HomeMy WebLinkAboutDrain Layers Permit 22 Watson Farm Permit K6. 7545 Town of South Windsor, CT
Pevrmit ;Date 09/23/2002 Drain Layer Permit
Egpi-ration Date 10/23/2002
Descrip: CK#278-CONN. FEE, CK#279-USER FEE
Applicant Location
Na e. 55 E AVE
MATTEO CORPORAOSCTIO I1t, d' 2 WATSON FARM
W ON FARM ASOCIATES LIM.
PLAINVILLE
Phone No. (860)747-033
The Drain Layer i has }� icense issued by the
state and hereby ag ee 1 an ti ns set forth in the
attached 'Condition A n e with Town of South
Windsor standards, a r a tached conditions.
Issued By �. �/iJ �' ° i✓
Date Inspected sokil By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7545 Contractor DIMATTEO CONSTRUCTION INC.
Location "WAT!SOI ¢FARM � ` ' 3 Address 55 CORPORATE AVE
Type Work NEW SAN LAT PLAINVILLE
CT 06062
oe o. (860)747-0339
Date Insp Needed
Time Insp Needed 6v
Inspected By '
. R
Work in Progress '� .n �-
5 sAz4
s a
_Ldz:�- Date /IV
-7545-- 75-4Z
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
2
Location of proposed work: `y' Lot
Street No. , "et Name
Premises owned by: Lb'u 607
Name of Firm: �
Phone:
Address of Firm: ✓C' S �m�' U�""
TYPE OF WORK:
Lay House Drain `� ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with .5
Existing Water Supply: Public Water Well
Proposed Start Date q -3 d�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 k� 0/,
fi1444&3 the holder of Drain
Layer's License No. Zv 8 r IL/Z Only holders of P1 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. �� g
Signed:
Print Name.
o C'0
Licens Drain Layer
Date: 3 O a2—
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: q � -
BUILDING ADDRESS : 2 >i ,
f
STREET . V
SUBDIVISION: - ► 6 o-? l`"lw lvl
NORTH ARROW
r !
t
{ ' I
-
t
t k t 4 a
t �
1 ,
i 4_ --._. - - ,
{
r 1 {
4 ; �
F
r F '
1 I {
I
t 111!
I
j F
CONTRACTOR (PRINT) F NTRACT 'S P RVISOR (PRINT)
STR A�DRESS SI ATURE
DATE
TO STATE ZIP INSPECTED BY TOWN
0 033 DATE
TEL HONE NdMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER