HomeMy WebLinkAboutDrain Layers Permit 494 Abbe Road 1100029 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/04/11
GIS ID: 00600494 FEE: 60.00
MUNIS APPLICATION# 201100870 _ EXPIRATION DATE: 09703/11
APPLICANT „- = LOCATION
NAME: JAMES THROWE DBA ADDRESS:. 4-94 ABBE ROAD
ADDRESS: 97 RIVERSIDE DRIVE OWNER. WARREV ELIZABETH A
VERNON ROCKVILLE,CT60669 ABH ROAD
SOU WINDSOR,CT 06074
PHONE 860-289 -0095 -
WORK DESCRIPTION: NEW SEWER CQI�JA kTIO '
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENBE.ISSUED iY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTI4II*I 3'HE ATTACHED`COISM0 I IQNS':'ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,4 OsHA REQUIREMENTS,AI 1D"THE ATTACHED CONDITIONS.
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ISSUED BY DAT IN ECTED INSPECTED BY -
8/4/2011 11:45 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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PERMIT NO.: l 1 b o Doi 9 CONTRACTOR: d
LOCATION: y9 Alc/
TYPE OF WORK:- I)ew Were co t3 n t-'= 'Ie ti
DATE INSP NEEDED: DATE INSP: d 0 o /I
INSPECTED BY: r (Ila
WORK IN
PROGRESS:_ s z/) AP cared t a;l .) l/I Vey � Pyc- L41
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SEPTIC TANK'PU IPED, SMASHED FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: r/"'
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: Cl9 LI j9U kr'( Lot #
Street No. Street Name
Premises owned by: kA r%r C f
Name of Firm: VcIn5 Sza e - i'&jc )L 5� y)U— .d Phone:$ 0-2-a7(:7055'
Address of Firm:a)R1Vdd15)4' Jr- yi"-h(1r\
' TYRE OF WORK:
Lay House Drain x Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of - acres
Connection will be made with
- Existing Water Supply: Public Water Well
Proposed Start Date s / _ 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 s the holder of Drain
Layer's License No. �wA6-RZ 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.
PLEASE NOTE:
CBYD No. IFA SANITARYSEWER LATERAL
IS WITHIN 75 FEET OF WELL
IT MUST BEAIR TESTED
Signed:-�Gnn&l T�rawv Print Name:
Licensed Drain Layer
Date: 1/ v
Standard forms\Permits\APPLICAIION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL --FIELD I LOCATION
DATE OF CONSTRUCTION:: ZC1/
BUILDING ADDRESS ` L' 4 b b l '
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF ONTRACTOR:�5,1
ERVISOR (PRINT)
STREET ADDRESS SIGMA t
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TOWN STATE ZIP INSPECTED BY TOWN
liL DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW CONSULTING ENGINEER f DEVELOPER
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