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HomeMy WebLinkAboutNew Sanitary Lat Street Cut Permits 1153 800015 TOWN OF SOUTH WINDSOR, CT • PER141T NUMBER DRAIN LAYER PERMIT DATE: 04/23/08 GIS ID: 30301153 ^ FEE: 60.00 MUNIS APPLICATION# 200800512 EXPIRATION DATE: 05/23/08 s AP PLICANT I CA T . N LOCATION NAME nn ":»; ;>=: :::.,:.;:'.;,`:.::.:.. ` <L TI O N COTA CONSTRUCTION,LI C,<:":<.:' .:,.,..^::.. ' ELLINGTON ROAD ADDRESS: P O BOX 242ee LTY LLC BROAD BROOK CT ' ELD TRAIL :� ... DSOR CT 06074 PH ONE NE 860-292- I Q4:t' WO RK DESCRIP TION: ON• NEW SE RnL v:. ri)r:t�<q F....:........:.. THE DRAIN LAYER ASSIGNED TO THIS I' RMIT AA ,. iU3 H STD I E AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTIIN IIEXTACSHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARbS 'AT, b' I 1I: g;.:, j THI'1T`ACHED CONDITIONS. <:,n+ .l.• ;s <;�%j :: ISSUED BY DAT nMSPE`CTBD INSPECTED BY 4/23/2008 4:13 PM 6 `r r A ``tr ff" ' v < < 4.: nY,n t. : < Bv3'%, 3; sfe'"k i gO� »l'i rEr .v. .s' •:...::: F.«<:J TOWN Of SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: j� ©60 1 S� CONTRACTOR:_ CO 1' K0195y2 , LOCATION: I TYPE OF WORK: -e cJ �S , DATE INSP NEEDED: DATE INSPECTED BY: �(J WORK IN PROGRESS:__ AS-BUILT: I/ INPUT: G'V" — DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 P�rM, l ,zr g000,ts a��J a0U�0o5/� APPLICATION WINDSOR DRAIN ER PERMIT PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: .3 �' i- Lot # Street No. Ustreet Name Premises owned by: -5701-C) Name of Firm: C&tS (2cv?S Phone: 2 V S-1 Address of Firm: A� 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 YL o�r Estimated time for completion e 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 (Scofct Coms/xw'//I,� the holder of Drain Layer's License No. 3(5 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. o��W-Je,C9 /`f 3 Signed: - Print Name: Li ensed Drain Layer Date: 23 Standard.Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: Y B BUILDING ADDRESS 1 STREET SUBDIVISION: TNORTHROW 0 367 0 0sz ee k w ,� I J - 1- ° Qn �fi, CONTRACTOR (PRINT) NAME OF CONTpIACTORjSIJP SOR P STREET ADDRESS 'y��.•� � DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER