HomeMy WebLinkAboutDrain Layers Permit 25 Eagle Run TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7888
yZe dnt
"- c$t WI1s, bX .; M GIAEL (EAGLE)
Location 0025 EAGLE RUN "
Ac e'S AGUE"FA ?HWO'AK SERV.
Type Work NEW SAN LAT
U1rT7 N Ft'flAD
_.
V T. 6 013:::;:<:;R
D
ate Insp Needed
L
------------
I� e Insp
Time Insp Neededsr�z� rMy
---------- x
Inspected B
V. t'• _
Work in Progress � 8 s •'^ ` z y
M.
h
S� sti
00
AS
I.
ry
,...;
Date .-
Permit No. 7888 Town of South Windsor, CT
Permit Date 03/21/2005j°` Drain Layer Permit
Expiration Date 04/20/2005
Descrip: INSTALL HOUSE LA ERAL'a:,.
41
Applicant <�•
^.«x•:e;:4 .,�.-'xt�s`rivss<:�;".:a
e WILCOX, MICHAEII r. 0025`` A LE'a;R'bN
Nam
Addr.. EAGLE EARTHWORTC ' : 'RV' a;r >< F:`°`�'m.n:.: :.
kikv� MANVAF31NQ $�TILDERS INC
101 N MOUNTAIN' 'M%r a
CANT �,QT <0
'
R
Phone No (860 693- Qs
z:
2$g
s
e Drain LY
a e r`:
a. :ss �tkzis�"'r��,�``
:nge.<,..i-sued by the
state and hereby ag`x•ees` tq ;1;` :[ ; >t " �`F;:'.:" F.
: �i#.; � . c1?tion-&: het"if>orth in the
attached 'Conditionk A.ji1.J'wo ' W;ith ;'own of South
Windsor standards, aT<1 :CS'TA'" ut` .' t'y`« <c<3"'<'"y>,
c f"he atahed conditions.
Ea.
Is
sued
su ed B e —(Zn/
Y
---------------
---------- t l<e F/'�
Date Inspected --------------------- Inspected By
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: Z la- Rm Lot # zo
M Street No. Street Name
Premises owned by: t f e/4,A
Name of Firm: Wei, Phone: 93-2 017
Address.of Firm:_ 10( ��(�"�
TYPE OF WORK:
Lay House Drain V\ ; Repair House Drain
Lay Main ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with Ile
Existing Water Supply: Public Water Well
Proposed Start Date 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 A kC144,-( W o e w the holder of Drain
Layer's License No. Z76 I/fo 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.
Signed: K/ Printk.a / / h i
Name: A
C �l (,�J�
Licensed Drain Layer
Date:__ 3 2-
Standard Forms\Permits\APPLICATION FOR.¢RAIN LAYERS PERMIT.doc
WA '
: 1 1A f ��
Imm
■■ ■■ ■■■■ ■ ■■:■■■■r,t■■�� ■■■■■■■
■■■■ ■■■ ■ ■ ; .-.� ■■■ ■■■■■■
■ ■■ ■ , ■ r' ■■■ne
■■■■ �wIffifil IN
NMI
:
TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL 'FIELD LOCATION
DATE OF CONSTRUCTION: ���� �� 2 00'
BUILDING ADDRESS : LOT .
STREET . A C.L-E- 2 v N
-f- SUBDIVISION:
NORTH ARROW
014,
�a
I
as
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER