HomeMy WebLinkAboutDrain Layers Permit 12 Robins Wood (2) TOWN OF SOUTH WINDSOR INSPECTION REPORTjb/�`
Permit No. 7111 Contractor DEBRIKO/BRIAN KOCHER D/B/A
Location 12 ROBIN'S WOOD WAY Address 50 ELM STREET
Type Work NEW SAN LAT VERNON CT 06066
Phone No. (860)870-9746
Date Insp Needed CZ�/ao E pate Insp
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Pe.smi't~No. 7 1 1 1 Town of South Windsor , CT
_Permit Date 02/17/2000 brain Layer Permit
Expiration Date 03/18/2000
Descrip: CK 216 PERMIT NO. 7102 EXPIRED
Applicant Location ?
Name DEBRIKO/BRIAN KOCHER D/8/A Addr- 12 . ROBIN ''S WOOD WAY
Addr. 50 ELM STREET ;flrner
VERNON CT
Phone No. (.860)670-9746 °
The Drain Layer ass=i gn�d th Y s p�r �t.. has 'a v 'l i d 1 tense issued by the
state and hereby agrees o ;al ;)` teerm `andcrid Boris set forth in the
attached 'Conditions ' . Alert ,work, shill i k e :`i n accordance with Town of South
Windsor standards, a 1 7` O$HA, requi fi'"f tCl�h Lis, and thei 'attached conditions .
Issued By �� tt.l:e
t6d
Date Inspected _-�- __—� Lns,�e By
THOMAS
N18•s
N/F z
RALPH H. WINN ET AL
/'
UTILITY EASEMENT00/"
/ 1�1
I N FAVOR O F LOT ,/� Foot/ng Drain
71' Out/et E/ 267 %
SEE DRAWING 1 OF 2
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ropso
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DANIEL & LYNN SAVING 6#0 se %� "
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2" Force Ma/n �a / � f
Exist. Son/tory M.H.
T.F. 270.0 PVC Sch.80 .1 / �
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�. 7111
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: \\ O tX )00 J Lot 4t
Street No.. Street Name
Premises owned by: le�•Y\ L1,_Q Is c L
Name of Firm: [to Phone: '�?ZS_- 75-c I
Address of Firm: 5- (9 7~ e ® ��
TYPE OF WORK:
Lay House Drain Lam; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
c!
Connection will be made with Lto
. �(v ece p•`ul 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 ATTACH-ED TO THE PERMIT
Permit is to be issued to lib the holder of Drain
Layer's License No. 00 Qg/� . Only holders of PI or P7 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.
Signed: Print Name: ,442)
Licensed Drain Layer
Date: 7-
/4� LC�2
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc