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HomeMy WebLinkAboutDrain Layer Permit - 8 Frazer Fir Road 900068 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/24/09 = - GIS ID: 34430008 FEE: 60.00 MUNIS APPLICATION# 200901446 „ EXPIRATION DATE: 12/24/09 APPLICANT .LOCATION NAME: EAGLE EARTHWORK SE A35 $FRAZER FIR ROAD ADDRESS: 101 N MOUNTAIN ROAD - — O -- -- ; Mt I NAI INO BUILDERS INC CANTON,CT 06019 ii ItNo 169 FLLINGTON RD Iff = OJTH VINDSOR,CT 06074 PHONE 860-693 20 16- WORK DESCRIPTION: INSTALL ITARY S�WEW ERtAV- THE DRAIN LAYER ASSIGNED TO THIS PEINfIZIAS AAZII IGENE iUED$Y TIC STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH III THE ITTA-HED 066-0 S' :ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ALL OVIAIQIREIV� NT ,;ANUIE ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INS ECTED BY 11/24/2009 3:36 PM -1 Y.- -.J. . . INSPECTED BY: � WORK IN PROGRESS: �lk-t 6 ` / 1/c 5 b t?- 3S Ao© ao_ , &U 1 /170 .)✓1./f'tr�bt UI I '3/ / �� /�L° F' 1.Q_ l , PL?/✓�r C �.,.� Cc'L�Jo TAPS' SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C/ '� DATE: C - 0 W/2007 Town of South Windsor INPSECTION REPORT 07 Q(gt-* Z00190 144-6 s 36334-6 APPLICATION FOR DRAIN LAYER PERMIT t; a TOWN OF SOt1'fH WINDSOR n PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WIND SO 'GT FEE $60.00 Location of proposed work:_ 00 Vert-.r 4)Lot # '� ... Street No. Street Name Premises owned t: Name of Firm: 154 as Phone: 804$-7-90a-7 Address of Flrm:_ "10/ _&rk /ZD C"4—h TYPE OF WORK: Lay House Drain_,X— tepair House Drain Lay Main Lay Lateral for Commercial/Industrial Building of acres Connection will be made with FUC- Existing Water Supply: Public Water_ Well Proposed Start Date I' T- Estimated time for completion r 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. �� ai e �u� the holder of Drain Layer's License No. J.7 //G 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. b CBYD No. ��' D Signed. Print Name:_ &1t4 q'e'( bgte-� Licensed Drain Layer Date: 111y: Standard Forms\PermitsWPLICATION FOR DRAIN LAYERS PERMrr.doc TOWN OF SOUTH WINDSOR SANITARY - SEWER LATE RAL FIELD LOCATION DATE OF CONSTRUCTION: 0 '` 312 09 BUILDING ADDRESS ': Lo+ STREET F; r R,oAb SUBDIVISION: aZ 90 TAF- FgRIn s NORTH ARROW u3 as I o wp.'za d mn 3 9 . CO R (PRINT) NAPE OF CONTRACTOR'S SUPERVISOR (PRINT). _..... i SfRC-2 E ADDRESS SIGNATURE UI OCO( DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER