HomeMy WebLinkAboutDrain Layers Permit 731 Graham Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7907 Con:tr6 r GLENN"'CONSTRUCTION CORP.
Location 0731 GRAHAM ROAD Xiddress 86SANRICO"'DRIVE
Type Work NEW SAN LAT L?FNCHESTNR CT"0.6040
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Date Insp Needed Date Insp �j .'
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l No. 7907 Town of South Windsor, CT
Permit Date 04/25/2005 Drain Layer Permit
Expiration Date 05/25/2005
Descrip: INSTALL SEWER LATERAL ..
Applicant Location
Name GLENN CONSTRUCTION CORD Adct'r 0.7.3>1 GRAHAM
Addr. 86 SANRICO DRIVE t7wner_-NOS KE RONALD W & .;
MANCHESTER CT p60Q0
Phone No. (860)643-0411
The Drain Layer:':assigned thisSItt�t has a ualid 1jCense sssued by the
state and hereby agrees. Co all; .the £erms 'a'nd con i.. xon; se:t:,,£o.th in the
attached 'Conditions' All work shah lie # Cordanq Wgth T.6wn of South
Windsor standards, ail OSHA requiregL�, : d tie attichl .'conditions.
Issued By ✓. KK/J�'::;
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Date Inspected ----___-------------- Inspected 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 proposed work: 731 Graham Road Lot #
Street No. Street Name
Premises owned by: Ron Noske
Name of Firm_ Glenn Construction Corporation Phone: 643-8040
Address.of Firm:86 Sanri co Drive Manchester CT 06040
.TYPE OF WORK:
Lay House Drain X Repair House Drain
Lay Main ; Lay Lateral'for Commercial/Industrial
Building of acres
Connection will be made with PVG Pipe
Existing Water Supply: Public Water X Well
Proposed Start Date Estimated time for completion
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 Daniel Guach.ione the holder of Drain
Layer's License No. P-7 -#2n84n&; n6m3 Only holders of P-1, 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. 20051603242
Signed: r Print Name: Daniel Guachione
Licensed Drain Layer _
Date:_Anri 1 14, 2005
Standard Forms\PermitAAPPL.ICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: q
BUILDING ADDRESS
STREET : (� AA HAM i2® Az-,�,
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) _ NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
4LEPAI �d 40
STREET ADDRESS SIGNATURE
10 12 DATE
TOWN STATE ZIP INSPECTED BY 0 N
C� DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER