HomeMy WebLinkAboutdrain layer permit 251 Gerber Road East 900036 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/29/09 <'£ r "'0 x>
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GIS ID: 35110025F
.. FEE: 60.00
MUNIS APPLICATION# 200900730 r �� '`::>.EXPIRAT ION DATE: 07/29/09
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APPLICANT "`
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NAME: ASHE CONSTRUCTIOI.- •'-L x 'f
S 25 GF RBR ROAD EAST UNIT 1
ADDRESS: 17 GRAMAR AVENUE4,; :. ` �� }:%f + :'=<< 'Tt
ft1 T O REALTY GROUP
PROSPECT,CT 0671
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w<.. ECUTlVE DRIVE
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PHONE
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T. N `f"WORK DESCRIPTION: NEWSE 01E ``�
THE DRAIN LAYER ASSIGNED TO THIS/I RI 11;.T�1i1:S;.A�J� : �� ����U��i<>�Y..T HE$TATE AND HEREBY AGREES
TO ALL
THE TERMS AND CONDITIONS SET FORTH-4N, TIDE A�lAcHr.-ilm ITIt CS ALL VfJ1tK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS%AL ,:0 it I Q-,:B ,.QN]3,T7HE ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
6/29/2009 12:10 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9 0003� CONTRACTOR: Alike C :s
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LOCATION: C-Ter .
TYPE OF WORK:
--DATE INSP NEEDED: DATE INSP: 7 >G .log
INSPECTED BY: #
WORK IN
. PROGRESS: r14
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AS-BUILT:
INPUT:
DATE: -o
W/2007 Town of South Windsor INpSEMON REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL .
1540 SULLIVAN AVE.,NPE
SOUTH WINDSOR�g.Cf
FEE $%00
N
Location of proposed work-2-5 Lot # . #
Street.No. Street Name
Y40Premises owned b frJ
Name of Firm: :_ Phone
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Dram
Lay Main C4 Lay,Lateral for Corr merclzi;r uitri l`
Building of acres ``
Connection will be made with .Sb
Existing Water Supply: Public Waterer Well:
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN .F SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND.CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to � SVA
.J(`Zb� the holder of Drain
Layers License No.ftel, Qzrn, f7R P Only holders of P-1 P 7 or W=9 licenses
will be issued a permit. ;:PERM 'T V � _ ARE THIRTY(30) DAYS AFTER ,
DATA OF ISSUANCE The undersigne� ima r hereby agrees to all the terms
y .
and conditions set fogtti:in the rmlt an�l<a%6a hed thereto. Applicant has received
Town.Streot`Excavation Permit.No. and/or ConnDOT_ Permit No.
CBYD No
Signed: Print Name: 17t:
Licensed.Drain Layer
Date: �.
Standard ForrnS\Permits\APPLICATiON FOR DRAIN LAYERS PERMIT.doc .
TOWN OF SOUTH WI N DSOR
SANITARY - SEWER LATERAL : :FIELD LOCATION
DATE OF CONSTRUCTION: `o
BUILDING ADDRESS .
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STREET .
SUBDIVISION: l l,,c '�4/�-• f�c��,�
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONT CTOR'S SUPEIMS R�(PRINT);
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STREET ADDRESS_ SIGNATURE
r as -- __ ,, 7111,1 DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW - CONSULTING .ENGINEER j DEVELOPER