HomeMy WebLinkAboutDrain Layers Permit 172 Deming Street (2) 750055 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/27/07
GIS ID: 077 u? +
FEE: 60.00
MUNIS APPLICATION# 200701556
EXPI
RATION
RATION DATE: 102/ 7/0 7
APPL
ICANT.,',"C :`
ANT OCA
NAME: BOTTICELLO INC '
I)gM&G STREET OS
ADDRESS: 321 OLCOTT STREET,::
T Ipa;1NTERPRISE
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: '' `. Q S LLC
MANCH ESTE R CT 0` 4Q Q. :.,. OiJI$IANA ST
PHONE -
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:.....::::.:::::::. ..:.::QITE.,.: . .;.....:.:. W' SOR SEWER
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THE DRAIN LAYER ASSIGNED TO THIS�'ERMIT`A—S. TCEN S ED 3 ''TI E STATE AND HEREBY AGREE
S TO ALL
THE TERMS AND CONDITIONS SET FORTIS IN IIE><1 T cif A L'",WORIri SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAI S' A I b HA TH "'Al CHED CONDITIONS.
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ISSUED BY IXATE INSPCTED INSPECTED BY
9/27/2007 9:46 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Z-500 l., CONTRACTOR:_
LOCATION: L7
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TYPE OF WORK:_ re -C_o
DATE INSP NEEDED: DATE INSP: D y D
INSPECTED BY: o i i—
WORK IN /f
PROGRESS: PVC oll7g 'Gi
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INPUT: "�--. DATE:__
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
�PPI aoo�o!s 56 PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
parcc/ ;d 077 mkn 'c,p�(,"�y 07J-MAw�H sT�n
Location of proposed work: 172 Deming Street Lot #
Street No. Street Name
Premises owned by: Col.eest/ Hftd-Man-Wfld. LLC
6063//
Name of Firm: Botticello Inc. Phone: 649-3665
Address of Firm: 321 01cott Street, Manchester CT 06040
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building xx of acres
Connection will be made with SDB-35
Existing Water Supply: Public Water gx Well
Piated
Proposed Start Date 9/26/�?7 Es me for completion 30 DWG
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 Tim Jarish the holder of Drain
Layer's License No. 251603 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. 20073301962
Z DD-7 c?b Z&-o-7
Signed: Print Name: Tim Jerish
Licens in yer
Date: 9/26/07
Standard Forms\Permlts\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OFF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD - LOCATION
DATE OF CONSTRUCTION: �� `� "67
BUILDING ADDRESS 1 72 p-em i N
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STREET
-f- SUBDIVISION: S-A2 l3Lar�
NORTH ARROW
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CONTRACTOR (PRINT) NAME F ONTRAC 'S RVISOR (PRINT)
321 o sf-- ' �-8-0 .7
STREET ADDRESS SIGNATURE
M.4lua:g& b t- � DATE
TOWN !P STATE ZIP INSPECTED BY TOWN
G "F f Sv _ DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE. OF CONSTRUCTION: Septetber 26 , 2007
BUILDING ADDRESS : 72
/79 STREETS St-apt
A- 9/a71, 7 SUBDIVISION:
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xBc,tt *salt , Inc. Ta.::,i. Jnri sty
CONTRACTOR (PRINT) NAME O
GF CONTRACTOR'S SUPERVISOR (PRINT).
321 01cott Street 9/.26/C7
STREET ADDRESS SI TORE
i nz.hest2r CT C6-010 DATE
TOWN STATE ZIP INSPECTED BY TOWN
(86C y 6a 9-3665 DATE
TELEPHONE NUMBER
WHITE TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER