HomeMy WebLinkAboutDrain Layers Permit 43 Stedman Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6793 Contractor WILCOX, MICHAEL (EAGLE) !
Location 43 STEDMAN CIRCLE Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No (860)693-2027
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Permit No. 6793 Town of South Windsor, CT
Permit Date 04/30/1998 Drain Layer Permit
Expiration Date 05/30/1998
Descrip: CK` 4198 PRORATE PD
Applicant - Location
Name WILCOX, MICHAEL (EAGLE) Addr. 49 ,STEDMAN CIRCLE
Addr. EAGLE EARTHWORK SERV. Owner 'MANNARINO BUILDERS
101 N MOUNTAIN ROAD
CANTON CT 060i`9, ,
Phone No. (860)693-2027
The Drain Layer ass igned,,_th7s permit -has a valid: license issued by the
state and hereby agrees" to..al_ ,: the terms,;_and conditions set forth in the
attached 'Conditions' .' A l l" 'w1o.rk .sha]1 ,be' i n accor,da; h e` with Town of South
Windsor standards, all, `OSHA .Fequiremgnts ;and the"-`attached conditions.
Issued BYi,tle
Date Inspected
P Inspected ,By
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Vilqy
BUILDING ADDRESS Lt 2 ti�m r ` ,�✓'�, #
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STREET : V3 '�?Te 0 rvAe-ho
SUBDIVISION: z�z4knf IZr�a-P
`NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONT is SUPERVISOR (PRINT)
Co / ,,,,j- M-E,.j 0&
STREET ADDRESS SIGN-}off A RE
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TOWN STATE ZIP INSPECTED BY TOWN
g G ' 6 g 3 'Z.O,Z DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSUMM46 ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HAIL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: C Lot #
Street No. Street Name
Premises owned by: All A �.A.
Name of Firm: XA it I& J544 "'�-k0R J< Phone: 4 3—ZD 2-7
Address of Firm: l�( IV�I►- _ �Ada.
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OF WORK:
Lay House Drain _�; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with (�? "
Proposed Start Date ,s=Z Estimated time for completion �y7
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 y6c `�l,�r
k)6�ov the holder of Drain
layer's License No. Z78 [�. 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.
Signed: Print Name % �p
Licensed Drain Layer
Date: 1` w ��