HomeMy WebLinkAboutDrain Layers Permit 85 Felt Road (2) 800045 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/19/08 ri99':
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GIS ID:32400085 "t:
< ;, FEE:
MUNIS >r' 60.00
APPLICATION# 2
EXPIRATION DATE:
0 9/1 8/08
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,LOCATION
NAME: J&H SLATER CONSS T;CQ
ADDRESS: 75 COMMERCE WAS' ROAD
Y` � � PTERE LOIS H
SOUTH WINDSOR T 06�74DEMIXG STREET
PHONE t NDSOR,CT 06074
860-528�5252
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WORK DESCRIPTION: INSTALL,,S... l w SEW N LAIETtA IIS t 3�504
THE DRAIN LAYER ASSIGNED TO THIS PERMIT I Aa A 1D LI SSUE 3 B�'TT E STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IFS ITE A I f ACID 4DI 101?IS' AI I :I�VOK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARJ,S,ALA OSHA I�E(ITIENTsa AND FHE'ATTACHED CONDITIONS.
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ISSUED BY
DATE INSPECTED INSPECTED BY
8/19/2008 11:05 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ?i OW1-1� CONTRACTOR:_ 'S 1-f S 64-2A
LOCATION:_ f::,-p i
TYPE OF WORK:
-DATE INSP NEEDED: DATE INSP: -t0 o
INSPECTED BY: A)
WORK IN
PROGRESS:_C?��t�-e�� r �,.s " Pv . tk12 ;� S FFro ►
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INPUT: C- DATE:_ �- O
W/2007 Town of South Windsor INPSECMON REPORT 07
AvP
APPLICATION FOR DRAIN LAYER PERMIT Mi7 S0,MC+ '
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: ID
Street No. Street Name
Premises owned by: Elf (6 ac
Name of Firm: Phone:
Address of Firm: a44 Ujftq-
TYPE OF WORK:
Lay House Drain X ; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with k V
Existing Water Supply: Public Water X Well
Proposed Start Date 16U Estimated time for completion Z. tJM-kS
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 Joi. the holder of Drain
Layer's License No. 2ZW Tyr 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 anq attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. AJ h
Sign Print Name: cJ�9y0!E5* G�• , ?�lL.
40censed Drain Layer
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Standard Fom s\PermitS\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH ANDSOR
SANITARY. - SEWER , LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: o 9'
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BUILDING ADDRESS . __ Jro �
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SUBDIVISION: c.) r k r ,-A �yl�
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CO RACTOR'S SUPERVISOR (PRINT)
7 S Co j�P7ri Svc r- ala- y k
STREET ADDRESS SIGNATURE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER