HomeMy WebLinkAboutDrain Layers Permit 195 Wheeler Road No. 7300 Town of South Windsor, CT
Amate 06/19/2001 Drain Layer Permit
tion Date 07/19/2001
scrip: WHEELER ESTATES. CK 281 11-PERMITS
Applicant Location
Name JAMES THROWE Add'r. 01.95 WHEELER ROAD
Addr. VANS SEWER & SEPTIC Ownen. K F PROPERTIES LLC
97 RIVERSIDE DRIVE
VERNON CT 060,06
Phone No. (860)289-0095
I
The Drain Layer assilgned th_ �s, permi.t ' hias ''4"v' Tid license issued by the
state and hereby agree6 to .'al 7 'the tet^ns .and 'condi ti on's set forth in the
attached Conditions A-11 work shall. be in accordance with Town of South
Windsor standards, all .OSi requfroments, and the attached conditions.
Issued By
Date Inspected O� Inepracted By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
mit No. Contractor JAMES THROWE
ocation Sa 0 - Address VANS SEWER & SEPTIC
ype Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
Phone, No. (860)289-0095
Date Insp Needed Date. nsp•% e
Time Insp Needed Tm6` Inap; , .
Inspected By
3
Work in Progress
14<7
I=nput' Date
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS <
STREET
+ SUBDIVISION:
NORTH ARROW
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4,1A,', 22-
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
-7
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP M ECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK CONTRACTOR YELLOW CONSULTING ENGINEER DEVELOPER
7�00
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: /y/le&L'50l. i' /9 — Lot # 3
Street No. Street Name
Premises owned by: 11eF P/lOAV9 7Ya, Z-tL
r
Name of Firm: 1 �IN-S 54t�2 � SiCa,OT L Phone:
Address of Firm:-y 21 ,,�nsr
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with J
Existing Water Supply: Public Water Well
i
Proposed Start Date 7 v Estimated time for completion A
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 -z> the holder of Drain
Layer's License No. :),c�k(0 3 Y . 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.
Signed: Print Name: ai
Licensed Drain Layer
Date:v� l
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc