HomeMy WebLinkAboutdrain layer permit 340 Diane Drive 900008
PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT
DRAIN LAYER PERMIT
DATE: 03/31/09
GIS ID: 28200340
MUNIS APPLICATION# 200900187 FEE: 60.00
EXPIRATION DATE: 04/30/09
APPLICANT
NAME: VIOLETTE SILVESTER&z SORTS LOCATION
ADDRESS: 65 CHERRY STREE C I�RES 340 DIANE DRIVE
EAST HARTFORDT f361B C)WTEI PANb CORRADO
>: .Q= DIAL DRIVE
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PHO
NE 860-289-3466 SOR
WORK DESCRIPTION: NEW s. .. :: .
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APPLICANT AGREES TO F ' "URNISH THE O (
THE TOWN OF SOUTH WINDSOR FOR AN�I `r '° AMiJ ]TFND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE P� •' .. MAINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN O <U r1 I
NBIi L ABIDE BY THE RULES AND REGULATIONS
G > „ S" TET PETIT MANUAL.
ISSUED BY
DATE INSPECTED INSPECTED BY
3/31/20092:37PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: N) t b e �► I �pS�-�
LOCATION:
TYPE OF WORK: -�
DATE INSP NEEDED: DATE INSP:_..L /09
INSPECTED BY: O t>
WORK IN
PROGRESS:_ gwk .c 9- rra*" 5 d
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AS-BUILT:
INPUT: C vY,, DATE: y- 7-o ci
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
e
Location of proposed work: j /I Lot #
Street No. Street Name
Premises owned by:- _<®"C)
Name of Firm: l/+ /vas ef- ,—ram Phone: elbl
Address of SDI
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with _ 4;�; 19'
Existing Water Supply: Public Water. X Well
Proposed Start Date 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 -.l �S` �+ / ®�" the holder of Drain
Layer's License No. c2l_;7 1' . 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.
Signed: 'nt Name:
ensed Drain Layer
Date:—
Standard F0rms\Perm1ts\APPLICAT10N FOR DRAIN LAYERS PERMIT.doc
TOWN - OF, SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD - LOCATION
DATE. OF CONSTRUCTION: D
BUILDING ADDRESS Dt
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CO RACTOR'S SUPERVISOR (PRINT);
STREET ADDRESS SIG
0 �� Z DATE
TOWN STATE. ZIP INSPECTED BY TOWN
DATE
TELEPHONE,:.
ELEPHONE 'NUMRER
WHITE - TOWN
PINK - CONTRACTOR YELLOW LOW CONSULTING ENGINEER j DEVELOPER