HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui (4) TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7980-
Contractor DIMATTEO CONSTRUCTION INC.
Location ,0205 OAKLANV'90AD Addxe'5.. � 55 CQRkYQRATE'AVE
Type Work NEW SAN LAT F" ALI4VILLE
Rhone No (:$ 4)74'1 U339
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Permit No. 7980 Town of South Windsor, CT
Permit Date 10/13/2005 Drain Layer Permit
Expiration Date 11/12/2005
escrip: INSTALL SEWER LATERA:h'BLDG9
APP licant
La' .t i.on
9.
Name DIMATTEO CONSTRUC'TIQN INCtlCjr 02.:0;:5 gpK_ A7D ROAD.
Addr. 55 CORPORATE AVE
Qwner BERRY -ATCH AS'SOCI}1TES LMT PART
PLAINVILLE
C . 606
Phone No. (860)747-0339
The Drain Layer assigned ,. hds 13.c li:genss :zaSued by the
state and hereby agxe¢s;_ tq 42-il"'. h terms "and coxsrT'lt. o.n;e<<; .et.::.,for;Ch in the
attached 'Conditions' . All worle shall b :in.3ordance w�t.h Town of South
Windsor standards, all.. OSHA"gequr:eiri 'zts..; .' ris' ;`:he atCafied:;..
conditions.
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Issued By �� +Q
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Date Inspected "" "
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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:- -
.Dr�
Name of Firm: Ott"
Phone: G k8-2otz
Address.of Firm:__ 6 r
TYPE OF WORK: r
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_ Lo 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 �l ����� _the holder of Drain
Layer's License No. _ d/'�)5`'_2SS 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.
Signed: Print Name:_
Lic used Drain L yer
Date: a
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL . FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS � �
STREET `�e ^Q�
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) ` NAME NT OR'S U SO (PRINT)
STREET ADDRESS SIGNATURE
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TOWN STATE ZIP Post-ItTM brand fax transmittal memo 7671 #of pages ►
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TELEPHONE NUMBER Dept. Phone#
WHITE — TOWN. PINK — CONTRACTOR Fax# . ! Fax#