HomeMy WebLinkAboutDrain Layers Permit 86 Lavender Lane (2) 750042 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/14/07 MS `"
GIS ID: 52600086 FEE: 60.00
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MUNIS APPLICATION# 200701279 `•`"` 3:> E
XPIRATION DATE: 09/13/07
PPLICANT:<
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NAME: JACQUES CONSTRUCIOI (Jt7lDRESS'.=.<` ; A�ENpER LANE
ADDRESS: 67 RIDGE ROAD '". ><; ^ ..n5 "' ;%':1: ` y ;
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CTH ..S:ILrIDS R.. O CT 06074
PHONE —
860 432
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SCRIPTION:
TION• NE W SE W ER•L>
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THE DRAIN LAYER ASSIGNED TO THIS PERMIT`I:.' 14E STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT'IM,.i I) AlTAC I '` I NS'F:'A L ORI SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARTDS`AIsL.OHRFS1111rt *15: ITACHED CONDITIONS.
ISSUED BY DATE f PECTED INSPECT BY
8/14/2007 10:21 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:
CONTRACTOR: Tb h r C4�
LOCATION: 3(o 4N enclQ L a r,.e—
TYPE OF WORK:_ Neu) se w-pz�
DATE INSP NEEDED: DATE INSP: z�o1
INSPECTED BY: a�
WORK IN
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INPUT: C'&- DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
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: 96 -- dLey_ Lot #
Street No. Street Name
Premises owned by:
Name of Firm: Phone:�6) -6102
Address of Firm: S� s'
TYPE OF WORK: /
Lay House Drain e ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with SID- "-is—
Existing Water Supply: Public Water r Well
Proposed Start Date 8 O Estimated time for completion bit v'
ALL WORK TO BE I A ORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to P os T the holder of Drain
Layer's License No. holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL E�nly
IRE 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.
Signed: Print Name:
L cense Layer
atdr -
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TOWN OF SOUTH WINDSOR
' SANITARY SEWER LATERAL : FIELD - LOCATION
DATE. OF CONSTRUCTION:
BUILDING ADDRESS Ali=6*�!
STREET : G �I�l ok
SUBDIVISION: G%�-��'
NORTH ARROW
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CONTRACTOR (PRINT) OF CO TOR'S SUP SOR (PRINT)
STREET ADDRESS ;GNATURE
TOWN _ _ _ STATE ZIP INSPECTED BY TOWN _
DATE
TELEPHONE NUMBER
WHITE TOWN PINK CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
- LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 7
INSPECTED BY:_8 p
WORK IN
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INPUT: CJ` " ~ DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
A�pLc���✓ 70)36�
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: T 4b,eY^r u /a Lot #
Street No. Street Name
Premises owned by: XL
Name of Firm: Phone:-,!:)
Address of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with -5.1)P,
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 IA7.,ceg tj 1J"Af _ v the holder of Drain
Layer's License No. 2041 (/my 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.
� I
Signed: Print Name: �o ��C�?U �S
License Dra' yer
— -- Standard Fo s\Pe its\APPLICATION FOR DRAIN LAYERS PERMTf.doc
` TOWN OF SOUTH WINDSOR
SANITARY - SEWER LATERAL FIELD , LOCATION
DATE_ OF CONSTRUCTION:
BUILDING ADDRESSlDal �G� i� 6j
STREET �4 &-fie � d t-#&
SUBDIVISION: F-�
NORTH ARROW
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TOR (PRINT) ;NAME CONTRACTOR'S SUPERVISOR (PRINT)
ADDR� TURE
DATE
STATE ZIP INSPECTED BY TOWN
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-TE RER
WHITE TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER