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HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 8030.. Cont:rac'C 0-:::CONSTRUCTION INC. Location 5 OAKLAND ROAD AddresA „`<55 C6APaRATE ,AVE Type Work NEW SAN LAT $Iv1�: NVII`Liv='`: , C 0 0'w'2.:;... ' Phane NoF3 ,fl)77;-p33 >.. Date Insp Needed — Satenep Time Insp Needed _____________ Ttne..Inp r Inspected By Work in Progress _L_x!—P;�� ✓ "`� x7 d �' rz . ; CC Z.L rs C`�• N "� °� `0'w +�C-^ Q - a*.+, (�r'w c� S( ` AYE "CMS C�1NY ►. T"it �C Y Input::: '. . Date I Permit No. 8030 Town of South Windsor, CT Permit Date 03/07/2006 Drain Layer Permit Expiration Date 04/06/2006 Descrip: INSTALL SEW. LAT. BLA .,._6€:._._, Applicant Lo'':': 's:. o. t. n Name a e DIMATTE 0 CONSTRUCTION II3C ©AfCIa D ROAD, Addr. 55 CORPORATE AVE ' Q4. r-BERRY P .ASSOCIATES LMT PART PLAINVILLE Phone No. (860)747-0339 The Drain Layer assigned thi pi t hd d Vzgily7 :l cense .isgu d by the state and hereby agrees?"td """ 1 '' ;he l e'rms`"`and cone' t, Qn >z's' t.<':f.orCh in the attached 'Conditions' . 'All wo x� �nQrdail wzth Town of South Windsor standards, al .,OSHA. `re"uiren atG:acfied'<::,..o `di i Issued B ------- j t Date Inspected --------------------- I n sp'e' 'e ci' By ��30 p` 1 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 eLovry 414_4� Location of proposed work: 4x /&amt #�_ Street No. StreetName Premises owned by: V Name of Firm:�t Phone:- -��f �� q t Address.of Firm: Ywr TYPE OF WORK: Lay House Drain Repair House Drain Lay Main - ; Lay Lateraf for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date .3-2-04 Estimated time for completion 3 O� ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AN ONDITIO jAACHED TO THE PERMIT Permit is to be issued t the holder of Drain Layer's License No. A PL 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.&00(e0.10\16_q9 Signed: Print Name: Licensed Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc } TOWN OF SOUTH ANDSOR SANITARY - SEWER. LATERAL TIELD LOCATION DATE OF CONSTRUCTION: � �5 � lc��s�X BUILDING ADDRESS A- STREET 5 -I- IT- SUBDIVISION: �-�- �GiC%� NORTH ARROW _ . G IRS -(v Ma �e-C) CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT) C0 rt 120 STREET ADDRESS TORE �q IJ lJ � �e � � �J�G DATE - TOWN STATE ZIP INSPECTED BY TOWN U 0. -71 7 s c�3 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER