HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 9 Contzaet<>r DIMATTEQ•-::CONSTRUCTION INC.
Location Add'res.s ': :':b5 C0I£PQRATE',AVE
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Type Work NEW SAN LAT ,; = NVII'LE
Pha rie;-No,: :,>(':B
Date Insp Needed T5' te
Time Insp Needed _
Inspected By
Work in Progressvo
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' Permit No. 8029 Town of South Windsor, CT 3
Permit Date 03/07/2006 Drain Layer Permit
Expiration Date 04/06/2006
Descrip: INSTALL SEW, LAT. BLDG. &'
Applicant Lo' t` on
Name DIMATTEO CONSTRUCTIQN INC:: A c] 0 0,5-,dAKLA�ID..ROAD
Addr. 55 CORPORATE AVE:% aater BERRY PATCH:ASS'OChATES LMT PART
PLAINVILLE
*CT..06 6%t 1' '
Phone No. (860) 747-0339:
as
The Drain Layer ds�i n.e�3 f-13-
Y 5 pf�t his v1. d eaise .:;asued by the
state and hereby agrees,:::tom )1: the terms irc1' C dititsns, set .:forth in the
:,
attached Conditions ..;.,;:>p 11° :::::: .` .:.. ';.;:>€:.:::.::: ..:...:>::a `.L;-:
wow. ;5ha�1 �� �n ���cs�danc� w�tli TOW of South
Windsor standards, all, OSHA ai �1xe'atta�:�ed:conditions.
Issued By --------------
Date Inspected -------------------- Ins'13ect'ed' By _
! 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: #
Street No. Street Name
Premises owned by: .
Name of Firm: Phone:
Address.of Firm: r
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main
:Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with `
Existing Water Supply: Public Water Well
Proposed Start Date 3� - Estimated time for completion _
ALL WORK TO BE IN ACCORDANCE WITH*TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND ONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to c0
the holder of Drain
Layer's License No. 9 4"2 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. r�
Signed: Print Namea e �114 6Y
Licensed Drain Layer
Date: —to"0 (o
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: � Z- D
BUILDING ADDRESS
� STREET .
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--I- SUBDIVISION: �3
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NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTORS S E SOR (PRINT)
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STREET ADDRESJ S60URE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
77V7-033 DATE
TELEPHONE-NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER