HomeMy WebLinkAboutDrain Layers Permit 2807 Ellington Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
f
Permit No. 7100
Contractor SKIPS SEPTIC
Location 2807 ELLINGTON ROAD Address 27 MUDDY BROOK ROAD
Type Work NEW SAN LAT ELLINGTON CT 06029 }
Phone .No: (860)875-2332 I
Date Insp Needed (t� (A,
� � �+
Time Insp Needed
' a,rne17nsp` .AS A)1-714fl
Inspected By Al
t
Work in Progress 1Z�7 'r3C� :" P Q `6�n � `5 )oa VOL rfJ37.4 (0
�--
wrru wyf— �CC
-T
i
P?uuDk
Input Date �� �o
P,erraio No. 7100 Town of South Windsor, CT
ermit Date 12/07/1999 Drain Layer Permit
Expiration Date 01 /06/2000
Descrip: USER FEE PAID
Applicant _ Location
Name SKIPS SEPTICA'dtr,, 2807 ELLINGTON ROAD
Addr. °ZT MUDDY BROOK_ ROAD E�wner� ARNETT ALFRED L &
, 1
ELLINGTON CT
Phone No. (860)875-2332 =`
The Drain Layer a sigr�e I ,thi's er ►l t has a Val i cJ l= cense issued by the
state and hereby agreies to �a''IT the" terms,and' cgrtcli tioo s set forth in the
attached 'Conditions ` A 14, ; 1ckha_i- ',,in ap rianoe with Town of South
Windsor standards. all ' SHE- r�eq�ai r� rt °, anc! .th+ attached conditions.
Issued By �' JA
Date Inspected 1zE? %IA15 9111j`; Inspected By
�T
t�
APPLICATION FOR DRAIN LAYER'PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: 2?07 L Lot #
Street No. Street Name
Premises owned by: <ALM I�R-JJ rt'
Name of Firm: Sk1 Ps sepwc, SE;Z111C E Phone: &7S®2-3-62
Address of Firm: 2? M tizDZ)Y rR/Z ook 1�-D Ft-L,,AI G
TYPE OF WORK:
Lay House Drain 7G ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with I` ITV L S 1�fZ 33`
Proposed Start Date 17--?-P 9 Estimated time for completion, Cz
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 7OKi 6jA4-kFIZ the holder of Drain
Layer's License No. 7-o??Z _ Only holders of P1, P7 &W9 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.
Caye - iq9� 9-90 .2S"ia
Signe : Print Name: kfgLhl2 v
License Drain er
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
236 ELEV. 324.389
t. SPIKE IN 30"MAPLE
2814
I STY FR. 9 BRICK
TE 330.95
mp
is
OAF
Ow
2799 #2807 815
1 STY FR. I S TY. FR. FR.
T.F 329.24 4.43 320
A
Gill
I Ap,
- i
TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 2 ?0.i
STREET : F 414 CID A/
SUBDIVISION:
NORTH ARROW ,
i
Iry
Vt
7711
1 i i
CONTRACTOR (PRINT) NAME OF CONTRACT SUPE, ISOR
21 Y 9`%
STREET ADDRESS SIGNATU E
rAI rt rz ,l c 9"
TOWN STATE ZIP INSPEC BY TOWN
G 0 3 s' 233 4 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER