HomeMy WebLinkAboutDrain Layers Permit 85 Felt Road (5) 800042 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
DRAIN LAYER PERMIT
DATE: 08/19/08 r y
GIS ID:32400085
/A
M FE
E:
EE S APP �V 3 LI CA T IO N# 60 2 .0 00 0
80 ?r:
12 75
;r E XP I RA TI O ND DAT
E:
09/1 8/0 8
APPLICANT LOCATION
NAME: J&H SLATER CONsT co
ADDRESS: 75 COMMERCE WAYX r' '. DRE TOAD
� �. ' P $ ET LOIS H
SOUTH WINDSOR,CTi074
Y< 40 DEMING STREET
TII C�VND
PHONE SOR,CT 06074
860-52 8�5�
2'S�
WORK DESCRIPTION: INSTALL ,1,ATE ITT. �
THE DRAIN LAYER ASSIGNED TO THIS PERIV IT A Y L ISSUED BY THE HEREBY AGREES TO ALL
HE
STATE AND
THE TERMS AND CONDITIONS SET FORTI4 IA- TtjE 4T ACHIsD` 4I �ITIt3I+I5 AI I WG 1tK THE TOWN OF SOUTH WINDSOR STANDAR :S,ALI OSYIA REQTRMIuNT S,AND'THE SHALL ACCORDANCE WITH
ATTACHED CONDITIONS.
RNA
ISSUED BY �
DATE INSPECTED INSPECTED BY
8/19/2008 10:44 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ! Oo q a CONTRACTOR:
LOCATION: gS �e I fi Q2.oR
TYPE OF WORK: U vi i + b�-
---- -DATE INSP NEEDED:
-------__ DATE INSP: g ago j0q
INSPECTED BY: 6b
WORK IN
PROGRESS: rare r 1 s / Py -sb(z z
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AS-BUILT:
INPUT: G Vo, DATE:_
W/2007 Town of South Windsor INPSEMON REPORT 07
AfP ZCO.5017--75
APPLICATION FOR DRAIN LAYER PERMIT P Scoo4z
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: _ y ylr�&T 66 5
Street No. Street Name
Premises owned by: II/e-
Name of Firm:_�,j lT�IL Phone:
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
41
Connection will be made with
Existing Water Supply: Public Water_ Well
Proposed Start Date-6—hAlao 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 C/. (�}T
the holder of Drain
Layer's License No. Z671 0 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 ttached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. N14
Signed: Print Name:
Li nsed Drain Layer
Standard.Farms\Permits\APPUCATiON FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL 'FIELD LOCATION
DATE OF CONSTRUCTION: o '
BUILDING ADDRESS : G as`
STREET : S 1--e It c,/.
SUBDIVISION: weir ov oo-r� i°arJl( .17
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S nUPERVISOR (PRINT)
G,C��Yi Jn I�G e-
STREET ADDRESS SIGNATURE
So DATE
TOWN STATE ZIP INSPECTED BY TOWN
4 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER