Loading...
HomeMy WebLinkAboutdrain layer permit 344 Nevers Road 1000034 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAY ER PERMIT DATE: 07/12/10 GIS ID: 62400344 \\ ........ 'oOlv�\\v °6 gv0 gEXP FEE:APPLICATION# 201000876 00 IRATION DATE: 08/11/10 '0 APPLICAN NAME: 4„�� v ,vv,;�w LOCATION SIMSCROFT ECHO F � ` S ,v� \� v����`��v��v���,`��v v; ,"��,A ` ADDRESS: P O BOX 581 ���° "`uq,v a," \��Ati"���vv��\ vvDES � 441� 5 ROAD �A� \v`V�`vQ, ER �` AERMA SIMSBURY,CT 0607 ��,;o����v�oa` �u��\\v��`� v: ��wvvv,�,wV ��A����y���`,;a �� C S \ `\ \\ ,344 NERS RD PHONE \\q' \\\\ a`\ `` OU H W 860-651 0�3I �, VA vv���vv�yvvyv\�'vvv�;�w` �� v �w v� , SOR'CT 06074 \ `A� AR V�\� � nv\V1�V vA\ 06T, E IST O S WORK DESCRIPTION: RECONST v v` AI� Ra WAR OINY�,ND LATERAL PART OF N UE , AD�s'1 ;v'4���`�TT�77V PR�7JECT vv� 'vv A THE DRAIN LAYER ASSIGNED TO THIS PE v `v °`°°v� �� wv�y�A �`v`s'� SAS A VALII" ISUDD gT�?]T3 \`STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH II \\T ",TT A Eb�gbND� QI�1S' L RK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS; L \ � \\REE�1$ IT E ATTACHED CONDITIONS. VA q�GV\VAggo � �A�gAA�AAAAP�w����pnmgvAe��a���0���� �A� ISSUED BY DATE SPECTED INSPECTED BY 7/12/2010 1:17 PM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Z ,000019 CONTRACTOR: LOCATION:-3 q`t 'V6>J ©a TYPE OF WORK:(. G S6i C. I M -J- DATE INSP NEEDED:.. DATE INSP: 7o INSPECTED BY: B WORK IN PROGRESS: Lvp2'T! d fit' L.o c,; ,.� Ste.M L -� 4-e, k 3 5l +0 -�� k� -io o �,45° f 6Ar Cpz. o - G• �' Py C rNt T om►.C C �c� Cr L L5LJ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [] YES ❑ NO AS-BUILT. INPUT: CAI\- DATE: w/2007 Town of South Windsor INPSEMON 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: 34y Mwu 5 Rrj� Lot Street No. Street Name Premises owned by: k( &.2f 6o(.264 Name of Firm:.-Smnam , P-el Farm_-, Phone (D,SJ -6�3( Address of Firm: �ej klct(w. Rb P10 box S`S{ 4. „v 67- 0G0?0 TYPE OF WORK: Lay House Drain_ : Repair House Drain Lay Main Lay Lateral for Commerdai/Industri i Bulid ng of acres ; Connection will be made with Existing Water Supply: Public Water,_ Well Proposed Start Date�0L72�-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 3),qw re-t Z the holder of Drain Layer's License No. d . Only holders of P-1,(P 7�or W-9 licenses will be Issued a permit PERMtr 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. :M D -a Yo 3 Z.-6 w Signed: �- Print Name: am re� �r.°✓a✓cr Licensed Drain Layer Date: ( - �Z- /D Standard FOMISWIMIMAPPLICATION FOR DRAIN LAYERS PERMrr.doc TOWN OF SOUTH _ WINDSOR SANITARY SEWER LATERAL FIELD ` LOCATION DATE OF CONSTRUCTION: �z�/�� BUILDING ADDRESSs R STREET SUBDIVISION: NORTH ARROW i 7,it 1wt ol CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) 2 ns STREET ADDRESS SIGNATURE ,,ems CT 066?15 —7 9 DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER