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HomeMy WebLinkAboutDrain Layers Permits 30 Meryl Road 1200004 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 02/03/12 GIS ID: 59100030 - MUNIS APPLICATION# 201200101 FEE: 60.00 EXPIRATION DATE: 03/04/12 APPLICANT ' LOCATION NAME: SKIPS SEPTIC ADDRESS 30 MERYL ROAD ADDRESS: 6 NUTMEG DRIVE ( NER: CARLSON FLORENCE E L/U P O BOX 29 = = 3p 1GIERYL ROAD ELLINGTON,CT 060�9 = SOUGH VtTINDSOR,CT 06074 PHONE 860-875 2332 WORK DESCRIPTION: NEW SEW,WCGNI "CTI IYT - THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS AVALID=LICENSE ZSSUEI)By THE-STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET F0RTH IN sI HE ATTACHED CONDITIONS' L WORK SHALL BE ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA REQI�IREMENTS,AND,THE ATTACHED CONDITIONS. 110 ISSUED BY DATE INSPECTED 2/3/2012 8:53 AM SPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: -ZCONTRACnOR: �5 if`15 LOCATION:_ ( }'r►,o Z- IWE OF WORK.,—Jr v�pc -DATE INSP NEEDED: DATE INSP: -Z---7-I Z DVSPECTED BY: WORK IN PROGRESS:- Ppc LA(A 1' S-T?IAJF- ,vSt,6A «Z 'F1t7i-Ef �se-[G AA�� -- S W%CO 7-Ackc I I jA^)k 11j1EEia� PuMp�L- tc�Ill 1'ar� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ANO - AS-BUILT: INPUT: Q VY - DATE: W12007 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 $25.00 Location of proposed work: M e TLy z— 72.7j Lot # Street No. Street Name Premises owned by: GUNAJ 0�J Name of Firm: �' <Pss S -77 c Phone: FC 0 7) 2 3S 3 2 Address of Firm: O r O a X y 7 TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 4 VC S�-a 3 Existing Water Supply: Public Water. >`�— Well Proposed Start Date t —`�7 Estimated time for completion l 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 the holder of Drain Layer's License No. o z o 9 7 z- : Only holders of P1 orb 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. v�o Z 6 S,--0 0 S-Q -2— ---Signed:_-- - -- _ Print Name-* G✓ .C �7 _ Lice ed Drain Layer Date: Standard Forms\Permits�APPLICATION FOR DRAIN LAYERS PERMIT.doc O" 93.5 A fl A © 4 n Z CB \ t 2 N/F ROBERT & SHARON L. RISK 114.55 N/F 29.30 x 93.7 (9 A. r ' W. B E/LEEN O. S WOR .� m � p s 8 p BAh I D=79 =29,75 0 �= �D =4o 9 95.9 ', a r X 74 3 04.9 CPO \ 5 moo, B/r '\ 10.4 1� 132 114 GV 2 2 � FE-B �4: s's YL - 1+70 too t so r 25 3240 SVE7.'24/ !1 I t ©I I 110 lolr .94 62.B eir Q 95 a 1X �( Bir x949. r x 1 4 air— 93. b3 €� 0 d I � �� rya Q 20 40 .9 / 94.4 G 6,6' ° 94.4 ' �=7,4' I 94. D 2 A, 1 1 '--x X L= 27,5 L% 27/ X 94.6 x L = 23 LJ fl , �.S Poo/ 1 ' L N/F RAL PH E. 94.e N/F PRESTON C. �` �B FLORENCE E / \8 PAMEL A ✓. KOBBE CARLSON % N/F R ERT F. N/F SALVATORE L AIUR L H. FLORENCE A. RA/ MORR/S S 9 t L) / s-rA I #- + ,/" 3 0 810 /9/lam TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 71' -ZpI1L_ BUILDING ADDRESS STREET : MqLlL, Vc>A D SUBDIVISION: NORTH ARROW Li { 11 1 ! 11 �l<IPs SEXTI G CONTRACTOR (PRINT) NAME OF C94RACTPRCS SUPERVISO PRINT) 1�1 my►,K U6 Oil e /_�j ^1 n STREET ADDRESS SIGNAT E �- IV(;;?!A i c (?'�9 t/�iY+� `Z_-71 DATE T WN STATE ZIP INSPEC B OWN � cl �' 2-j3 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER