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HomeMy WebLinkAboutDrain Layers Permit 260 Deming Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7995 ConCALD,EI12`A'> ONSTRUCTION Location 6260- DEMING STREET AddpeS: .< `,, 580 kQR-�ST,kt>.,... Type Work NEW SAN LAT :?d :S:T:,;;_SUFFLD CE:.:..06093 Phone..Np :fig ¢.}2.4z ;7C) °. Date Insp Needed - -r--f — — :>::. Time Insp Needed Inspected By I C� Vol C Work in Progress w CtC cr � '\ ----------------- �s c ----` r'----- f Input .. --__—_-- .. Date -------------- 1 Permit No. 7995 Town of South Windsor., CT Permit Date 11/04/2005 Drain Layer Permit Expiration Date 12/04/2005 Descrip: INSTALL SANIT. SEWER LAT>E'12AL I Applicant Location Name CALDEIRA CONSTRUCT.Ifp260 DEMTNQ 5",R: T Addr. 580 FOREST RD C7Wxi �r MEt 1tflNAI,D WEST SUFFIELD CT;>0609 Phone No. (860)242-7017 The Drain Layer ass .gX's d* t_his permit has a u lid ]i ens issued by the state and hereby ag ses to al] qc n the rttt� end: iot8 sit j,fnrth in the attached a ed 'Conditions.. q. 2�,s a be zn acct��das��z taz;�h;'Town of South Windsor standards, all HA re.gU.irtttent 3i h0 attache .,cohoitions. Issued By J r T"'/�" ----` T� G Date Inspected p 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: eriE� �et��� Lot # Street No. Str Premises owned by: �o� S�/; % , - )i 0 Name of Firm:_ ' Acuc �'(LcctsXOCPhone: 05 1 &1� Address.of Firm:S80 `Fo J— .TYPE OF WORK: Lay House D inn ��0-• Repair House Drain Lay Main - % ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water e-� Well Proposed Start Date "Z Esstimated time for completion dV 60 4-- ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS A D CA�jNDITI ARCHED TO THE PERMIT Permit-is to be issued to o Layer's License No. �;;k Q' yr he holder of Drain . Only holders of P-i,. P-7 or W-9 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. p� Signed: 'nt Name: ensed Drain Layer Date: 0 Standard Forms\Permits\APPLIG41I0N FOR DRAIN LAYERS PERMI-F.doc TOWN OF SOUTH WINDSOR .SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: q BUILDING ADDRESS STREET OIL SUBDIVISION: NORTH ARROW �..... ,..__. .,.r�.__._.. mom. �.. �......, a .� -- ! p tz TO lie Do CONTRACTOR (PRINT) NA CONTRAC R' SUP S RINT) f o fA6 STREET ADDRES _n 71"TURE &2 /1 a,,T DATE TOWN STATE ZIP INSPECTED BY TOWN _ DATE TELEPHONE Nth. WHITE - T, . �F PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER