HomeMy WebLinkAboutStreet Excavation Permit 376 Pleasant Va 800067 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 12/05/08 H
GIS ID: 72900376
....;..,.;:t.,.<.:., FEE:
MUNIS APPLICATION# 200801918 60.00
EXPIRATION
N DATE:
O1/04/09
k,
APPLICANT'
NAME: JDC ENTERPRISES ZN C LOCATION
DDRES 376 PLIASANT VALLEY ROAD
ADDRESS: 48 EST DUDLEY TORDAJ�,.
•>•<f >."Jt NCQ LOUIS J
BLOOMFIELD,CT 6� b v &KATHERINE N
7LE SANT VALLEY
PHONE ' TJTTC WINDSOR,CT 06074
WORK DESCRIPTIO N: EXTEND B "I` ":, .5 �:,
k..: ,..: ADDITION
PER SITS PAN-:•, :: ,3
THE DRAIN LAYER ASSIGNED TO THI*§„PERM'fT?';. °t ts"-:"
A V�I ICSSUD I3Y THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORI ..TIP A'J.T� �Jjl IONS AI �VQRK SHALL BE IN ACCORDANCE WITH
t ..t, x. .,.,. .:
THE TOWN OF SOUTH WINDSOR STANDAI�,DS�.k,Z 'pS TA € 1 1 s�*;t q p T %ATTACHED CONDITIONS.
A
ISSUED BY
INSPECTED BY
DATE INSPECTED
12/5/2008 12:59 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 4Co(o 7 CONTRACTOR: J C
LOCATION:_
TYPE OF WORK: a a&
--- ..DATE-INSP NEEDED:
DATE INSP: ILL�
INSPECTED BY:_ �
WORK IN
PROGRESS:_ r orwS�wL� (�t✓C Sfl t� 35�
on /Vew 4d; e
X 5 vc
Zell 6-- Also
C y
AS-BUILT:
INPUT: W- DATE:_ a X
W/2007 Town of South Windsor INpSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR L_
a�P/ a�o84l9�Q PUBLIC WORKS DEPARTMENT
TOWN HALL Perm.,14 9�90067
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: Lot #
Street No. Street Name
Premises owned by: L 4(J f' K147 -11 iqN CO
606 a36
Name of Firmer 1J C G=til�?�°21�r3 `"=`' Phone:
Address of Firm:3el?v
TYPE OF WORK: /
Lay House Dram ✓ , Repair House Drain ,
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with P 2) 2 3 S'
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion /4
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to T-Ox 4frr( !a � the holder f d o Drain
Layer's License No.oaoJ3a—P rI . Only ho ders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No.a Jo Y- and/or ConnDOT Permit No.
CBYD No.
Signed' runt Name:
Licensed Drain Layer
Date•_
lc;2 e��K-
Standard.Fbrms\Permits\APPLICA7I0N FOR DRAIN LAYERS PERMIT.doc
sa wf$I IONE
RPM
�' ` "