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Home My WebLink AboutDrain Layers Permits 2051 Ellington Road 1200017 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 04/30/12 GIS ID: 30302051 - FEE: 60.00 MUNIS APPLICATION# 201200499 EXPIRATION DATE: 05/30/12 APPLICANT,. - - LOCATION NAME: LANDIE CONSTRUCTION INC ADDRESS 2051-ELLINGTON ROAD ADDRESS: 21 CLARK ROAD = CER. NiCHYLY MARGARET D BOLTON,CT 06043 - = 2051 ELINGTON ROAD -, SOUTH WINDSOR,CT 06074 PHONE 860-646 ,665 - WORK DESCRIPTION: SEWER REARMAl THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID L ICENS ISSUED BY THE S1ATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTHiN I HE ATTACHEb`C�I�t�i INNS',-ALA WQI2K SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA RE QC� MI NTH,ANI�THEATTACHED CONDITIONS. '. d 14 ISSUED BY DATE IN PEC INSPECTED BY 5/I/2012 9:47 AM TOWN OF SOUTH WINDSOR INSPECTION REPORT _ • PERMITNO.: f�Ooc>l 7 OONiRAG"TOR: L ad—Z LOCATION: o?(�S 1 j . .TYPE OF WORK: �l�'Lt7 S�u le r CCU �n��f�`•��. . .DATE INSP NEEDED: DATE INSP: INSPECm 6Y: tin WORK IN ROGRESS: ly L • - �� zs b-e � � -r / be� l� env � Tay T�0. SEP71C TANK PUMPED,SMASHED, FILLED WITNESSED Q YES ❑ NO INPUT. CI�-- DATE: ,2'/-/�--� W12007 Town of South Windsor INPSEMON 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: ,2_0S 7-eY J & Lot # Street No. St�reeet+Name vv Premises owned by:- Name of Firm: /� a�!/�b,�,� C��,�i� Phone:9�e r /s Address of Firm: 1 /90 z-T TYPE OF WORK: / Lay House Drain. Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 5�& 3f 1i,4e a/�o Existing Water Supply: Public Water k Well Proposed Start Date_ 30/) -- Estimated time for completion .2 a — 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. ©xtV1Y:i :7 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. /_2 806� �4 IFA SANITARYSEWER LATERAL IS W.ITHIN75 FEE T OF WELL IT MUST BEAIR TESTED Signed:_&/M Print Name: Licensed Drain Layer Date: J?a standard For ns\Permits\APPLICA170N FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: f 3 d f BUILDING ADDRESS STREET SUBDIVISION: NORTH ARROW �( 71 ov 115 _ e--I- lz-----,---�v- j i t1 �1 ry i I 3 iF -_� { , CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT) STREET ADDRESS SIGNXTURE 6 7 TOWN STATE ZIP INSPECTED BY TOWN k 1� 0 .-) 7 f" DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER a e STATE OF CONNECTICUT DEPART.11,11-P-NT OF CONStUIER PROTECTION E PLUMBING&P �ftdtQWRACT0R WILL0' Pl tf-1 i o + ON LI . / F N( f EXP S Ll1�i.©a84144-P7 f w01 � " ` 1 /31/2012 / i SIGNED.��.�m.�..y,._.�._�.�d�.._�_.�..�s_ysa.��..�.�.