HomeMy WebLinkAboutDrain Layers Permit 44 Wildlife Trail Permit No. 7992 Town of South Windsor, CT
Permit Date 10/26/2005
Expiration Date 11/25/2005 Drain Layer Permit
Descrip: INSTALL SANIT. SEW. .X TEI2A
Applicant
O.4a.t .on i.
Name FOLSOM CONSTRUCTION LU-t.
4�# WZ DLIFt.ITRAIL`.:,
Addr. 138 RYE STREET
OEifh�r RIVERWALIi
SOUTH WINDSOR C1.;.0F074
Phone No. (860)528-8928 -:>
The Drain Layer dsSi.gned thls perav2t his1Id licenses � six:ed by the
state and hereby agreE;� to::• 1.::<the 'term"s':ari co'n` 11. ri:_ set
. or"
attached 'Conditions° All v✓ok hall 13e .a�ah in the
k. o�Or* an�e with Town of South
0SI;A
Windsor standards, all equirento;3ts{ and.. kie atta Iced:>;cb;iciitions.
Issued By C-_----------/ LL
-- — T i t lam.
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Date Inspected
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7992 »::::..:.::.::...::
Con .;r ctor..FOLSOM'CONSTRUCTION LLC
Location 44 WILDLIFE TRAIL ^ `
At[d. :es:; ;138=e12YT>;'STR1 ,._
Type Work NEW SAN LAT
$S34TTH WI`NI)SQR CT 06074
Phone No f 8k'r�?!)528 892.8
Date Insp Needed
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Time Insp Needed
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Inspected By
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Work in Progress
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Inpti •£)ate r w
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 wort
Lot OVl�
Street No. treet Name
Premises owned by:
Name of Firm d�f Phone:� � �► „�
Address.of Firm: V, p , ��'f/� C71-
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of. ores
Connection will be made with
Existing Water Supply. Public Water Well
Proposed Start Date J� Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH'TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS TTACHED TO THE PERMIT
0
Permit-is to be issued to ( -r �� the holder of Drain
Layer's License No. Only holders of P-1 P-7 or W-9 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:
i e sed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc