HomeMy WebLinkAboutdrain layer permit 16 Frazer Fir Road 1100006 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
- ,
4011
DATE:
03/16/11
GIS ID: 34430016 FEE: 60.00
MUNIS APPLICATION# 201100180 w EXPIRATION DATE: 04/15/11
WHO
APPLICAN S i y�- � 4 ; LOCATION
NAME: EAGLE EARTHWO � RE� 1 FRAMER FIR ROAD
ADDRESS: 101 N MOUNTAIN Ar
R� gF
„ 1A2IN0 BUILDERS INC
CANTON,CT 06019 y _� s �Y 6 -ELL NGTON RD
INDSOR,CT 06074
PHONE 860-693027_
WORK DESCRIPTION: NEW SEQI �� .% ;
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THE DRAIN LAYER ASSIGNED TO THIS IDS A Y°-� ISU13Y` ITATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTRF .R px ,I RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAIV-4 Q-9NkRE ATTACHED CONDITIONS.
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ISSUED BY DA INSPECTED INSPECTED BY
3/16/2011 10:21 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /l0660 6 CONTRACTOR: �
LOCATION: Fl
TYPE OF WORK: k) 5e6op P.-
DATE INSP NEEDED: DATE INSP: I
INSPECTED BY:
WORK IN
PROGRESS: -Sod w ci 4 ,4 el j' l'A q l h-e-fl,,im l n.i how
eY hleedl t�i k/ S//✓. -576 4) !g& t Aim r" sDR 2-5 Gi rldil-
LGelnil4C >n S3-nc 6cvl • 141,r thIm 1(-44e L 6{
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT: C1� DATE: I l�
W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR DRAIN LAYER,PERMtf
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: rr Z "f )0-0 Lot #
Street No. Street Name
Premises owned b : �� f `�?� .� Lo f111 r_ �
y ''s
Name of Firm: e 6A / I 114k',W Phone: 3-�C� � 4'
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Address of Firm: 10 l /0,0 rk4 Aile r-gti In &I6C/
TYPE OF WORK: V
La House Drain 2( • Re air House Drain
Y ,
Lay Main ; Lay Lateral for CommercialJIndustrial
Building of acres
Connection will be made with 6 1r PR�
Existing Water Supply: Public Water Well
Proposed Start Date ( Estimated time for completion e 4
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 ex the holder of Drain
Layer's License No. �-7 A 116 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
h
f.
C BY D No.
1 '
Signed: l Pnnt hlarne: I'lf"t l q
Li tensed Drain Layer
Date:
Standard Forms\PennitsiAPPLIGP.110N FOR DRAIN LAYERS PEU T.doc
TOWN OF SOUTH WINDSOR
SANITARY_ SEWER LATERALFIELD LOCATION
DATE. OF' CONSTRUCTION: �!
BUILDING ADDRESS L _
STREET
SUBDIVISION: ,
NORTH ARROW
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CO OR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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'TREET ADDRESS Si NA RE
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OWN - STATE ZIP INSPECTED BY TOWN
DATE
-LEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER j DEVELOPER