HomeMy WebLinkAboutDrain Layers Permit 100 Diane Drive Permit No. 7273 Town of South Windsor, CT
Permit Date 05/10/2001 Drain Layer Permit
Expira-tion Date 06/09/2001
Debi p:
Applicant Location
Name PIPPIN SEPTIC SERVICE
ddr'�. ,0100 DIANE DRIVE
Addr. 37 WOOLAM RD Owner, CORTESE PIETRO THOMAS & LAURA K
s
r
EAST WINDSOR CT 0608
Phone No. (860)623-2313
The Drain Layer as�.s, gneti this 1m7 t has :.a vat,id license issued by the
state and hereby agree t ) 1 the .teme �and �n:di tiot�s set forth in the
attached 'Conditions1n acoodance with Town of South
Windsor standards, a 1 1 ,051 `�# e and the attached conditions.
Issued By
�a
Date Inspected / ��'e -, - Lnspe te`d "Sy
' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7273 Contractor PIPPIN SEPTIC SERVICE
Location 0100 DIANE DRIVE Address 37 WOOLAM RD
Type Work RPR SAN LAT EAST WINDSOR CT 06088
Phone No. (860)623-2313
Date Insp Needed Date,, Insp. �d
Time Insp Needed " Time'",Insp
Inspected By
Work in Progress
44
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Date --720�—
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APPLICATION FOR DRAIN LAYER PERMIT 7z 7,�
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: 100 (gra.1 e Or Lot #
Street No. Street Name
Premises owned by: T m Cor 17,z a
Name of Firm: prpD4-7 Soti "t-pi L Phone: 023 230
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 41/r SC f
Existing Water Supply: Public Water. V-' Well
Proposed Start Date 05740-0/ Estimated time for completion 54,oef"
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 the holder of Drain
Layer's License No. 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:
Licen d Dram Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc