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HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road San 63�rr y. o TOWN OF SOUTH WINDSOR INSPECTION REPORT 1 Permit No. 7697 Cont-rac'tor DIMiiTEO.....CONSTRUCTION INC. Location 0205 OAKLAND ROAD ,Address 55 :CORPORA`IE:.. AVE Type Work SAN iii2 AINVILL Pfione No - 50Y7 7- 03 .9 Date Insp Needed Date--------------- S1sp� 7-- Time Insp Needed Z------------ mime T0.y Inspected By k w 4, Work in Progress ----------------------------- ------------------------------ Date �I O ✓ O I Permit No. 7697 Town of South Windsor, CT Permit Date 12/10/2003 Drain Layer Permit Expiration Date 01/09/2004 Descrip: Applicant Location Name DIMATTEO CONSTRUCTION IiT6 ' AdF Y - 42:F35 SAKI AND F#OAkJ. - Addr. 55 CORPORATE AVE twYier.BERRYATCFT`.ASSOCTATES LMT PART PLAINVILLE CT 0.6 0 6 2 Phone No. (860)747-0339 The Drain Layer .assign®d. thisf`01C has a ualad license 1esued by the state and hereby agee to a1T the terms and con dztso#�s #et<: forth in the attached 'Conditions' All wctirk sha1, �te 1Xzctrdance With Town of South Windsor standards, all OSHA xi�guireMNA�ts, _�ric� the attached:><conditions. Issued By ------------------- Date Inspected -- Ins'pe'cted By _ _ �6g 7 1 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:_Ioa 0a k laod d Lot # Street No. Street Name Premises owned by: /3&ryy �ct�ch ss ��t-`�es �. ►," c �a� Pig ,` Name of Firm: DI'" eo if C Phone: 0331 Address.of Firm:__ 5 CUy,^��a TP �,,e, d►"n,,' 1 -TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral'for ComaGisia1/1-R r4a} Building of acres Connection will be made with Existing Water Supply: Public Water V Well Proposed Start Date a D ©3 Estimated time for completion z ii a 3 .. `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 the holder of Drain Layer's License No. 67�.��z .. Only holders of P-11 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: Licensed Drain La er Date: � � /( D?L _ Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT:doc TOWN OF SOUTH WINDSOR INSPECTION REPORT PROJECT. Q,✓� DEVELOPER: STREET. k /,�" I � CONTRACTOR: DATE: ! 03 TIME: /V WEATHER: y INSP: bog WORK IN PROGRESS: � ����� ��1 - " - A2 &d= OWL a aC fii�r� �w'h/�.^g J ac�� � I°la,�-2. ,Pa c�� l��� I©l®EQSS `�'✓/ �c.���. l3ack Filled AREA OF CONCERN: SPECIAL INSTRUCTIONS: