HomeMy WebLinkAboutDrain Layers Permit 28 Wildlife Trail Permit No. 8086 Town of South Windsor, CT
Permit Date 09/12/2006 Drain Layer Permit
Expiration Date 10/12/2006
Descrip: SANLAT 60.00 CASH
Applicant L8S'6 ij,on
Name FOLSOM CONSTRUCTION'.: LLC AccY 3,L�$$ RIVERWALICSi7BDIV
Addr. 138 RYE STREET
SOUTH WINDSOR Q.T.- 060-7$ ,,...
Phone No. (860)528-8j28.
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The Drain Layer assigned tlXisxkYs Iasi �zlad 1'ien3estied by the
state and hereby agr.ee�'".t0 i;.:>1"':::theT`terms"and Acori'c i. 'fit "'"< ` `t. orf5. et:<::;,f_oth in the
attached 'Conditions:,.' >;:::_. ..:..;.:;
3c,cardance, wYth Tasvn of South
Windsor standards, all OSkIA' equir-6.6hts.t. anti tie attached-;.conditions.
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Issued BY
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Date Inspected ----------------- I.ri'ffp_�dt' :::By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 8088 Cont;rac'Eor, FOL 4.SO 1:0ONSTRUCTION LLC
Location LOT8 RIVERWALK SUBDIV Ail'dre's 138.;'RYI{; STREi;.T
Type Work NEW SAN LAT
� ,SOUTH �INiSpOR CT 06074
c Ffhor�e ?+To (8�L1)52r8 $�28 _..
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Date Insp Needed
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Time Insp Needed Time Irby 0
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Insp
ected By
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Work in Progress
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TOWN -OF SUU1N WINUSUH
. SANITARY SEWER .* LATERAL TIELD :- LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS fig' ` Le/iQ 2ha1I
STREET
SUBDIVISION: :i?'ver- (,J4/!C
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGMA RE
fr,- ;' (560r C; ( `���- DATE
TOWN STATE ZIP INSPECTED TOWN
DATE
TELEPHONE NUMBER
WHITE = TOWN PINK CONTRACTOR YELLOW.— CONSULTING ENGINEER / DEVELOPER
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00 n
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Location of proposed work: 41e1A1x1t117k. ��
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Street No. Street Name Lot #�
Premises owned by: w
Name of Firm:
_ Phone: 124- Z
Address.of Firm:
-IYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main - • Lay Lateral for Commerdal/Industrial
Building of acres
Connection will be made with
ExisOng Water Supply: Public Water Well
Proposed Start Date9 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 d S the
Layer's License No. a f? N C. holder of Drain
Will be issued.a Only holders of P-1, P-7 or W7. licenses
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
-Town Street Excavation Permit No. thereto. Applicant has received
. and/or ConnDOT Permit Na
CBYD No. ZD 06? OD <--q<,
Signed:
Print Name: Adt-
Licensed Dr ' yer
Date:
Standard FormA\Permits\APPLIGgTION FOR DRAIN LAYERS PERMIT.doc