HomeMy WebLinkAboutDrain Layers Permit 978 Pleasant Valley 750069 TOWN OF SOUTH WINDSOR, CT
PERMIT,NUMBER DRAIN LAYER PERMIT
DATE: 10/11/07
GIS ID: 7290097813�",�<� FEE: .00
MUNIS APPLICATION# 200701673 •EXPIRATION DATE
11/10/07
PLICANT
<.L OCAT I ON
NAME: JAMES THROWE DBA-' T SS<; "`" II FEEA' ANT VALLEY ROAD 10
ADDRESS: 97 RIVERSIDE DRIVE.-?` rs<>=:``
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VERNON RO ,.:.::.>';<:'. .
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6 . ''17 ;'4?VHEELER RD
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60 2 89 :0
WORK DESC
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ION: NEW
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THE DRAIN LAYER ASSIGNED TO THIS PERMIT' IAt>. {1LISibEb,$ :THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT S IN;;"fHL::
TTA 1 iI IS'. ' ,W&?&'SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDSTL(). HA'''T����T� �IiDyFHE:A1"TACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
10/11/2007 12:14 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Z,5'-0O6 `I' CONTRACTOR:
LOCATION:_ q
TYPE OF WORK:_ nE'60
DATE INSP NEEDED: DATE INSP: LOZ
INSPECTED BY: r3�
WORK IN
PROGRESS: C���
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INPUT: DATE:__
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
/ # a o070��7.3 TOWN OF SOUTH WINDSOR
PU'BLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 979 azq�T L Lot #
Street No. Street Name
Premises owned by:_ 4ir- &9 , G
Name of Firm: Phone:
Address of Firm:
TYPE OF WORK:
Lay House Drain x ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with s p
Existing Water Supply: Public Water- Well
Proposed Start Date 10-10-07 Estimated time for completion S
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CON D ONS ATTACHED TO THE PERMIT
Permit is to be issued to ./ the holder of Drain
Layer's License No. a 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 a ached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. Z00 7y00Z5�Q
Signed: Print
Licensed Drain Layer
Date: C)Cam/
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : 9 7Z - 970P
STREET .
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CONTRACTOR (PRINT) NAME 0 CO TORS SU SOR ( NT)
STREET ADDRESS SIGO
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TOWN,
// STATE ZIP INSPECTED BY TOWN
Yb-o `� 1 U`J , c)6 / DATE
TELEPHONE NUMBER
- TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER