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HomeMy WebLinkAboutDrain Layers Permit 44 Eagle Run TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7937 nytr4ct WILOOX� ITT,CHAEL (EAGLE) Location 0044 EAGLE RUN A `c�i3 `e'� :,EAG`Ps' a ARTIHWC3PK SERV. Type Work NEW SAN LAT aT'. OUMT,AIN ROAD ; Nmorr;:^ 6'01 Date Insp Needed D, te Ins Time Insp Needed : Inspected By y K. <, - Work in Progress ;:F, v. a i .�• Date 6' Permit No. 7937 Town of South Windsor, CT Permit Date 06/24/2005 Drain Layer Permit Expiration Date 07/24/2005 Descrip: LOT 6 ApplicantLO.Jpq. -ion k;.:.. Name WILCOX, MICHAELF,AgLE) Addr. EAGLE EARTHWORK SERV t MANNPNAJILDERS INC j 2 l 101 N MOUNTAIN-`Ry b cy h CANTON C. Cl 6l13 9 a ��� Phone No. (860)693-2027' �: a Hy x Jy, 6+w ; <1 The Drain Layer assign '' ekise pis ued by the state and hereby agrees,. ;o' . TI:_:;,the terms ar}d_ycon � `ic> '.:Se." rth in the attached Conditions. All wear$c sha :>..`'.,' nc�r ance with Town of South ." S� Windsor standards, aX;l 03HA require ,, the 4Ctach4&--c,©nditions. Issued By / -------- Date Inspected Iris 'ec 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: 44 , . l 0 Lot Street No. O Street Name Premises owned by: Ae.�,`� Name of Firm: A.G lci��l1 Phone: 3"ZoZ'7 Address-of Frm: /DL TYPE OF WORK: Lay House Drain_; Repair House Drain Lay Main - ; Lay Lateraf for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water_____ Well Proposed Start Date_ 4. Estimated time for completion - d 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"Pl a,vd the holder of Drain Layer's License No. _-..7 I lb 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:- Print Name: � C �,a / Oil=. Licensed Drain Layer Date:_ / Standard Forms\Permits\APPLICATION FOR DRAIN LEVERS PERMIT.doc TOWN - OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CON STRUCTION: z©C)y BUILDING ADDRESS O STREET .F= LjN -E- SUBDIVISION: NORTH ARROW - 3 T'Is 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