HomeMy WebLinkAboutDrain Layers Permit 135 Diane Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7963 Cont<rad'£<d.r L.A LT'PF,:,BROS. INC.
Location 0135 DIANE DRIVE
lkt3dreso, i°:: 780<_VERiFON STREET
Type Work NEW SAN LAT MANCHE§'TE,R:;'CT 0°6040
P'hor�e 'T.o (8Q)64fi5I14
p
Date Insp Needed J
n
Date Isp L`KS
Time I
nsp Needed
------------=
Inspected By --de j
Work in Progresses r�
V�-V- •tl ,j,� .:F .. fit''.. _ 46,140I eC;�
c -- v.'. T ,�Idz
--------- ----------- _
3 c
rv`
4
` e --- -- --------
Permit No. 7963
Permit Date 09/19/2005 Town of South Windsor, CT
Expiration Date 10/19/2005 Drain Layer Permit
Descrip: INSTALL SANIT. Ii31TERA
I`
Applicant ;:
oe.a.C`1 on
Name LATULIPE BROS. IjjC
dr 013 DTI I3E LkRTVE'. i
Addr. 780 VERNON STREET Uar HENCE CLAY TON 'C & ;KAREN E
MANCHESTER CT OQ4Q
Phone No. (860)646-5114-_,,.' .
s:
1
The
Drain n Layer
d_1'3.eenseued b state and hereb a Y the
Y g eea to all i the Ebrms and ct�YlElitas ::.: Qt:'forh attached 'Conditio in the
nsa:.<..�i11 .:wa: }}r aha < ;:^k? i< fz'......e$`:v::'
Windsor standards .WYth Town of South
all OSHA''44t4 u rc>m. : z<:«><:r::<,. ,a>::
q is and the atGacfiei„ooxiciitions.
Issued B
y -------- -- y t1 e
--
.::.
—J::' -----------------
wae
A [
Date Inspected
---------------------
T7V6 3
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:_ I35 ll A) 1R Lot #
Street No. Street Name
Premises owned by: 4A)C - J,�,CAJC r--.
Name of firm; L/97'ULr 'E fUg-ri4ea t n/e Phone: 6 g 97
Address.of Frm:_ `7 € � >��l✓� t} 5 �'7"
TYPE OF WORK:
Lay House Drain ,h____; Repair House Drain
Lay Main . '
Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with 6 '' /�J✓G
Existing Water Supply: Public Water Well
Proposed Start DateL Estimated time for completion J �
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 - AIO I?MAA) /-47�U L 1 PPS the holder of Drain
Layer's License No. 0�7 69 Only holders of P-1, 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. O o 5 :3 900 2 Z�
Signed: �! Print Name: W//fM''4'Y
Licensed Drain La r
Date:
Standard forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: SAP :Z0 2005
BUILDING ADDRESS 61ANi5 tj R)v`e
STREET
SUBDIVISION:
Al
NORTH ARROW
op
4810
I .
L,AT�1Li�E t3��i t1��4 >AooL 1.19 01*We
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT),.:
79
STREET ADDRESS SIGNATURE
^,9/11C H6S7'eA Cr ®6o yo - 2ZZ/
TOWN STATE ZIP INSPECTED BY TOWN
4 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER