HomeMy WebLinkAboutDrain Layers Permit 100 Evergreen Way (4) b n-�
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8025 ContraC£`or XENEli`T'S»>C.pNSTRUCTION CO INC
Location 100 =$V'E`ftGR�1 ' � fir,`
T�ddreas 30 C3xD :TNDI}iN..,..TRAIL
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Type Work MISCELLAN `}"`
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Permit No. 8025 Town of South Windsor, CT
Permit Date 02/28/2006 Drain Layer Permit
Expiration Date 03/30/2006
Descrip: FOR INSTALLATION OF3REAEj'TIP AT;.,BURTO'N6RILli>::::
Applicant
L ci:C"a; 'ion
Name XENELIS CONSTRUCTION CO IN FORI�FRRiEN-WAY.
Addr. 30 OLD INDIAN TRAIL
:
MIDDLEFIELD GT,_06455 i
Phone No. (860)347-5823
the;. sued b i
:...� -'i s"`n s
The Drain Layer �s�' `g tad. P.:.::�:::::. 3.F.s, �
state and hereby agreers<�'to<"� �'`<Ghe"'berms and
� ?�.. ,
ort h in
the
attached Cond itions'>..`All`W k`a<sh' I' 1 ''::': ?»:a :o .canee_:w t:ta Tbvn of South
Windsor standards, a11;.. OSF{.A e'q.Uir lii&..WWO. ..and Se at a hed;corditions.
�y
Issued By - -------- -- ------------------ 3
Date Inspected --------------------- Ins'p'vted 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 po ro s �
p ed work. (U tot # AO
Street No. Street Name
Premises owned by:
Name of Firm: s'�i'vcV/off �n . . 8�0
. , Phone.
r� 1
Address.of Firm: ® Q Ca ddffgY
TYPE OF WORK: /eCx 5� ^c U G y
use Drain Re air House Drain
Lay Main - eraf for Commercial/Industrial
Buldi acres
Connection will be made with—� �--
Existing Water Supply: Public Water._ Well
Proposed Start Date Estimated time for completion - Oct VG \
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
Layer's License No. the holder of Drain
. Only holders of P-I', 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. 2®6 OSO D l G b
Signed: Print Name•
"cen -Dr - -�--
Date: 2 6a,�
Standa orms\Permlts\APPLIWION FOR DRAIN LAYERS PERMIT.doc
4 CONCRETE; AttgUW CONCRETE PRODUCTS
560 SALMM BRMK STREET
A9 ORONOQUE RD. GRANBY, CT 21 VERGASON AVE,
LFORD, CT PHONEs.(860) 653-5063 NORWICH, CT
ONE: (203) 301-5091 FAXi (860) 653-•0257 PHONE, (860) 889-22I3
AX: (203) 301-5094 FAX: (860) 889-0480
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DESIGN NOTES
`-' 1. CONCRETE-5000 PSI B 28 DAYS 2000 GALLON GREASE TRAP
2. REINFORCEMENT-AST, A-615, GR. 60
3. LOADING-HS20-44
4. .IOINIS SEALED WITH BUTYL RUBBER
5. BAFFLE TEE'S SUPPLIED vY GrHERS
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TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 3- (Q - o cv 3
BUILDING ADDRESS too EUrrRra2MN WAY Sv1'TE %do
STREET wINoOP- CT. 6(oo'1'-�
SUBDIVISION: 3uv-rorAs (�Q4w-
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S S PERVISOR (PRINT)
q9 ci>oLD 3Ra44,k� F_ s
tMu 1D o,�j 3.8•oIo
STREET ADDRESS SIGNA RE
KErtStW4_r0 1 C7(% 0c0037 � .,,.:J E .�� 3/� /oG DATE
TOWN STATE ZIP INSPECTED BY TOWN
640 82ct • N11 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER