Loading...
HomeMy WebLinkAboutDrain Layer Permit - 3 Copper Ridge 900066 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/13/09 GIS ID:23500003 FEE: 60.00 MUNIS APPLICATION# 200901396 „EXPIRATION DATE: 12/13/09 APPLICANT LOCATION NAME: J&H SLATER CONS 30 OPPL-R RIDGE ADDRESS: 75 COMMERCE WAS R64 EL3CO INC SOUTH WINDSOR, 4 44 ELLJNGTON RD OUT`H WINDSOR,CT 06074 PHONE 860-528 5-2 WORK DESCRIPTION: NEW SEWEG ", P1i THE DRAIN LAYER ASSIGNED TO THIS PFttGTT FIRS A V1 LICNE TSSITEJ 'THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTHI THE- ,TTACHR7ITIiS - L CORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARAf�I. <)EHA`REQ MEI S,AND E ATTACHED CONDITIONS. ISSUED BY ATE INSPE TED INSPECTED BY 11/13/2009 12:55 PM al lav - "- - / / �� " TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 9 00©(6 CONTRACTOR: ci2 LOCATION: ��i - IQC— TYPE OF WORK: 4-eot'J �-t�-P-t- Cvh✓� Oi'1 DATE INSP NEEDED: DATE INSP: ! /6lUcr INSPECTED BY: /3.h WORK IN PROGRESS:��,n�rcudo,� � SG /� r� loyc 1 .S'lenle C� . l avtS u�u SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [-] NO AS-BUILT: INPUT: L DATE: J. 0 W/2007 Town of South Windsor INPSECfION REPORT 07 9 00066 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE. SOUTH WINDSOR, CT FEE $60.00 r Location of work:proposed ro ��� N N ���- � � Lofi # K Street No. Street Name Premises owned. by:_ �C Name of Firm: CJ t'1 5QA-4 Phone: 2- Address of Firm: � 1MI/Y) TYPE OF WORK: Lay House Drain ;, Repair House Drain Lay Main : Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water_ Well Proposed Start Date k- 1U 8 Estimated time for completion 2 ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to Vic - the holder of Drain Layer's License No. -Zo?-7 6 Only holders of P-1, P-7 or W-9 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the permit and attached thereto. Applicant has received Town StFeet Excavation Permit No. and/or ConnDOT.Permit No. . N CBYD No. 22�$ /z Sign Print Name: �� Gt/- 6} (Z-- Licensed Drain Layer Date: �/3�0y' Standard F0rms\Perm1tS\APPLICA*n0N FOR DRAIN LAYERS PERMIr doc TOWN OF SOUTH WiNDSOR SANITARY SEWER LATE RAL FIE LD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS STREET Gd = o(s � SUBDIVISION: Co qt - V-8o(s NORTH ARROW j ! I L-T- oo 771 s M � , } CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIG RE ME Af TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER. WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER