HomeMy WebLinkAboutDrain Layers Permit 85 Felt Road (3) 800046 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/19/08
GIS ID: 32400085
FEE:
MUNIS APP
60.00
LI C ATI ON# 2 00 8012 82
f EXPIRATION DATE: 09/18/08
y
APPLICANT LOCATION
NAME: J&H SLATER CONS"T ,< DRF ;;FELT ROAD
ADDRESS: 75 COMMERCE WAi' I' TE1SEI LOIS H
SOUTH WINDSOR,CT>46g7
40 DE-MligG STREET
.�>
�I`W�NDSOR C
><
T 06074
PHONE 8»5232
WORK DESCRIPTION: INSTALL SAVI`f' EW"R I,ATERAI I*TITS 5fl /St12 f` t:.
THE DRAIN LAYER ASSIGNED TO THIS PERT IIA A V� LICREi ISSUED BY-THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTIS III"THE A ACI ` Qf IT OPT �, ALI`.-' ORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS;ALA Q' kCEQ�IMN33�AND THI 'ATTACHED CONDITIONS.
c ».
ISSUED BY 8/19/2008 11:10 AM DATE INSPECTED INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: D00 CONTRACTOR:_ T
LOCATION:_
TYPE OF WORK: 1 h,S-t,� ►1 G ,,� L �I- LA h ,moo �So
r
DATE INSP NEEDED: DATE INSP: '/ q
INSPECTED BY: f�D
WORK IN
PROGRESS: eon r 1�5Ir��� r lovc Fr- 3/n H
v�d ✓C
AS-BUILT:
INPUT: DATE:_
W/2007 Town of South Windsor INPSECTION REPORT 07
APf-4 7-V0e'0lzs- -
APPLICATION FOR DRAIN LAYER PERMIT VFFncr So0046
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, Cr
FEE $60.00
Location of proposed work: � U
Street No. Street Name
Premises owned by:
Name of Firm: Phone:-
Address of Firm: —a44tk6tQrC
TYPE OF WORK:
Lay House DrainX _; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 6
Existing Water Supply: Public Water x Well
Proposed Start Date 6(S 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 J - vi the holder of Drain
Layer's License No. 267:14a 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 ano attached thereto. Applicant has received
Town Street Excavation Permit No. u and/or ConnDOT Permit No.
CBYD >J
Sign Print Name: �•�.
Licensed Drain Layer
standard:Farms\Permits\APPI.ICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH .WINDSOR
SANITARY.' SEXIER . LATERAL FIEL D LOCATION.
DATE 'OF CONSTRUCTION: a y a
BUILDING ADDRESS
STREET : e IT
SUBDIVISION: c r 6L)o ro"A
NORTH ARROW
3 -
F.
VI
14
y2
H S',�ulc� CC/,
CONTRACTOR (PRINT) NAME OF CO RACTOR'S SUPERVISOR (PRINT)
7
STREET ADDRESS SIGNATURE
.S'. aw7/sov (2f- 06 G 7 Y .o..�. D� g II DATE
TOWN STATE ZIP INSPECTED BY TOWN
94 k DATE
TELEPHONE NUMRER _
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER