HomeMy WebLinkAboutDrain Layers Permit 129 Farmstead Drive A t
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8064 Cont: :act'or JAMBS"`THROWE
Location Addres VAN$ SEWER &=.SEPTIC
Type Work ' W �JN LA
T RIVE SSbE:DFT$:.VE
Phone-No $�i0�28 QO'95
Date Insp Needed ------------- — Dat, In�tp
Time Insp Needed T:
Inspected e cted B
Y '
Work in Progress 0 � N = (
C C,
k _
5 :
e
r
Permit No. 8064 Town of South Windsor, CT
Permit Date 06/21/2006 Drain Layer Permit
Expiration Date 07/21/2006
Descrip: INSTALL SANIT. SEW. 3a`ATEFd'AF
Applicant
La' at ion
Name JAMES THROWEd g2ARMSEAD':DRIVE
Addr. VANS SEWER & SEP21C bW1Y'�r IVES MPSRY F & BRIAN J SR
97 RIVERSIDE DRIVE.
a
VERNON Q' .06066
3
Phone No. (860)289-0095'. :
j
The Drain Layer assigned tlr s p Sttat his a ua1'd l cens slued by the
state and hereby agree: "t4 a .l`.theerms and conditions set 'forfh in the
°'o '�Yanc '*n11t�1 Town of sou
th
s?;. sri l avivr <<€rz: C: .
attached Condition .. ......... .. ....
Windsor standards, aft OSHA 'recju rem€��at�: ar�d �}�e atZ`d�hed .conditions.
Issued By �+
— — ------------------
Date Inspected --------------------- Insp'ecY ---------------------------
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE.
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:_ �r '51
Street No. -6j Lot#
Street Name
Premises owned by:
Name of Firm: 5 uuer'
° Phone:o2iL05-T
Address.of Firm: 9) a��Lf
vn��
TYPE OF WORK:
Lay House Drain Repair House Drain
y Main
Lay:Lateral for Commerdal/Indust ial
Building of acres
Connec4on will be made with A ?,S
Existing Water Supply: Public Water Well x
Proposed Start Dateoya &/OL Estimated time for oompletton
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS
ALL OSHA'REQUIREMENTS AND CON TOWN
ATTACHED TO THE PERMIT ARDS,
Permit is to be issued to
:Layer's License No. a�$ �'A� the holder of Drain
will be issued_a Only holders of P-1, P-7.or W-9 licenses
permit: PERMIT WILL EXPIRE T'HIRTy(30)'DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer.hereby agrees to tilt
and condi4ons-set forth in the permit and attached thereto. g the terms
Town Street Excavation Permit No. Applicant has received.
and/or ConnDOT Permit No.
---------------------------------
-CBYD No.� a��c�
Signed•' 1 L-
Print Naime:� rp _
_.e_- _ _ --- ------ ----__ -
Date: c91 J,, r
Standard FMIAPermits\APPCICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY : SEWER LATERAL FIELD . LOCATION
DATE OF CONSTRUCTION: 2aiLtiG(�
BUILDING ADDRESS '
-Al-
STREET
+ SUBDIVISION:
NORTH ARROW
ocn
lit
-Ea _
Uv 1
-z
LL
CONTRACTOR (PRINT) NAME OF CONTRACTO 'S SUPERVISOR (PRINT)
STREET ADDRESS SI TORE j
V OZA ,$r. .ti ,�,,t� 6« Q[,, DATE
TOWN_ STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE TOWN PINK` = CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER