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Home My WebLink AboutDrain Layers Permit 205 Oakland Road Bui (9) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7753 Con.t.rac'tor DIri9'XTTED CONSTRUCTION INC. Location 0205 OAKLAND ROAD A'c7dr.eas i' ' 55 ORP,ORATE. AVE Type Work NEW SAN LAT PLAINVILL a+nT�d✓ 3 CT 06'062 QhAne No {$60}717 0339 Date Insp Needed _________. T Date I p � — — ..... Time Insp Needed I�___________� Tirt1e S1sgL _ 1 Inspected By r �: Work in Progress ''- ze GS�L .....N 3/Y �, J �d S ja' - - �s� /,� cc Input _ Date Permit No. 7753 Town of South Windsor, CT ................ Permit Date 06/07/2004 Drain Layer Permit Expiration Date 07/07/2004 Descrip: PERMIT FOR BUILDING;:`#3..: Applicant Lc car ion Name DIMATTEO CONSTRUCTION TNC Addy. £3QDQAT. Addr. 55 CORPORATE AVE (}T1T3, :...BERRY. FATG ASSOC`TATES LMT PART PLAINVILLE CT 06062 Phone No. (860)747-03 The Drain Layer assigYl-ed Lh f-'. ttl t has a 7�d ,-sense issued by the state and hereby ag eeh to 1T ;the terms and con-1j;:Oits set ;;forth in the attached 'Conditions' . All W.0-T shah iii o ©rdarice with Town of South Windsor standards, all OS:FIA xe`guirerrits; end .bhe attached conditions. Issued ByCL ..:::::... :,:,.. Date Inspected --------------------- Ins ected B APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: 2 4 S /Q& .food J Lot'.# G 3 Street No. Street Name Premises owned by: ivy 55mcr'de r - Name of firm: d e Phone:_ 6V 7Y2-0 3 3 y Address.of F-rrm: aAve_ 1210 r� TYPE OF WORK: Lay House Drainer Repair House Drain - Lay Main .—.� Lay Laterar for Commercial/Industrial Building .of acres Connection will be made with fre n c Existing Water Supply: Public Water t - r Well Proposed Start Date /00 Estimated time for completion 7 0 . ALL WORK-TO BE IN ACCORDANCE WITH*TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit-Is to be issued to%)tiW the holder f Layer's License No.g"�O$'�� o Drain . Only holders of P-i, 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. -12-oa y.220 3tFco, Z Signed: Print Name: 4 Licensed Drain Layer Date: 41 ""' — o�f Standard Fonns\Per1.nAtS\&WLjCQT0N'FOR DRAIN[AYERS PERMrr.dod- _ TOWN OF SOUTH ANDSOR SANITA RY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: �r _ 0� BUILDING ADDRESS STREET : �V`; �/ eti b c��y L ►t� -f- SUBDIVISION: NORTH ARROW 1400 I O✓ _L,7:r t-rl A1 c45el/qL CONTRACTOR (PRINT) NA CONTRACT SU SOR (PRINT) e � STREET ADDRESS SIOPMURE DATE TOWN STATE ZIP INSPECTED BY TOWN 7Ct 7 r DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER