HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui (6) i
T TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7751 Coat>radtor DIMATT'EO::::.:CONSTRUCTION INC. j
Location 0205 OAKLAND ROAD re.":i 55 CORYORATE:..AVE
Type Work NEW SAN LAT PLATNVILL
Qld tT 06062
8h 0)7.4;7 0339
Date Insp Needed ------------ — Da.
Time Insp Needed — Time
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Inspected By
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Work in Progress
Date
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Permit No. 7751 Town of South Windsor, CT
Permit Date 06/07/2004
Drain Layer Permit i
Expiration Date 07/07/2004
Descrip; PERMIT FOR BUILDING 41 .
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Applicant LQC4taon
i;
Name DIMATTEO CONSTRUCTION IATC
AdcTr 02(}E #OAMAND ROAL!
Addr. 55 CORPORATE AVE
OWn.er BERRY PATCH A$SOCTATES LMT PART '
PLAINVILLE 3
.
Phone No. (860)747-0339,
The Drain Layer a551gied thi as aal�dCense 'ascied by the
state and hereby agEea9 to0l the terms and cbn'ditions set:::.forth in the
attached 'Conditions' All wo: '1c shah b ii� Gt�rdance' wYth Town of South
Windsor standards, afl OSHA xequix me is . acid the atta;ehect :;eoxiditions.
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Issued By ---- ---
Date Inspected y — 2_
--------------------- I ri 5 `e'o`t e d::B -4 —
�`715-1
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:_ Lot
Street No. Street Name
Premises owned by: vv w"C40
Name of firm:_ ; d'IT'C'yh s Phone: $GCS Zy 7 d 3 3 9'
Address:of Firm:
. G -
TYPE OF WORK:
Lay House Drain - Repair House Drain
Lay Main"------; Lay lateral for Commercial/Industrial
Building of acres
Connection will be made with Fe,*-*t&n
Existing Water Supply: Public Water vle Well
Proposed Start Date4o 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
Permfi-is to be issued to the holder of Drain .
Layer's License No. m0k 4-17 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 r" and/or ConnDOT Permit No.
CBYD No. soo y apo ff Z
Signed: Print Name:_ wlj
icensed Dr ain Layer
Date: `
Standard F0rMS\PerM1t5\APPLJCATI0N FOR DRAIN LAYERS PERMIT.dod
. , TOWN OF - SOUTH WI N DSOR
SANITARY - SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET : `gje� �cI
SUBDIVISION:
NORTH ARROW
1 o0
A
71,
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CONTRACTOR (PRINT) NAME CONTRACTOR'S SUPERVIS R (PRINT)
STREET ADDRESS SIG by
lay DATE
TOWN STATE ZIP INSPECTED BY TOWN
r7 q-7 - 03 3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER