HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui (3) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8028 Contx:ad'tor DIMATT'to--eC;ONSTRUCTION INC.
Location ., lkAF�hFgRfp"-ROAD Address=: 55 CORPORATE'"'AVE
Type Work NEW SAN LAT P. AINVIliLE."
Date Insp Needed IDate. Tits .
---------------
Time Insp Needed _____________ '%:me In:a3 � -
_ _
Inspected By
Work in Progress _ 1�i'�c�u✓_: y_►S �i_ Lxk�
rll�rcL¢v'vi _Tv --7 _ )o ve- SC;
ry
T v► 3l �r�-- --
y j
Permit No. 8028 Town of South Windsor, CT
Permit Date 03/07/2006 Drain Layer Permit
Expiration Date 04/06/2006
Descrip: INSTALL SEW. LAT. BLpG..,;7:i
Applicant Lo:C& is n
pP k �
Name DIMATTEO CONS TRUC;2'IpN'INC.. _ ,<>`<':-:_::;<:;:;:<<:.:3t3;
Addr. 55 CORPORATE AVE. Owner BERRY PATCH ASSOCIATES LMT PART
PLAINVILLE
CT..06-b62
Phone No. (860)747-033n
The Drain La er ''` 'n'
y a, g ed. th.aea t as r�;3 Yd lAae se : :sued by the
state and hereby a r' a '>:e o. .> the 'erms"`arid°c'o'ndt. o:nsFs'Et;':forh in the
attached Conditions furl '�JO: .' `,'";:k'"::.>3'>`'z>;»':, ::: <:: >:< r<' ' "''`wi T:'
3� ,s a.�. . b� .z.n .a�eb dazx�:� xtkz oWh of South
Windsor standards, all<:_,OSHA ;egUire i t GS., ,xd ,; .lie_ at a hed-.,.Foa- itions.
Issued By -----V_rGIVv� _µ T�t 10s ,r/►✓ -------------------
......:.::::.
/s
Date Inspected _ Ins�3'e�'t`'e`d""""By
�owe
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: Lot # rvt �--
Street No. Street Name
Premises owned by: Mel ew 02_%AL%
Name of Firm: (2_0 vlle—+ Phone:ego 7q Z d 33
Address.of Firm:- Intl�.�,��
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, 7 06 Estimated time for completion _ 3`�`�-0 ro
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 X4,WL the holder of Drain
Layer's License No. 5q Q'�._ 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. QDC*d
Signed: Print Name.
Licensed Drain Layer
Date: `laJ�
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD - LOCATION
DATE OF CONSTRUCTION: b
BUILDING ADDRESS .
�05 D CQ
STREET
SUBDIVISION: � -� �c1G�
NORTH ARROW
/000
� � � o
1000
CL
DC1 A-t-/4e-� o ��)"( ,v-\ ' fltu
I
CONTRACTOR (PRINT) NAM 0 CONTRACT SUP OR (PRINT)
ss- if VDU ca ��
STREET ADDRESS SIG E
P/a A/ V' //t
-- - - -�- — /7 06 DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE"NUMBER
WHITE'- TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER