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HomeMy WebLinkAboutDrain Layers Permit 480 Foster Street TOWN OF SOUTH WI�DSOR INSPECTION REPORT Permit No. 7228 Contractor SKIPS SEPTIC Location 0480 FOSTER STREET Address 27 MUDDY BROOK ROAD Type Work NEW SAN LAT ELLINGTON CT 06029 n. Pone No. ( 860 )875-2332 t t1 Date Insp 4%edi,d _ ! (.vtLt, (�, I? Insp. Time Ins" ee d ' ` Tjme In$p .fs ,�®ram Inspected By `, Er r ti Work in Progress J a���� � �it cR d�� .�'o i%✓��'� � ��e„.ss. w .c 2 s. ��Owrr�P 'eR?r/d9✓ ����i ��' P!/i►� �C6�6/jG`r fsPs�l� ©�I`77dH f%Q' f�.O ca ra 4.eA- �is� /�► `� Cp✓S�Ps� � „ ,,L;�. r�'.�.ei aptlt i�_ Date _ / 7=`e�S �i Q.i,.p� �L �.�i'eo.-'9'! we!s�� Ge{'rre� �P' /`vA. .s'� ✓ �...'.u.. , %n �c`ir �I�i�cN�o 1A1S PCC r.v/v kcSJ�4)v1 7- Permit No. 7228 Town of South Windsor, CT Permit Date 12/12/2000 Drain Layer Permit Expiration Date 01/11/2001 Descrip: Applicant Location Name SKIPS SEPTIC :Addr._. 0480 FOSTER STREET Addr. 27 MUDDY BROOK ROAD,�` Owhe.r `14MB DONALD EUGENE & ELLINGTON Phone No. (860)875-233 The Drain Layer as l e�i this pg1^pM nFas fr�ral id license issued by the state and hereby agree$ ` 11 t� t�wrtns andnditions set forth in the —ttacned _'Cond i t i or e`', k 'e i 6rd,ance with Town of South Windsor stand rds, tallhlke4 "8ttint7lt�, atct:_ 1he attached conditions. } 4 Issued By ,�1e,. / ��Date Inspect //O:zse ted By TOWN OF SOUTH WINDSOR INSPECTION REPORT PROJECT: DEVELOPER STREET: �i` U �o s rG2 �?— CONTRACTOR: DATE. / D � O /� WEATIER: I - /= 3 0 WORK IN PROGRESS: `d G G o:,,• G�� T i�yJr.�1c ts'SS ��d 1��� yS16�C�✓i/Uti �'o. ✓�LC7 �O/✓T/L.�e.i�✓L. SKl✓�S IiVl c..t y3C AREA OF CONCERN: SPECIAL INSTRUCTIONS: APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR Z-z PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: 4V FaME 67- Lot # Street No. Street Name • Premises owned by: JoVCti L AlIR Name of firm: TxlPS 6cPnC • etz vlc g Phone: ?7$ Z33Z Address of firm: 2-`7 . /u"q c &O,- ;L>,b ,)G7aIV TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 6 PVC sbt 3 ; Existing Water Supply: Public Water Well Proposed Start Date_ l2 -too Estimated time for completion fZ lS-oo 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 -fO)&, GjjgkkI'l? the holder of Drain Layer's License No. _ 20-7,7 Z 5— . 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. - 000 sft 716 Si ned: g Print Name: 7?rN 4jglj<- icensed Drain4LayerP' Date: 1Z -/Z -ao Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc NIT TOWN Aq SOUTH WINDSORY ®F SOUR ER LAT ERq L FI DATE OF EL® L 0 CONSTRUCTION: Cq TI N BUILDING ADDRESS : ao ¢ go F"s STREET : s r -I- SUBDIVISION: NORTH ARROW ..f._....— .. - ... p. p( .__y7_I i 1 ' , - s 1 t _ a 7 }; a dAh _ r F ff 1 1 f I , r y1 f r t j + I r _ r It _ 1 Oj , 'ACTOR (PRINT) C 1.. �^ �1�1 D o® NAME OF CONTRACTOR'S ADDRESS E OR NT 0T_ SIGNATUR STATE ©(062 9 '7,� 2 3 3 7— ZIP INSPECTED By TOWN VE NUMBER f2-2o-o® DATE TOWN 0 PINK - CONTRACTOR 0 DATE BMW vn, { To help locate your, sewer connection on the main tine, p lease show 'vvih,ere you would like the connection by drawing a line From the house or the septic tank to the main line in the street. Also, install stake in yard to indicate line as shown on sketch. . IF.you have any doubt please contact -the Town Ehgin eering Department. Please draw important information such as driveways, large trees a,nd other obstructions. PLEASE MAIL THIS FORM IMMIDIAi EL Y TO: JANiES S. MINGE-S & ASSOC. , INC. The Exchange Farmington Avenue Farmington, Connecticut 06032 L ` ~ YIL 1