HomeMy WebLinkAboutDrain Layers Permit 7 Wildlife Trail 1
Permit No. 8103
Permit Date 10/17/2006 Town of South Windsor, CT
Expiration Date 11/16/2006 Drain Layer Permit
Descrip: INSTALL SANITARY LAIR_.` :
Applicant
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Name FOLSOM CONSTRUCTION LLC '
Addr. 138 RYE STREET i(ILtLIE-TIiATL
Wr
2r_.CORNER .E1JW," LLC.
SOUTH WINDSOR GT>,06074`
Phone No. (860)528-832g.
The Drain Layer assigned this
state and hereby a re s: x# > htts v ]-i laeense �sb�ied by the
9 to al the terms and coon setforth in the
attached 'Conditions':::•"All >vc�rk= ii�l' ' o`:>:. ........:.:...:.r
xdanee wsth Town of South
Windsor standards, a13 OSHA x.suir; 'tn ar�d the atG�&cTiedconditions.
Issued By --------`---
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Date Inspected
------------------ I nsp
1
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8103
Cont,radtor QNSTRUCTION LLC
Location 7 WILDLIFE TRAIL
7&ddres <".>€138;;a °STRF.Type Work NEW SAN LAT f
;.. S ;UTH W' NS7OR CT
06074
Phon 'No
Date Insp Needed — E��i —C✓AO x
--- -- -- Date I, _
Time Insp Needed
------------- Time I
Inspected By
Work in Progress —��H�-�c�t}��. :
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w TOWN OF SOUTH ANDSOR
SANITARY' SEWER . LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
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BUILDING ADDRESS
STREET : t- `7 LJ i 1A 1 �c -r RA 1 L
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVI NT
STREET ADDRESS SIGNATURE
1141ZCr �j� DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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:
Lot #
street No. Street Name
Premises owned by: /y
Name of Firm: U u .
/ hone:96d -kv
Address.of Firm: 1
107
141-
TYPE OF WORK: �5p fir` a ,tJ)t).e�- LZO
Lay House Drain_; Repair House Drain -
Lay iNain . ;
Lay-Lateral-for Commerdal/Industrial
Building of. acres
c�
Connection will be made with L P 1�
Existing Water Supply: Public WaterN Well
Proposed Start Date j® /"o -mated 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
.Layer's License No. �L.� the holder of Drain
Will be issued.a • Only.holders of P-1, P-7 or W-9 licenses
permit. PER IT ILL 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.
Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Permit No.
CBYD Nod 0,*
Sig -------- �.
Print Name:L/�
. l L ce ed Drain Layer � -
Date: a/> o
Standard F0rms\Permits\APpuCATI0N FOR DRAIN LAYERS PERMIT.doc