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Home My WebLink Aboutdrain layer permit 496 Quarry Brook Driv 1000003 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 01/25/10 GIS ID: 74100496 MUNIS APPLICATION# 201000060 � FEE: 60.00 EXPIRATION DATE: 02/24/10 All APPLICANs� LOCATION y NAME: HOMES BY GUARIN — RED 496 QUARRY BROOK DRIVE ADDRESS: PO BOX 330 g � � � SY GUARINO LLC BROAD BROOK,CT 06W6 $ X30 mal � �%2 j SSW SOR, C 06016 PHONE 860-2144955k, ww ggo �- WORK DESCRIPTION: NEW SE aPW ll TI THE DRAIN LAYER ASSIGNED TO THIS X T A A ISSLIY` 1ISTATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORflft A'T".4'' I1I RK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARD A ATTACHED CONDITIONS. y � - Yno ISSUED BY DATE INS ECTED INSPECTED BY 1/25/2010 2:35 PM /m-- ,,, r Av Ar ff r - r `i w o�j ' mwN , �" i ; AM - foF wo, � W - i /�./ �� TOWN OF SOUTH WINDSOR INSPECTION REPORT , PERMIT NO.: LLYSo3 CONTRACTOR: Z (; VQ f l l o LOCATION: q D TYPE OF WORK: 1 bx) SeAsXC C 0 v-) ►o n DATE INSP NEEDED: DATE INSP: / a- /ld INSPECTED BY: Ro WORK IN r PROGRESS: _Cbn�✓<^� ov �nS�a I o 'er (PVC SD(� 3 ram io 4—O 1io cyst, us,`�,4 TLAj a off.° YS" Cosancr i"�y '31 �r� S d STa•- e S+�ri-�` 1 � C L am" � � SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE:_ I �7 W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR DRAIN LAYER PERMIT TOWN Or SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: # Street No. Street Name Premises owned by:6i4yv?1A 0 154me� Name of Firm:. #Z740- Exc",* �oIVA Ile Phone:Z9 Rea co Address of Firm: ?-I Cl '4+ Q&Ld— jnd I;Agiim , Cam' 06979 TYPE OF WORK: Lay House Drain; Repair House Drain ; Lay Main : Lay Lateral for Commercial/Industrial Building of acres Connection will be made with _6 SDR-3s fIe Existing Water Supply: Public Water_,_ Well Proposed Start Date Estimated time for completion 79 71 r-v-94 ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to --Ta:FAEY IN the holder of Drain Layer's License No. P� 0a84;5$_P7. 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. aD 10 --o LIO --l.a Ll ro Signe Print Name: 71-EF-F ©&GG7- cen r Layer Date: 6/-.2-a-/0 Standard Forms\PermitsWPUCATION FOR DRAIN LAYERS PERMrr.doc s � � � �� = ,�► �� Ifs �� -�� -- '• - % � 'ice/�� i 1 1 t 1• 1 1 i 1' '