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HomeMy WebLinkAboutDrain Layers Permit 27 Oakwood Drive Y TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6988 Contractor CORREIA EXCAVATORS INC Location 0027 OAKWOOD DRIVE Address 47 SMITHBROOK TERRACE Type Work NEW SAN LAT GLASTONBURY CT 06033 Date Insp Needed �s J pate rasp _�Z.��'Pop , Time Insp Needed �/�i,, ` T�m�'=Ihspzw* ' N(., I?M Inspected By d x v Work in Progress A-ryoL R f Inputf Date r--r i I Permit Nc 6988 Permit�Date 05/19/1999 Town of South Windsor, CT Expiration Date 06/18/1999 Drain Layer Permit Descrip; Applicant ' Location Name CORREIA EXCAVATORS INC j Addr. 47 SMITHBROOK TERRACE,:' Adcfr 0}?7OAKWOOD DRIVE Qwn r e �7LhVEIRA JOAQUIM &_ GLASTONBURY CT. Phone No. The Drain Layer asisirs his state and here th by agree t � erras �a � d ) cOnse issued by the a 1 en ;and of tons set forth i n the attached 'Cond i t ions ' q 1° cork 3 k Windsor standards, a 1 a { s n ain with Town of Soy# y � 1tett �tn,d - at;t4ched conditions Issued 8 x. -71 Date Inspected :64-7519P 'Jib) ,f� s TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ?6- t BUILDING ADDRESS : 4 `2 STREET : ����� Do + SUBDIVISION: NORTH ARROW FF , 3 -,_ 1 i 1111 i 1 i t d i77. r+ + + f d ) +M— 1-7 CC • d } __ F I —771 f � 1 , I ( L, , CONTRACTOR (PRINT) NAME CONTRACTORS SUPERVISOR (PRINT) STREET ADDRESS SIG U ;z 12 �T' OG D 33 DATE Lo . . OWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT � FEE $25.00 Location of proposed work: � 7 13 1 0 ao�'�i y Lot # Street No. Street Name Premises owned by: rM6"t,a /• � `n Name of Firm �B/ti2.Pit c�� .� c! Phone: ;--2 Address of Firm: TYPE OF WORK: Lay House Drain; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with t P 0 r, S' b R 3 S" Proposed Start Date / 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 Permit is to be issued to4,69S u` ' Iva—9, the holder of Drain Layer's License No.9©1 -9 Only holders of P1, P7 &W9 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. r Signed: Doo_01� , o Print Name: TO S ,4' /�, '�'y R tF /10,V 6 Licensed Drain Layer Date: Standard Forms\Permits\APPUCATION FOR DRAIN LAYERS PERMIT.doc 1