HomeMy WebLinkAboutDrain Layers Permit 369 Oakland Road ouuui.j TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 04/16/08
GIS ID: 65700369
MUNIS APPLICATION# 200800476 "'.,,<>:YY:<..
FEE: 60.00
" + EXPIRATION DATE: 05/16/08
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NAME:
SS: G9 OJ AND ROAD
ADDRESS: 27 MUDDY BROOK ROAD.
'SNIERI ROSA
ELLINGTON
CT 06029
O
ROAD
CT 06074
PHONE �; 1 `
WORK DESCRIPTION: NEW RES D
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THE DRAIN LAYER AS SIGNED TO THIS PERMIT" S.A°WA
Y, :. SFEI�"' .T`H STA E AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORThIN, II TTAC k <: S IBS'.:> :`vVC) 'SHALL BE 1 :.. IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARp ';�' <........ . ;`;
3€ ? I! `rD THkI'PTACHED CONDITIONS.
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ISSUED BY
DATE D INSPECTED BY
4/16/2008 4:06 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 0°b 3 CONTRACTOR: "I P
LOCATION: _ Oq na �l
TYPE OF WORK: Np- co
DATE INSP NEEDED: DATE INSP: S_ 03
INSPECTED BY: �
WORK IN
PROGRESS: ea" 74-0_0/ae
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AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSEC71ON REPORT 07
r°errn,-14 .90001-3
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: m k k 4,,�jD R7> Lot#
Street No. Street Name
Premises owned by: C44,/ -/d r �.
Name of Firm: �S'i�(PS phone:
Address.of Finn: 4--f/4 G70
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main : • LaY Lateral'for Commercial/Industrial
Building of acres
Connection will be made with « PVC, SM2 3.�—
Existing Water Supply: Public Water Well
Proposed Start Date -
Estimated time for completion
All WORK TO BE IN ACCORDANCE WMf TOWN.OF SOUTH WINDSOR STANDARDS ALL OSHA REQUIREMENT'S AND CONDMONS ATTACHED TO THE PERMIT
Permit-is to be issued to - 7701, &Jy/,/C€z
Layer's License No. 7-o -7-7 z r- the holder of Drain
Will be issued.a Only holders of P-1, P-7.or W-9 licenses
permit. PERMIT WILL EXPIRE THIRTY(30).'DAYS AFTER
DATE 4F ISSUANCE. The IT
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
an ConnDOT Permit No.
-CBYD No. — C;-�oa 0
Signed.
Lic sed Drai Print Name: 14" krx,
Drain Layer
Date:.
standard FormskPer1n1tsWPLICATI0N FOR DRAIN LAYERS PERMIT,doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: S-- l — cog
BUILDING ADDRESS OAK L-AN_-0
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STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME ' ONTRACTO ' SUPERVISOR (PRINT)
STREET ADDRESS SIGNA a ' i
I ems, s1l/0� DATE
TOWN STATE ZIP INSPECTED BY TOWN
D g 7 1332. DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER