HomeMy WebLinkAboutDrain Layers Permit 239 Maskel Road (2) 8G-a008-% TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/25/08
GIS ID: 57900239
FEE: 60.00
MUNIS APP LIGATION# 200800306 3 6
>:, EXPIRATION DATE:
04/24/08
APPL
ICANT CANT
L OCATI O N
NAME: EAGLE EARTHWORK.9EI�V DDRESS<' :`' .9 MAS EL ROAD
ADDRESS: 101 N MOUNTAIN ROAD:,r.
` IER;:>>' :: ,M.ANN
::r. <:;::,.:;;::; ....:;.... ARINO BUILDERS INC
CAN -TON CT 060194. AI' -RD�H EI, # 3-F
SQUTH ?INDSOR,CT 06074
PHO
NE -
860 6 -93 20 z
WO
RK DES
CRIPTION:
TI ON: NEW
SERE' ...
THE DRAIN LAYER ASSIGNED TO THIS PVRMI'I HA'S k:: AL S:SU I7 ::3 HE STATE
,.: E AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTS 1N`I I3E<1 TAI <` I :QI IS'.>>AEL: VC)T L SHALL BE.;r IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS;ATE"Q HA' ,NT ::A D THP::AI TACHED CONDITIONS.
. .:.
.....::.:...
ISSU BY DATE INSPECTED INSPECTED BY
3/25/2008 3:45 PM
411
..........:.... .::y;s
r a
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: g e,cl 0 C% CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 3 k261
INSPECTED BY: r5 b
WORK IN
PROGRESS: C` ,. ,,�� ins.�`fL J
'fv /`/c.n �- d� Ylo--�sC L�e>.�ytC�C `.zci f-C ��� 5C_� C,/tT
/"tb' Atr*'C•�-<f S/et.' 4 inIJ
il.`-�
i
AS-BUILT-
INPUT:— , � DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD , LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : #
STREET
7 R
SUBDIVISION: Z hej?ll t t ci J r
{
NORTH ARROW
a
Tim-
Etc,
CONTRACTOR (PRINT) NA14E OF CONTRACTORS SUPERVISOR (PRINT)
ST EET ADDRESS tiGNATURE
�ATI
TOWN STATE ZIP INSPECTED BY TOWN
_3- 114 �. DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER j DEVELOPER
APPLICATION FOR DRAIN LAYER PERMIT
# 6Z 00900.E 06 TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: I�-"�_ �' E f1) L \ �
of #
Street No.
Street Name
Premises owned by: 1k r/I el r.71 d C
Name of Firm: r Sp -'( �C"
hone.. 7
Address.of Firm: /C/ .c }� /�'jf j2 �z �� (I
JYPE OF WORK:
Lay House Drain �•
Repair House Drain
Lay Main -
y Lateral-for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date � ° _ - L
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 L it ct e ;;,J j��
Layer's License No. Z7-�i 1 the holder of Drain
. 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:
�� ----i - -:� Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICAUON FOR DRAIN LAYERS PERMI-T.doc