HomeMy WebLinkAboutDrain Layers Permit 75 Sweet Meadow Driv PerA No. 7593 Town of South Windsor, CT
Pert!LNN-Bate 10/30/2002 brain Layer Permit
.Expiration Date 11 /29/2002
Descrip:
Applicant Location
Name WILCOX , MICHAEL I . )0NN N SA& SWEET MEADOW DRIVE
Addr . EAGLE EARTHWORK SER Mq AMINO BUILDERS
101 N MOUNTAIN ROA
CANTON Phone No. (880)693-202i
The Drain Layer eQ a {g icense issued by the
state and hereby ag 1 a ns set forth to the
attached 'Condition rk in e e with Town of South
Windsor standards , a ached conditions .
Issued.,By �A
Date Inspected
I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7593 Contractor WILCOX , MICHAEL ( EAGLE)
Location LIPS ft I'vR1+Wa Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 05019
Q* N Jy F No. (660)693-2027
Date Insp Needed 4n —/e1a11O 1
Time Insp Needed + 4A*;z
Inspected By
Work in Progress FFFFC s
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il7573
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: Slele#1j-) Lot #L,.
Street No. // Street Name
Premises owned by: AL✓S ?o
Name of Rrm:j a / &e& 0�jz ®® Phone: ?
Addressof Flrm: (01 AInN ('ti & Ta'k QLC
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main ; Lay lateral for Commercial/Industrial
Building Of acres
Connection will be made with 4¢ a /%IG
Existing Water Supply: Public Water_ Well
Proposed Start Date 7*'=U Estimated time for completion !ice
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 d24ogeiI' the holder of Drain
Layer's License No. Z 9B //6 . 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 be all the terms and
conditions set forth In the permit and attached thereto. Applicant has received Town
Street Excavation Permit No. and/or CormDOT Permit No.
CBYD No.
lI
SigneN:'/ W Q? Print Name: / 1 M kAd vktcm
Licensed Drain Layer
Date: L'3g2 -02i
ean&o Poms rmiiHWU=ON FOR DRAIN UAS PEVU&x
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 10 -3/ -,OQ
BUILDING ADDRESS : LEI $(,,(jGf
STREET : fitmoo
SUBDIVISION: TGIC' �' -
NORTH ARROW
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STREET 9 ESS NA
CG �a C� COI `� �. ..� -� Ao�il� DATE
T STATE ZIP INSPECTED BY TOWN
aOa-7 )ATE
iE�PHONE NUMBER
WHITE - TNN PINK - CONTRACTOR YE110W - CONSULTING ENGINEER / )MLOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELDLOCATION
/
DATE OF CONSTRUCTION: 04A/2-:; �C2
BUILDING ADDRESS : Gc'T .3- I
STREET : ArcuvE'
SUBDIVISION: S`' 0—o 5SLA )CT
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACIDR9 SUPERASOR (PRINT)
STREET ADDRESS SIGNATURE
DARE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHIR - TOWN PINK - CONTRACTOR YELOW - CONSULTING ENGINEER / DEVELOPER