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HomeMy WebLinkAboutDrain Layers Permit 301 Strawberry Lane r ` TOWN OF SOUTH WINDSOR INSPECTION REPORT i Permit No. 7733 Con tra..ct�ut"C'I`NAMI,,.EXCAVAT ION,LLC Location 0301 STRAWBERRY LANE Address ?:: P.Q_BO. ._ T4t3:,. Type Work NEW SAN LAT OLD LYINE „{T 66.371 Phono;NO ($60)$84.,1821 Date Insp Needed Time Insp Needed n+�+ Time Inspected By ------------ - c� Y 0 Work in Progress (� =3:j -s- ��� ics _ OZE _- Input AM i `1'T3 3� 7�34 'f 77 35 Fk f�OUE j Permit No. 7733 Town of South Windsor, CT Permit Date 04/19/2004 Drain Layer Permit Expiration Date 05/19/2004 Descrip: INSTALL LATERAL Applicant n Loc`ato Name CINAMI EXCAVATION I,LG Adt( 03:f5>3 BTRAW13ERRY -ANE Addr. P.O.BOX 340 Wig, „SULLIVAN TOSIN HOMES LLC OLD LYME ` GZ. 06371 Phone No. (860)884 182i . ' The Drain Layer`a5signe. 1 his Z iiti has a era �d license-"kssued by the state and hereby agre s'.to a l the terms and con ditiow set.;:forth in the attached 'Conditions.' All wr5r r shah ka z� ccorda�xCe: With Town of South Windsor standards, al<1 OSHA`re'quiT�m �1. ;5; at:;C'a: hed:;:<cghditions. j� Issued B L-�'"� Titles ✓ ' Date Inspected --------------------- Iri5p`2'C'ti"ecT By _--_ ...................... r 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: Sol '57-X.4�a jm" , Street No. Street Name Premises owned by: ��L, w � -o,,;,�; ,22 LL Name of Firm:__444 ,,z> i CA /4-f7g2k , Phone: rz-o 9�� 48 u Address.of Firm: 41,e, ,5z o� c.� rr r- 463-7/ TYPE OF WORK: Lay House Drain ✓ ; Repair House Drain ; Lay Main ; Lay Lateraf for Commercial/Industrial Building of acres Connection will be made with G Existing Water Supply: Public Water- Well Proposed Start Date zzza 4 Estimated time for completion l ALL WORKTO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to the holder of Drain Layer's License No. 27. 04. is P:z. 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. Loo 41 -o t-l©ci Signed: Print Name: z-vr Licensed. rain Layer ti Date:-� a Standard Forms\Permits\APPLICA170N FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF ,CONSTRUCTION: �,�•er�- BUILDING ADDRESS 3r� STREET SUBDIVISION: NORTH ARROW _- i y i i -_„f, i J # i i + M� _ • f s + I - i I t 1 I i I 1 f (.._ i -{ i s I S • - 1 1 i 'j.✓A✓rli �xCA\/�T7y,✓ trc, �T��LsnJ 1� 61-J4/xf 0% CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATU o� G yrrt e C- ® 311 DATE TOWN STATE ZIP INSPECTED BY TOWN Z/ DATE TELEPHONE NUMBER - WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER