomeMy WebLinkAboutDrain Layers Permit Copper Ridge Sanitar ~ TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8086 Cont.va'C' or VMS C It-S.'. UCTION COMPANY
Location INT DAWN DR & NANCY DR Addresj�< 162:Twx"-STRE,g.T
Type Work SAN MAIN VER :9NC 66
DO2>7 8
Date Insp Needed ------------- -- Date IS E �+
t,..
Time Insp Needed s_ t, m:,
Inspected By
Work in ProgressIN
�� �Jl 1"a�1r �� Sowtc E4iL.c� � wCuwfi _'� -,tom 1✓s*�.� a
i.j8•L . :r .:a W
------------------------
r
Input �O :Date:--! _`��_��
Permit No. 8086 Town of South Windsor, CT
Permit Date 08/28/2006 Drain Layer Permit
Expiration Date 09/27/2006
Descrip: SANITARY SEWER MAIN ::INS,T}S' 1ATTON
L::,.'a:. ..o Applicant n
od .ti.
Name VMS CONSTRUCTION CO{yTPANY s4rTyFSIWN pR & _$TANGY DR
s
Addr. 162 LAKE STREET Ov3aier
VERNON CT ,.0 066
Phone No. (860)871-0278
The Drain Layer
tt tax h�1s a �r7 3�1 license <isSed by the
n h; h aefms"''`arid c`o3't3'' :' .ri"`s'€s.at{:. or:t i the
state and hereby agi?ees'"to"- �,, .t e t.;,..: :�.. ;-,� ;
attached 'Conditions' All work shv } aft at�cSYdance wit:h ToWb of South
Windsor standards, all. OSHA``r6luif�de t5';:.'arid' .1�'e attached coziditions.
1
Issued By �0711
--------
Date Inspected "I'ns"
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: Cp*pcz 2 Lot#
Street No.
Street Name
Premises owned by
Name of Firm:_ VM S Co^jsr2j c-r;o,.j Phone: &'7/=o 2-7
Address.of Firm: /6 2 LAiC.r— S-T VER,,,(�,j, GT
TYPE OF WORK:
Lay House Drain-------; Repair House Drain ;
Lay Main - - Lay Lateral'for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Stai t Date F a 6 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITN*TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit-is to be issued to y�GT2 f RlL�n�as � the holder of Drain
Layer's Ucense No. .2g 8S9/ Only holders of P-1, P-7 or W-9 licenses
will be issued.a permit: PERMIT WILL EXPIRE THIRTY(30)OAYS 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. G
Signed: _ Print Name: ViCTt 5 .
icensed Drain er
Date:
standard F0M1APerM1ts\APPUCAj10N FOR DRAIN LAYERS PERMIT.doc