HomeMy WebLinkAboutDrain Layers Permit 7 Gulley Drive OWN OF SOUTH WINDSOR 'INSPECTION REPORT
Permit No. 7198 Contractor SKIPS SEPTIC
Location 0007 GULLEY DRIVE Address 27 MUDDY BROOK ROAD
Type Work NEW SARI LAT EL_LINGTON CT 0609
Phone tao. ( S60 )575- 2:332
Date Insp ;Needed j1► � t gate Insp.
Time Insp Needed - ---- -- Time Inso. -- -- __ -- -----
Inspected By
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Permit No. 7198 Town of South Windsor , CT
Permit Date 10/23/2000 Grain Laver Permit
Expiration Date 11/22/2000
Descrip:
Applicant Location
Name SKIPS SEPTIC Add'r . 0o07 (PULLEY DRIVE
Addr. 27 MUDDY BROOK ROAD t)wner HOPKINS JAMES P & ROSE M ( SURV
ELLINGTON CT 06029
Phone No. ( 860)875-2332
The Drain Layer assigned tfltis permit` has' a valid license issued by the
state and hereby agrees to' all " the terms ,and condiTi;ons set forth in the
attached 'Conditions ' .` All work shall be n accordance with Town of South
Windsor standards, all OSHA requirements, and the attached conditions .
Issued By __�_� _ � rfl Title
Date Inspected __-- . �-_-.—__� Inspected By
i
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: •7 G a k�_e(/ 3)z- Lot #
Street No. Street Name
PremisesOlAtned by' OIly H o kiwi 5'
Name of Firm: Sk(PS 'S'FP77c 5q Tz VIc E- Phone: F7,i Z 3 3 rL
Address of Firm: 27 M a*PY Z2oolL X b C4_1_11J 6nAj
TYPE OF WORK:
Lay House Drain )( ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �c C-
Existing Water Supply: Public Water. 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 the holder of Drain
Layer's License No. 00Zo* 7 7z 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. o2000 -f-3 oo
Signe ?—/ Print Name: -7'jyLi
Licensed Drain Lay Err
Date: '06
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
r TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
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TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER