HomeMy WebLinkAboutDrain Layers Permit 1001 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 81 ConPractor PURIN.T6'fv->$.UILDERS, INC
Location b X `, , -. FY» J
Z3 A'id e$.<';i 33C R "LEY PARK ROAD
Type Work NEfiidj AT +..3 y
✓> << 1y�,a.� R}1N' `'' S'�'.TO,F026
h
.+R.., is :....
5 I
Date I nsP d
N
�l
-a
Time Ins
P Needed
,T' m' I r
In B Inspected
P Y
>
--------------
i
Work in Progress o -
9
e s s
iI
(n/ S
c:
>
-------E-1X—P
is
- y - I
--------------
:f
D�te,
Permit No. 8131 Town of South Windsor, CT
Permit Date 01/08/2007 Drain Layer Permit 3
Expiration Date 02/07/2007 <
Descrip: INSTALL SANITARY LAT F Ft'AL
»
Applicant s:
h;.., Lg4.at'!Lon
E%
Name PURINTON BUILDERS
Addr. 33C BRADLEY PARK^ROAD b Er SULLIVXsN,,, O.tEN`YIOMlikS LLC
E
r
AST GRANBY CT 0
Phone No.
860 653 6 6
a `a^
Th e Dra
in La
yer r e �ss�'4 n' s''Y �. =h
,.�;�-+ > :jn's;v :�.su.ed by the
state and hereby agreel td.K*, he �efms'' nd cti"rrd t gzi S, t::'fort h in the
attached 'Conditions�::. '.:js '1 ;eta. '1 '`:: i1:<,.`'>>k .Rj<>:;.;:,:,,;;.,,>;s ..: z
AiY.,. ? :ocanG. w�tla' Tbvin of South
Windsor standards, alY:k OSHA:r;� : ,. .„.: n:<:: >;% ;>•;
„ ;�;. e��ritsi;:<;arit�s �.1��' at�:a��ec��..conciitions.
fez: V.
a
j
y
v�Issue � )d B
<
,
Y,
Date Inspected
�6)3 1
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
%A
Location of proposed work: C Lot # /D®
Street No. Street Name
Premises owned by:. czdL) /orj/k/ moles
Name of Firm: �j0a_N,Za zJ 19vi 4de2s / Phone: 443-
Address of Firm: 3 3 C
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ED12 35- f ,Y)L/Z '
Existing Water Supply: Public Water. 1/ Well
Proposed Start Date l"c?- b 7 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 0 ALI ZJ N i oA) the holder of Drain
Layer's License No. o2 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.010 6( ` c�/b ~ l U V,3
Signed: Print Name: 'D "'
Licensed Drain Layer
Date: S -d
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc