HomeMy WebLinkAboutDrain Layers Permit 1203 Dzen Way S
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7882 Contractor TERRA' ECAVATION LLC
Location 1203 DZEN WAY Addr s 12 .,DhLEVI'LLE SCHOOL RD
Type Work NEW SAN LAT W,ILLINGTdN CT"'Q6279
>Phone No (41'=4)429-4880::,
Date Insp Needed Dat--------------
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Time Insp Needed firme
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Inspected By �.
Work in Progressisle /
Input `--- Date
Permit No. 7882 Town of South Windsor, CT
Permit Date 03/02/2005 Drain Layer Permit
Expiration Date 04/01/2005
Descrip:
Applicant Location
Name TERRA EXCAVATION LLO Aelcir 72<:03 DZEhS WAY
Addr. 121 DALEVILLE SCHOOL. RD Owner SULLWAN...TOWN HOMES LLC
WILLINGTON CT "D.6279
Phone No. (860)429 488Q
The Drain Layer, assiOed k.his permst haS a va].a.d--l.icens issued by the
state and hereby a9rs `>.t4 al: , the °terms""and conditadris set forth in the
attached 'Conditions' ; AI1 wbx cetirdanC'e with Town of South
Windsor standards, 41 OSHA z�quiYettients,:,,.'an. the attached conditions.
Issued By --�� Tatle< -----------------
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Date Inspected inspec te d By >
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• 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:12 o3 '02 0N "L..' Lot #
Street No. Street Name
Premises owned by: �-�-�it aA�7o�� {�V%%t C_L c...
Name of Firm: Tc r,-, case-PA Phone: o Y -
Address of Firm: / z i1D. It et It e SG Q a !�. Cam. ((�:�,�, cT,
TYPE OF WORK:
Lay House Drain,l e ; 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 3hs 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 T c'rl
the holder of Drain
Layer's License No.. , So 51 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. _� on S n9 Qn 80
Signed: Print Name: Pche_c-
Licensed Drain Layer
Date: zw S
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