HomeMy WebLinkAboutdrain layer permit 25 Gerber Road East 800048 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/03/08
GIS ID:35110025w
FEE: 60.00 MUNIS APPLICATION# 200801365 ''" a r :• ' '
~Y rk .... {; x f` },, EXPIRATION D ATE: 10/03/08
APPLICANt
NAME: 4'`�LOCATION
ASHE CONSTRUCTI.,< F ..L
ADDRESS: 17 GRAMAR AVENi$1E'" 5'GERBR ROAD EAST
PROSPE : .> ' "f.T M-'T`PO REALTY GROUP
CT,CT 06712`: ,< :ei x .`.<.3 < XEG{F'PIVE DRIVE
E f A e;�il;'0
PHONE
0
WORK DESCRIPTION: SEWER IATN, `i y:
140
THE HIL]IS'EAI E"PuY.
THE DRAIN LAYER ASSIGNED TO THIS kERM.T 115 A
THE TERMS AND CONDITIONS SET FOR III 1 E All trSSU17:BY IHE. TATE AND HEREBY AGREES TO ALL
THE TOWN OF SOUTH WINDSOR STAND � ALL CVO K SHALL BE IN ACCORDANCE WITH
AQGNTS_�4NTS'' II ATTACHED CONDITIONS.
ISSUED BY DATE S ECTED INSPECTED BY
9/3/2008 12:36 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: � CONTRACTOR:_
LOCATION:- o�'�rG , e }—
TYPE OF WORK: -VVa.' r\
=- DATE INSP NEEDED:
DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:- /°/2 S.I-u t (� ���s S/►�H C�6�L� 4�oit R v l c, s��r n,� �
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AS-BUILT:
INPUT: _ J _
DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAI N LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: Z S 6 P-0 j Lot # 2 S
Street No. Street Name
Premises owned by: M t 4-'ra 2r-C. j- Gram,
Name of Firm: AS 14 E c o gS+1'acAc vr- L Phone:220 -0
Address of Firm: /' ��� nr��,�' avt r�5 �, f 2
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main Lay Lateral for Commercia Industrial
Building of acres
Connection will be made with SO fL 3 5�
Existing Water Supply: Public Water Well
Proposed Start Date 3 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 _A 51,,
der of Drain'
Layer's License No. ow 9-31 L/ Only holders of P-1, -7 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
To
wn Stre
et Excavation
ca ation Pe
rmit No. and/or ConnDOT Permit No.
CBYD No. *F 200 f 5
Signed: A Print Name: �a-or.mc S S/
Licensed Dra' ayer
ate:
6tandard�fb s-\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc