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HomeMy WebLinkAboutDrain Layers Permit 1003 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. Cori;�.3�"''ctoy,PURI..NTOYS"^BUILDERS, INC P.iii Location ffycice$. : 33C RASP�E�Y` sl�7A[2K ROAD Type Work YNEW SAN LAT �s Pligri€1;:.:Iyo,.if& :)'r6:53 .6 '6,g )' Dat e Insp Needed ------------ Time Ins Needed ''n� _ON fo: "�ri.E Inspected B Y !i H:fy.v w Work in Progress a YL ,;:•' `;. Y 5 --------- --------- - S �. :�• ���.":>..::"�". '`":�.:, �.. AOT e _ i f Permit No. 8133 Town of South Windsor, CT Permit Date 01/08/2007 Drain Layer Permit Expiration Date 02/07/2007 Descrip: INSTALL SANITARY LATF,. 3L Applicant Lpat on Name PURINTON BUILDERS;`p N f: :g d ;`..3.... bQA •: E>:«.::,.. ;.,.,..:..OAN "IIOMIk LLC Addr. 33C BRADLEY PARKf�ROAD' `.": '? dq'�"<er SULLIVI`.,.�',• k.3"4 '': +:•.. �C'J^• EAST GRANBY C'F %cy 0 653-66 4>;::::.:..; , Phone No. (86 ) �+ , ,B. ed by the The Drain Layer t+ or fh in the state and hereby agree. ,'t�;.�'a; �.:'�.he �€�`tn�`:�i:Yfc�:,fct7' d :tis:�. :>:�� <:. attached 'Conditions, ';.A.f1"1" -wo��':S�i�>��y:�i�z"<Y�'<<3"]�'�`r� �'��a�i��' w�tli Tb�n of South p. Windsor standards, alI::. OSHA'' .ec txi t t tAld Cs, t141:`&h—.�6 atta` ;l e itions. a..., VG„ lU Issued B Date Inspected �e'r3"''�y _ 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: Zz."�t/ Lot # ld D3 Street No. Street Name Premises owned by: c, f c! A Name of Firm: P0Q_t ram,) Phone: 6, Address of Firm: 3�' �- le"'4 TYPE OF WORK: Lay House Drain Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 3 T Existing Water Supply: Public Water—l/ Well Proposed Start Date lf r 0 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 y poe4�'_� the holder of Drain Layer's License No.a7P -.S3 . 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 Noxo 06 SI© f0�(3 . Signed. eNMS g Print Name. Licens Drain Layer Date: 0 O Standard Forms\Per s\APPLICATION FOR DRAIN LAYERS PERMIT.doc - TOWN , OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD - LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : %O Z—®,3 ", STREET . SUBDIVISION: 9 -us NORTH ARROW 03 e,6 M� D p _ 4 ;- - , L L *"Po 4 (Z'r tzw 6bllcLe,,C-s �c > riv o CONTRACTOR (PRINT) NAME ONTRA 'S SUPERVISOR (PRINT) 33C � w STREET ADDRESS SIGNATURE DATE TOWN STATE ZIP INSPECTED BY TOWN p- O DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER