HomeMy WebLinkAboutNew Sanitary Lat Street Cut Permits 205 800009 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/25/08
GIS ID: 57900205 r
FEE: 60.00
MUNIS APPLICATION# 200800307 "- A.
EXPIRATION DATE: 04/24/08
APPLICANT � .
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>.LO CA TI O N
NAME: EAGLE EARTHWORKi!$E `.<':i.:.....:...: "
ADDRESS: 101 N MOUNTAIN RO;AD..;.
1��,SI�EL ROAD
F ,>> : NNARNO BUILDERS INC
CANTON,
CT 06019 40�: I�'
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WORK DESCRIPT ION: N
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THE DRAIN LAYER ASSIGNED TO THIS P:ERMIT'' .A•S A;- :' , :„''>« ' "'
A .. SWI BY.--THE STtXTE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORS" :
11�I IN I�<A� ACM.&I clS°.;, i 'SHALL BE 1N ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAR-jS`ATr "OHE. IT ;,r11T7 €IT <>A1 TACHED CONDITIONS.
ISSUED BY DATE TNSPTED INSPECTED BY
3/25/2008 3:51 PM
t
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9 0(900 CONTRACTOR:/,a f'd J�-h yj c)r��
LOCATION: 20
5 S) 2
TYPE OF WORK: sing.
DATE INSP NEEDED: DATE INSP: 6
INSPECTED BY: oD
WORK IN
PROGRESS: (��+ �?�n��,��,- �, , /G� Cc �'/�c sDn. 3 s- l�ro,•, S
40 le F4 cornit., d �4u-ct? �• ,nor �i� A.
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AS-BUILT: 1/
INPUT: U ' DATE: '1 O
W/2007 Town of South Windsor INPSEMON REPORT 07
r APPLICATION FOR DRAIN LAYER PERMIT
DPP 6 O G 307 TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:
Street No. Lot #___�___
Street Name
Premises owned by: . ma f
Name of Firm: Wd /A
Phone: O Q3;
Address:of Firm: l o 1, h P-�
1YPE OF WORK:
Lay House Drain---X,-.Repair House Drain
Lay Main
Lay Lateral"for Commerclal/Industrial
Building of
acres
Connection will be made with li �Obl�,
------------
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion -
ALL WORK TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STAND
ALL OSHA REQUIREMENT ATTACHED S AND CONDITIONS TAC HED TO THE PERMIT STANDARDS,
Permit-is to be issued to M rC E I
.Layer's License No. Z -7 the holder of Drain
will be issued.a Only
.holders of P-11 P-7 or W-9 licenses
petrnit. 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. rms
Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Permit No.
CBYD No.
Signed: � /
Print Name: � ` .cam�ae� `�a l 0
Licensed Drain Layer
,pate:
Standard F0rms\Perm1ts\APPLICA7I0N FOR DRAIN LAYERS PERMIT.doc a
TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE Of CONSTRUCTION:
BUILDING ADDRESS : Q '
Tc
S REST .
SUBDIVISION: P( �
NORTH ARROW
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CO R (PRINT) / r� NAME F CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS S GNATUR
-`�4�O3 `�J z P�_ l t' - �/�� DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER