HomeMy WebLinkAboutDrain Layers Permit 1202 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7881 CoA;tr'actor TERRA'-EXCAVATION LLC
Location 1202 DZEN WAY Addreais 121 D7ILEVILI,E SCHOOL RD
Type Work NEW SAN LAT W: :h�INGTON cT''06279
Phone .140 (460)429`-':4880
Date Insp Needed In___--_ Date sp
Time Insp Needed ------------
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Inspected By
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Input.T Date
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Permit No. 7881 Town of South Windsor, CT
Permit Date 03/02/2005 Drain Layer Permit
Expiration Date 04/01/2005
Descrip:
Applicant L�eat.ion
Name TERRA EXCAVATION LLC' AClci 1 Q2 DZ8N WAY;
Addr. 121 DALEVILLE SCHOOL RD CwnerCLe�..TOWN HOMES LLC
WILLINGTON GT &6279
Phone No. (860)429-4880
The Drain Layer..assigned this drmxt kaa's a valid l�:cens&�ssued by the
state and hereby agrees. to i ;;_the terms' and cohdatkviis- set.;_fcarth in the
attached 'Conditions' All wore sk�ax }�e '1n accordance wzth Town of South
Windsor standards, a1.1 O,,9HA require..'.p ,. ,axsc3 the attached conditions.
Issued By ',0- -----------------
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Date Inspected _____________________ Inspected By — -�---
788'/
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: 120 Z D Z ri CJ Lot #
Street No. Street Nam
Premises owned by: � w�Ir%� ( �w� {- j�•.4� �L L
Name of Firm: Ter r q ",CCor-f a Phone• Eeo J 925-vs?,b
i
Address of Firm:�2 i L4 I c 641 c Sc �Q Q I f(j. C-r
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water. ,� Well
Proposed Start Date 3 os 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 <<ri,, '4"Ae ya the holder of Drain
Layer's License No. 1 ge s i S 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. 29 oSo 9 4 o8"g K
Signed: Print Name: Fe C-
Licensed Drain Layer
Date: 412 l0 5-
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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