HomeMy WebLinkAboutDrain Layers Permit 249 Maskel Road (2) 800061 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 11/14/08
GIS ID: 57900249
MUNIS APPLICATION# 200
FEE: 60.00
801800
12/14/08EXPIRATION DATE:
f'
APPLI CAN
A LO
CATION CATI O N
NAME: EAGLE EARTHWORK SERA"`" ' :,,.: `� < �;1DDRE < ..�`.,.;'�49"NIA�KEL ROAD
ADDRESS: 101Y ''
N MOUNTAIN IOtD fBg; IVIOI*TGE�N ROBERT J JR
CANTON,CT 06019
Q C»ARN T LANE
/.Y
IND SOR CT 0607
4
PH
ONE
NE 86 - 9
�0�
� 27 r
.k e"Gn
IF
WO
RK ca:r•
RK DE
SCRIPTION:
TION• NEW
SFy.{.W;.
C'�:
THE DRAIN LAYER ASSIGNED TO THIPERVIII`IAS'`1 :: D:; `_ ,:a{%>:.<,`; , �r
�rCyI 1SSUlrDBY THE y�TATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR'TH`T .TIC`tTTzGC(J .FIpI `ALA W6�12K SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDIDSst L QHA �1NT:S THI`ATTACHED CONDITIONS.
r
ISSUED BY DATE INSPECTED INSPECTED BY
11/14/2008 12:49 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I CONTRACTOR:
LOCATION:
TYPE OF WORK: n
-.DATE-INSP NEEDED: -
DATE INSP:
- _ INSPECTED BY:
i�
WORK IN
PROGRESS: ^ �ra c �v. T� �� � ' ro (;� '1�'V� 3 5
�.,.✓4 lot lzZ T �i1G <<—�e�' � Gc�C - -, n
Y r�etc7 Ih C{ C r .n
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor-INPSEMoN REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT P�rrn' 9000CI
00$ c/900 TOWN OF SOUTH WINDSOR
11 PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 1. 9 MeisAel Aza Lot # L�
Street No. Street Name
Premises owned by:—.,A'L
yl
Name of Firm: gq f/If lelc t?i< Phone: e e&7.2 7
Address of Firm:-0/ Abj?g /11�1/1 lzb` 6F4 et 041!P1 I
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date—IL-1"--0 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 iG�1R� G�,1ro�c the holder of Drain
Layer's License No. _ `' aft/6 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 attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed:
Licensed Drain Layer
Date: L './"/-
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
liffillmOsal IMEN�,J, I z INS]
Wil I A� l milli
iWIi ! J Iv!►
�i��i�
r�� r �! ■ ■�no M i