HomeMy WebLinkAboutDrain Layers Permit 783 Main Street (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Os Contractor COLABELLA..CONSTRUCTION CO.
Location 079' ; 4S A$dre , 145 %PQ'ONVI L-E RD.
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Type Work RPR SAN LAT M <., EA-S;T:.:.;GRAN5Y CT"0.6026
Phone'No ($ fl)6"�8 ;6447
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Permit No. 8093 Town of South Windsor, CT
Permit Date 09/21/2006 Drain Layer Permit
3
Expiration Date 10/21/2006
Descrip: RELOCATE SEWER LATERAL '€
Applicant can t
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Name COLABELLA CONSTRVtTION E`(X' C A78 MALT STREET
Addr. 145 SPOONVILLE Rh. wriex WOOD MEI?J:OR�AL 'LIBRARY ASSOC I'
EAST GRANBY CT :.06026
Phone No. (860)658-6447 .. 4
The Drain Layer assifgne'd this tl has lid l�cerise sued by the
state and hereby agrees;_'to. 1. ,the 'term"s"end codizo.n ....set.::..forth in the
attached 'Condition a ..e with To4In of South
Windsor standards, all.. OSfIA'` e ':uir:t{ri :' .`<;. ??; .y-''e att:aHec)>l Conditions.
Issued By Titles F�
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Date Inspected --------------------- Insp.�o4.t:.e�;.::.By --------------------------- '
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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: Lot #
Street No. Street Name
Premises owned by:- 6*JoOD
Name of Firm: Phone:
y
Address.of Firm:
TYPE OF WORK:
Lay House Drain __ _; Repair House Drain
Lay Main .
• Lay-Lateraf for Commeraal/Industrial
Building of acres
Connection will be made with_ ?VC- 'Dk i!r
Existing Water Supply: Public Water Well
Proposed Start Date 2 b
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 'i .0 Layer's Ucense No. :20 01S the holder of Drain
will be issued.a Only holders of P-1, P-7.or W-9 licenses
permit. PERMIT WILL EXPIRE THIRTY(30)'DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to-ail the terms
-and Conditions-set forth in the permit and a shed thereto.
Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Permit No.
CBYD No. .ZT6 376 4LIT a-
Print Name: V`a C. "Zr
cens=ed Drain -- -- -_-_ _
Date: 6
Standard FMIAPerMIMAPPLICK ION FOR DRAIN LAYERS PERMIT.doc
TOWN of SOUTH WINDSOR
SANITARY ' SEWER LATERAL fl-ELD - LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) CTOR'S SUPERVISOR (PRINK
STREET ADDRESS ii G
_4 D 1002(o _;> _ 9�zz�G DATE
TOWN - - STATE ZIP INSPECTED BY TOWN _
128(A 8 ig DATE
TELEPHONE NUMBER
WHITE _- TOWN = PINK CONTRACTOR YELLOW -.CONSULTING ENGINEER / DEVELOPER