Loading...
HomeMy WebLinkAboutDrain Layers Permit 55 Oak Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. . 7335 Contractor PIPPIN SEPTIC SERVICE Location Address 37 WOOLAM RD Type Work NEW SAN LAT EAST WINDSOR CT 06088 P1hone<,No. (860)623-2313 Date Insp Needed /6 0� o/o/ .t W " *DC Time Insp Needed 41 Inspected By Work in Progress �=�U' �/�. �.�'� �,,��.7'✓t.�.d. Or" • �'G��fr+f`T� ""�1�tll�d'r �I�: S�?in%� QUt'''/1� k i. Input tf'�j►.., Date Permit 19- 7335 Town of South Windsor, CT Perm"- Ate 10/01/2001 Drain Layer Permit Expiration Date 10/31/2001 Descrip: USER FEE CHK 3081 Applicant Location Name PIPPIN - SEPTIC SERVICE Addr. .0055 OAK STREET Addr: 37 WOOLAM RD Owner, WRI HT GERTRUDE M EAST WINDSOR CT 96, ' Phone No. (860 )623-2313 The Drain Layer as$i gned" this perratt 1,i.d Y icense issued by the state and hereby agree. tt, - 11.. th'a "terms, and Gott loans set forth in the attached 'Cond i t i ons' A !'1 �w?� k shi.l 1 bn accordance` with Town of South Windsor standards, a 1 l 'OSHA, latel'1t.S, :and the, attached Conditions Issued By /4 O �Oo.3O�jr Date Inspected �,� Inspect e y _ APPLICATION FOR DRAIN LAYER PERMIT eq� TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT -4 �'23-820 7 TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: S-✓r ©cr k' 51 Lot # Street No. Street Name Premises owned by: GTerlv k J r t„/✓t-, ,d f V Name of Firm: D�,`,��n�v� tSnH ._ Phone: Address of Firm: 17 TYPE OF WORK: Lay House Drain V ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with (s `r SDR ?,r Existing Water Supply: Public Water V11- Well Proposed Start*Date/2 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 /a fw"l the holder of Drain Layer's License No. 7 =6 Only holders of PI 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. 24/~ 3 902 53/ Signed: _ Print Name: &C,44"i r Licensed Dr in Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: z© - 05'- d 1 BUILDING ADDRESS : STREET : SS ©ffi l S SUBDIVISION: NORTH ARROW 1 { P . 351 } t. I ti _ fff } I I ! , • ! s • 1 i - _ 1 } r I + , i + �r po l �— Sa m 2��G he.Z b° Am*44 CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) 3 7 L-/a o la! /jz fy STREET DDRESS r— _ SIG ATU E L �t✓ l/ rr/- o D DATE TOWN STATE ZIP INSPECTED BY TOWN 3 3 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER