HomeMy WebLinkAboutDrain Layers Permit 205 Oakland Road Bui (10) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7755 Con a;racCor 1IMATT>E,0_ CONSTRUCTION INC.
Location 0205 OAKLAND ROAD ".Addr.e;5s '_.< 55 ORPORATE, AVE
Type Work NEW SAN LAT PLAINV'IL.L
v w y CT 0506,2
Phone Nb j 6.66)747; b339
Date Insp Needed pate Insp � �
Time In Needed V.
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Inspected By
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y Permit No. 7755 Town of South Windsor, CT
Permit Date 06/07/2004 Drain Layer Permit
Expiration Date 07/07/2004
Descrip: PERMIT FOR BUILDING #"5
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Applicant Ltcation
Name DIMATTEO CONSTRUCTION INC. Addy 0205 OAKLpptD-ROAD
Addr. 55 CORPORATE AVM aW-ner BERRY PATCH ASSOCIATES LMT PART
PLAINVILLE
9
CT A 0-: P
Phone No. (860) 747-0:339
The Drain Layer as 'igned thlsx t has a ya3id _ cense::-z.ssued by the
state and hereby agYees> td lY; the terms '"and cii dIt,;':-a set:. forth in the
attached 'Conditions' ,. AlI work hal 3 zgi:. ecC;r.9a .Ce wi h Town of South
Windsor standards, al. OSHA re uirettY nts ,aid tie attached:..cohditions.
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Issued By ----- - '✓�v�'v K. Tatle.. /�',J '°J�✓
Date Inspected --------------------- I.n'spe'£"t.,e.,d;:Iy --------- ��—
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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: D S Lot # 6L %5
Street No. 1 Street Name
Premises owned by: : AQ2 55c►��� L
Name of Finn:_ . > c h 11 .Phone: rS40 7 ?
Address-of Finn:-_
TYPE OF WORK:
Lay House Drain____ Repair House Drain
Lay Main ------; Lay Lateral for Commerdal/Industrial
Building of acres
Connection will be made with v rn
Existing Water Supply: Public Water Well
Proposed Start Date -q Estimated time for completion 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 �► the holder of Drain
Layer's Ucensd No. Q0 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. q.210 Z_
Signed• Print Name: � �
Licensed Drain Layer
Date: `0
Standard Forms\Permb\APPL CA1 ON FOR DRAIN LAYERS PERMIT.doc
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