HomeMy WebLinkAboutDrain Layers Permit 902 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7842 CorxZr'gctor TERRA EX`LR�lATION LLC
Location 0902 DZEN WAY r`;z cic e 121 e Al#vI ::,,SCHOOL RD
Type Work NEW SAN LAT -: «: >._I�I,I.JGTOT" C7 O62.79
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Permit No. 7842 Town of South Windsor, CT
Permit Date 10/15/2004 Drain Layer Permit
Expiration Date 11/14/2004
Descrip: LAY HOUSE DRAIN '
Applicant y :.%":'?I :.- '' Loon
Name TERRA EXCAVATION LT£ G v.:&€a:2t'dl QQ? ZEP? IAY
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Addr. 121 DALEVILLE S4�IOOL R77�` fi . IAULLIV' X':., SW.N'HOME:S LLC
WILLINGTON O4S':s:,OF2
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Phone N 429-48:8f)z::
o (860)
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TYid he Drain Layer r`; .;. 'YEis' }� s :e i, ]-y" ns�e £ .sed by the
state and hereby ag eg `'ttb` ..... Eercds'' and cafid'it<,ti�,ak s_ t..for: h in the
attached 'Conditions'; " 7i11y<iC, '3"' ZS' daxie': it.li T'ovrn of South
Windsor standards, alb. OSHA` a uir m"' �.'a;;_:"<': '-Ke at. a.hef a;'o.riditions.
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Issued B Ip��q ;,.` ;'::` '''T ' 3� ,----- -------------------
Date Inspected --------------------- In6�5L' fd 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: 4oa , Z_G"'N WAY Lot # 2-L_
Street No. Street Name
Premises owned by:
Name of Firm: era., C x&CAy6o v► Phone: gc4a- Z aLsso
40 9-�
Address of Firm: cat W;it1 .�ma f u oLan
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 ¢ EstimI Ifated time for completion I w k
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 the holder of Drain
Layer's License No. 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.' t _Q o `{ K Z o -7
Signed: Print Name: _Tc
Licensed Drain Layer
Date: /g- i
- Standatd Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY - SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Q o 4
BUILDING ADDRESS : T
STREET : .Q Z�'►►/ LcJ Ally
SUBDIVISION: +ra U)
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CONTRACTOR (PRINT) //' / NAME OF CO CTOR'S PERVISOR (PRINT)
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STREET(ADDRESS SIGNATURt
�1._1 ►�a�'� OKA 72 DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER j DEVELOPER