HomeMy WebLinkAboutdrain layer permit 152 Beelzebub Road 900071 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 12/04/09
GIS ID:09000152 -
FEE: 60.00
MUMS APPLICATION# 200901.479 -EXPIRATION DATE: 01/03/10
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APPLICAN
.,
,OCATION
NAME: D&L EXCAVATION -- S.' BE EBUB ROAD
ADDRESS: 80 WILSON LANE
RPERTIES LLC
VERNON ROCKVILL '& ANE
INGTN,CT 06029
PHONE 860-875
WORK DESCRIPTION: NEW SE CON
THE DRAIN LAYER ASSIGNED TO THIS PE A I
13 STATE AND HEREBY AGREES TO ALL .
THE TERMS AND CONDITIONS SET FORTH T S3.-L , ORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS, T '. E ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
12/4/2009 4:16 PM
900062 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
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DATE: 10/23/09 3 "
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GIS ID:09000152
MUNIS APPLICATION# 200901301 hYx , ^�
g, tr y EXPIRATION DATE: 11/22/0
APPLICA fi U
4 LOCATION
NAME: D&L EXCAVATION " � 5 BEE
ADDRESS: $0 WILSON LANE "RJR PERTIES LLC
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VERNON ROCKVIDLErETZ. P ANZ ANE
1 •4 �IIiT0N,CT 06029
PHONE 860 8753 4"
WORK DESCRIPTION: NEW SitL L
THE DRAIN LAYER ASSIGNED TO THIS T� A St,JB ,T�FTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR A� ', . '>DRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARb C1SA I: ATTACHED Qw i� SNI? CONDITIONS.
ISSUED BY,.--- DATE INSPECTED INSPECTED BY
10/23/2009 11:53 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 17 l-T A g
INSPECTED BY: 3
WORK IN
PROGRESS: C&., ry,- r m ,, C. V c- SD12 3S Fromm
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SEPTIC TANK PUMPED, SM HED, FILLED �/ WITNESSED EYESEI NO
AS-BUILT:
INPUT: l ,[/" DATE: -Q
W/2007 Town of South Windsor INPSECTION REPORT 07
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: 4 �XLa clLOi!1
LOCATION:_ l,fL— 3 Age l 12e/
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: VVlro
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C�°v — DATE:
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
Location of proposed work:_/ �� � C-P—/ 2 6 Lot #
Street No. Street Name
Premises owned by: G G �- S
Name of Firm:�y� C, Phone:
Address of Firm: k 3
TYPE OF WORK:
Lay House Drain_; Repair House Drain_
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S 2_ 3 Cr r
Existing Water Supply: Public Water—= --- 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 'e-1 the holder of Drain
Layer's License No. G �, G q 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: Print Name: �� .� G �✓� i
Licens rain Layer
Date: G
Standard Forms\Pexmits\APPLICA ON FOR DRAIN LAYERS PERMIT.doc
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