HomeMy WebLinkAboutDrain Layers Permit 792 Ellington Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7235 Contractor JAMES THROWE
YLocation 0792 ELLINGTON ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
Phone No. (860)289-0095
Date Insp Needed !t l
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Time Insp Needed ____ ' '' p�•UG .—
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Permit No. 7235 -town of South Windsor, CT
Permit' Date 01 / 16/2001 Drain Layer Permit
Expiration, Date 02/15/2001
,ape'scrip:
Applicant Location
Name JAMES THROWE Add`r. 0792 ELLINGTON ROAD
Addr. VANS SEWER & SEPTIC; 'Owner MAZUR MARTIN P
97 RIVERSIDE DRIVE
VERNON Gt 06Q6,6
Phone No. (860 )289-009;6 �
The Drain Layer a60gnd ibis Kermit hayralid license issued by the
state and hereby a trej "a I 1 th a terms ant
.'cond`i,ti on set forth in the
attached 'Conditions' A .;work sham ae •ir1 a0co,rdance with Town of South
Windsor standards, Nall and ;the attached conditions .
Issued By Tills b
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Date Inspec d V
b nspect•ed '8y _
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL 713,-r
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: C II"'A4, 72 Lot #
Street N . Street Name
Premises owned by: MCACL MGZ0r_
Name of Firm: ola5 c- Phone:'25- GO
Address of Firm: dam,
TYPE OF WORK:
Lay House Drain '� ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S- 3
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion 1 Z raw G
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 '_�' 0�ol the holder of Drain
Layer's License No, 2a . Only holders of P1 or P7 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.aQ)o l oa,c)G50
Signed: Print Name: ,6-tA
Licensed Drain Layer
Date:_1 5-6W D 1
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: i
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CONTRACTOR (PRINT) NAME F CONTRACTOR' UPERVISOR (PRINT)
STREET ADDRESS stoTU
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TOWN STATE ZIP INSPECTED BY TOWN 74
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER