HomeMy WebLinkAboutDrain Layers Permit 20 Strawberry Lane r�•
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7860 Contr,act^^tl'Y"'T'ERPAi—=EXCAVATION LLC
Location 0020 STRAWBERRY LANE Ad" regsp: �� 121'x`ALEVIVW SCHOOL RD
Type Work NEW SAN LAT CT ' .1 79kIT
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Permit No. 7860 Town of South Windsor, CT
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Permit Date 11/18/2004 Drain Layer Permit j
Expiration Date 12/18/2004
Descrip: LAY HOUSE DRAIN TO E STl'"$i0'T SE'
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Applicant off.La. a
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Name TERRA EXCAVATION„ L, TRAWH -RY LANE �
Addr. 121 DALEVILLE SC IOOli RD b x r SULLIV1a�I. OWjT ROME;S LLC
WILL
INGTON C:T.:.'0�`$'79""•'
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Phone No. (860)429-4586.;<.;;: i.
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The Drain Layer T, rr e a s tT:`.' s .» ;,,,> :^ g .....::......' . d gre e d b h
Y J .Y�..;.G��� .,�Y,4�.�13TA� �<�r..,<.a� '�'.�'�:�,. ];:�:'�`� �<S;SL� Y the
state and herebyagree
fid'`C''"'a `ii
'"ri'«;5ti"forth in the
attached 'Conditions"�,::A11':;vro: ew'.1 Town of South
Windsor standards, a1*11 OSIA4"<.x§cuiY [itC :;<,:dY�d::tlie"atta'fiefoxfciitions.
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Issued B +
Date Inspected t'hwpeatleFaIty ---------------------------
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:_ lam
Street No. Lot*-#
Street-Name
Premises owned by:
• Name of firm: • 1�x-ca t97,c o•'r'liey� Phone:-&4,,-4a - 4rlwo
—
Address:of Firm:
TYPE OF WORK:
Lay House Drain__-___ ' Repair House Drain
- Lay Main . • Lay L.aterar for ----:
. Building .of . r commercial/Industrial -
aces
Connection will be made with
F-)dtUng Water Supply: Public-Water . Well
Proposed Start Date-4- al Estimated time for completion,
ALL WORK TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STANDARDS
OSHA REQUI`REMENTSAAND OONDITIONS ATTACHED TO THE PERMIT
Permit-is to be Issued to th holder of Drain .
LaYer's License No. �,�o�f Y - • Only holders of P-1 P-7 or W79 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 Perms
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. )o4 42 o
Signed: Print Naine
Licensed Drain Layer -
Date:_ 4
;: tand rd Fornts\Permii -lAYERS PERMrf.doe
TOWN OF SOUTH WINDSOR
SANITARY - SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: % q
BUILDING ADDRESS
STREET
N SUBDIVISION: S �' Lys.
NORTH ARROW`
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CONTRACTOR (PRINT) NAME OF ONT TOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGIATURE
(,✓11 I.r.6 c T, z.n _,r, DATE
TOWN STATE ZIP INSPECTED BY TOWN
no DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER