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HomeMy WebLinkAboutDrain Layers Permit 1828 Main Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7255 Contractor JAMES THROWE Location 1828 MAIN STREET Address VANS SEWER & SEPTIC Type Work RPR SAN LAT 97 RIVERSIDE DRIVE VERNON CT 06066 Phone No (860)289-0095 Date Insp Needed ldte ��ns ":© Y a d 1 Time Insp Needed ��-L" �-�" fiime Insp OD r' f• 30 /'� Inspected By G Work in Progress 4c 4-1 Input Date Zob Pgrtrj:t No. 7255 Town of South Windsor, CT PerMIt Date 04/03/2001 Drain Layer Permit Expiation Date 05/03/2001 DescHp: Applicant Location Name JAMES THROWE Addr„ '"1-828 MAIN STREET Addr. VANS SEWER & SEPTIC ` Mne"r .MAG�RO ANTHONY D & H VIRGINIA SV 97 RIV�RSIDE DRIVE Y' VERNON CT .O6D66 Phone No. (860)289-0095 ," k The Drain` Layer a sti g has ' t ] d 1 cense issued by then state and hereby agrOoe t� *-a 1;: thy. �srms' and ,condl Lions set forth in the attached 'Conditions'.." 1 I cork shah' ";i n a�crir�danc' with Town of South Windsor standards, -rit , ,attached conditions. Y Issued By T1t1 Wr —�" Date Inspected � ✓ � Ins ectedy B G 6 3 P ----- 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: �}'�G) Lot # Street No. Street Name f Name of Firm: Vcn5 Phone: Address of Firm:�C:z �f�Ue,�-s� TYPE OF WORK: Lay House Drain ; Repair House Drain A51' ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 3-!;- Existing Water Supply: Public Water. Well Proposed Start Date _ Estimated time for completion �i �� 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. Q.C)t0h 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.ad41 N00 7'516 Signed: Print Name:_ Licensed Drain Layer Date: 3 && n r Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : STREET . YYk,%V, -C NORTH ARROW --- - " f i I 1 ( ( 1 L t V`"'F J. kA SIA t4e� r I r 1 ' , 1 1 � r t 1 1 ,• y r 1 t } i 1 r 1 i t j CONTRACTOR PRINT) NAME 0 CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS TU --G7 ��__G � _ � - l3 U/ DATE _ TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / ,DEVELOPER