HomeMy WebLinkAboutDrain Layers Permit 403 Strawberry Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 8069 Con..'rac., or :,D..fL,...EM'tA-VATION
Location 3ddk6_ss $b `W,IIS.ON eLANE
Type Work SA N LAT 5. �fERI�QN;' CS -6A66
Phone-14. 87 8s3
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Date Insp Needed Date IYssp
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Time Insp Needed Tle Ika � ,_
Inspected By
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Work in Progress
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Permit No. 8069 Town of South Windsor, CT
Permit Date 06/30/2006 Drain Layer Permit
Expiration Date 07/30/2006
Descrip: INSTALL SAN LATERAD."
Applicant Location
Name D&L EXCAVATION Ac3ci A4:03 S`RAWBERRY.=:LANE
Addr ....;;.. :.
80 WIL SON ::::....:.;" i' .:>::..:>. ss: -'? ........ :._:. ..::.::
LANE. Owns r SUILIVAN .; QWhT',I[OIxIES LLC
VERNON,
Phone No. (860)875 3863
The Drain Layer. � igned:'this pe g fsa d valet li:cer�se .-issued by the
state and hereby agrees to .a1J .'the to ims aft ccsnditioris set""forth in the
attached 'Condition<s' All work shill be x .: s.o.c.gdance -wit:h Town of South
Windsor standards, all nSt3A re"quzrertent , end the attached conditions.
Issued By T�t 1 + —— — -------------
Date Inspected \
p Inspected
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: Lot #
Street No. Street Na e
Premises owned by: &I-
Name of Firm:__ Phone:
Address.of Firm:
TYPE OF WORK:
Lay House Drain ✓ Repair House Drain _
Lay Main • Lay Lateral for Commercial/Industrial
Building `,of acres
Connection will be made with b 35
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion
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_j,> v* /" Q � the holder of Drain
Layer's License No. _ 8 a o �X______• 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.
Town Street Excavation Permit No. Applicant has received
an ConnDOT Permit No.
-CBYD No.
Signed: Paint Name:
erl-T
Licensed Drain Layer
Date: 6Id I
Standard Forms\Permitr\APPLICKTION FOR DRAIN LAYERS pERM1T.d0c
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE.. OF CONSTRUCTION:
BUILDING ADDRESS
. STREET-
SUBDIVISION: `
NORTH ARROW
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CONTRACTOR (PRINT). x NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE 1
DATE
TOWN STATE a ZIP INSPECTED BY TOWN
`( 3 0-ILS DATE
TELEPHONE NUMBER
WHITE - TOWN ` PINK: CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER