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HomeMy WebLinkAboutDrain Layers Permit 5 Sunrise Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7025 Contractor GRANT 'S PLUMBING SERVICES Location 0005 SUNRISE LANE Address 866 BIRCH MOUNTAIN RD Type Work NEW SAN LAT GLASTONBURY CT 06033 "Phone Nc. (860)643-/6341 � z9/F Date Inep Needed `�� � Deta. IosP �7 Time Inap Needed y T1me I�SP Inspected By Work in Progress ( 41�/dYG Sa✓ Input 4dzj� . Date5-SS V1/2d/ 1999 Drain Layer Permit Expiration Date 08/27/ 1999 Desprip: SEWER USER FEE PAID CKa00137 Applicant Location Name GRANT ' S PLUMBING SERVICES % Addy. 0005 SUNRISE LANE Addr . 866 BIRCH MOUNTAIN RD A Owner 8 a, M ENTERPRISES INC GLASTONBURY CT 06983 )(Y , TI Phone No. (860 )643-6341 X, d' The and he (dyer aseligto this ,Otter [ hand' Ya`�I! d license issued by the state entl hereby ions ' . to 'alr Lqa tanbe indadondlt epa with forth in the out attached 'C nd1 10 s .. A1 Aw'6Yk =shaaa be m d tB tla oe with Town of South Wlntleor eta dar s ,nall, DsMn�requlrimaRte, entl cRg AuAchetl conditions . I asued ey � Date' inapecte �' Q�:,=^ Inpented�Byl�f��>lz TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: M iy - a4 IQ99 BUILDING ADDRESS : 1-0} 1. Sunr,a STREET 5u>` r SUBDIVISION: NORTH ARROW �� CONIR4Cigt (PALM) NMIE 0 0�RRACTOR'S SUPERVISOR (PRINT) a Cu( kVa a STREET MM 5S NAi - Nt � lt�. cT or tii 7 zy 9 DATE TOWN STALE ZIP I ECIED TOWN 6y6 - �I3oS oArE TELEPHONE NUMQM WHITE - TOWN PINK - CONTAMMR YELLOW - CONSLONG ENGINEER / DEVELOPER 4102,1. APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cr FEE $25.00 At J Location of proposed work: .� .sr/B/,@(�.� � #� Street No. Street Name Premisescwnetlby: 81elhd �®wpeDS Name of Rrm: GR&(TQ' t fDLdMA/.t/F' S+CL//C one: �9363�/� Address of Fin: AfeJy /VAI ep C4 rS TYPE OF WORK: v 6a33 Lay House Drain ✓ Repair House Drain Lay Main , Lay Lateral for Commercial/Tndustnal Building ofacres Connection will be made with PLC Proposed start Date Estimated time for completion ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to 1�Lit' V L F RC/{ the holder of Drain Layers License No. 1 Of.Cd 7 . Only holders of P1, P7 @. W9 licenses will be issued a permit. Permit will expire thirty (30) days after date of issuance. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the Permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No.. , Signed• Prat Name: / /FAII! LI r�ns^e7tl Dqrai/n�Layer Date: 7-d /` ( 99 Fdm6YPtlmR PUCATXCN FOR DRMN uUM$PFRN Aoc