HomeMy WebLinkAboutChange residential sewer to Commercial S 80,0012 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
DRAIN LAYER PERMIT
DATE: 03/31/08 «";:`> A r
GIS ID: 15300207
FEE:
MUNIS APPLICATION# 200800336 ,:,,,, "r'4`: °<"`""r 60.00
EXPIRATION DATE: 04/30/08
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ADDRESS: 522 SALMON BROOKRE ` ': .:.:< >:: ><;:::::><„<>>':,,;
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CT 06035
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WORK DESCRIPTION
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C?' rIMMEMCIAL
RESIDENtIAL'tQ E Al t ' ` NN FEE
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HE DRAIN LAYER ASSIGNED TO THIS h;tkMIT` A ;A; AI TE AND HER
EBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTIS 1N fiHTA # IZtIS',.; WSHALL BE IN ACCORDANCE
WITH HE TOWN OF SOUTH WINDSOR STAND S: ATHA NTyr THT?:A 1 ACHED CONDITIONS.
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ISSUED BY DATEE`TNIM'CTED INSPECTED BY
3/31/2008 10:09 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Fo 00 k 0_\ CONTRACTOR: kj
LOCATION: a 01
TYPE OF WORK: —j2ti
DATE INSP NEEDED: DATE INSP: 131 10-7
INSPECTED BY: �
WORK IN
PROGRESS: So,.. Sec,,) %a �•?�c,3 �„��
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AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT C opt yl kA C/AL
by TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 207 Lot #
Street No. Street Name
Premises owned by: u 1 R5ta-nf - PVA
Name of Firm: 14AS Phone
:
Address of Firm: 4"Ai2v
TYPE OF WORK: Ceres m- re'Al d1, rt f+l4et /�rsv�tn��n J Cska✓u/tia
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of- l acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date 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 the holder of Drain
Layer's License No. 1160WSZ7, t9 . 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. ZV09130/6-4 3
Signed: Print Name: 14A reC4—�-
Licensed m Layer
Standard•Formwermits\APPLICATION FOB DRAIN LAYERS PERMIT.doc
/
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
TOWN OF SOUTH WINDSOR
SANITARY . SEWER LATE RAL .' FIE LD LOCATION
DATE, OF CONSTRUCTION:
BUILDING ADDRESS a 0 t-
STREET
SUBDIVISION: 0"'s r°4S Sc to, E S
NORTH ARROW
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16
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CONTRACTOR (PRINT) NAME A CONTRACTOR'S SUP" R (PRINT)
TO
STREET ADDRESS SIG E
_ �i r��t Cwr o. �jY`®P// 7 DATE `
TOWN STATE ZIP ? INSPECTED BY TOWN
DATE
TELEPHONE NUMRER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER