HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui (7) � s I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7752 Cont.x'aet'd'r`T3TMATTFQ. CONSTRUCTION INC. {
Location 0205 OAKLAND ROAD Address [ ::€1 55 c:QRP..ORA"ItE,.AVE-71
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Type Work NEW SAN LAT PLAINVI-LLIV
4tT 0`6 0 6 2
P.hane No 0339
Date Insp Needed Date .risp
Time Insp Needed
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Inspected By
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Permit No. 7752 Town of South Windsor, CT
Permit Date 06/07/2004 Drain Layer Permit
Expiration Date 07/07/2004 4...... .. ...
Descrip: PERMIT FOR BUILDING #2
3
Applicant Locat< on
Name DIMATTEO CONSTRUCTION;INC.. ld3r 4205 OAKI,AND..:ROAD
Addr. 55 CORPORATE AVE- OW3aer BERRY PPTCH-.ASSOCIATES LMT PART
PLAINVILLE '
CT`0606:
Phone No. (860)747-0339
66,
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The Drain Layerx.
assigned thl'.a. , has a Xtalid ].ldense _ssued by the
state and hereby agfee..s>: tp . 1. the f''erms grid Ctiritit oris set;'forth in the
attached 'Conditions' ...All wo, .}t slal^1e .,aet3t3anc'e witfi Town of South
Windsor standards, a1=1 OSHA requirements 1and. he at. conditions.
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Issued B
Date Inspected ------ 'Inspected
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HAIL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: kLA Lot# 12
Street No. Street Name
Premises owned by: ,1,1 Sl9ed��s
Name of Flrm -- Qi l v►;a 2 p y � :Phone:. G
3,0
Address.of Firm: v ��
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TYPE OF WORK:
Lay House Drain—_ Repair House Drain—:
Lay Main -----; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with _ f r 60
Existing Water Supply: Public Water � Well
Proposed Start Date )0-10 Estimated time for completion 7 G D .
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 D v j411L the holder of Drain
Layer's License No. Only holders of P-1. P-7 or W.9 licerkses
will be issued a penniti PERMIT WILL EXPIRE THIRTY.(30)SAYS 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��� `ZZO 3�f E
Signed: Print Name: , a
Licensed Drain Layer
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Date: 0 -
:standard Forms\PennitS\APPL1CATI0N'F0R DRAIN LAYERS PERMIT.doc
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