HomeMy WebLinkAboutDrain Layers Permits 350 Buckland Road (2) 1200015 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 04/26/12 -
GIS ID: 15300350 " : FEE: 60.00
MUNIS APPLICATION# 201200493 = EXPIRATION DATE: 05/26/12
APPLICANT LOCATION
NAME: J&H SLATER CONST -0 ADDRESS: _ 350=I3UCKLAND ROAD
ADDRESS: 75 COMMERCE WAY - ER:` ASTICO10 INVESTMENT LTD PRTRSHP
SOUTH WINDSOR,CT 06074 , I744-ELLINGTON RD
SOUTH WINDSOR,CT 06074
PHONE 860-528-1 2 = =
WORK DESCRIPTION: INSTALL ATJ-ON OE,_EWERR IIAND COMIIIONS
THE DRAIN LAYER ASSIGNED TO THIS IERMIT HAS A VALID 11C�NSE ISSUED$Y SHE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH.IN TTIE ATTr3G�D` QNITIL7NS' ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS-Al l OSHA RE UIREIVfENTS AI�1I�THE ATTACHED CONDITIONS.
ISSUED BY DATEINSPECTED INSPECTED BY
4/26/2012 2:32 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
• PERMITNO.: I �l y OONTRAC7nR:
LOCATION:��
.?YPE OF WORK:
.DATE INSP NEEDED: DATE INSP: /12
INSPECTED 6Y:
-WORK IN
PROGRESS:_ /.��/,
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED' ❑YES ❑ NO
• _ 'AS-BUILT:
INPUT: DATE a—
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: X4Kb Q Lot#
Street No. Street Name
Premises owned by: �5 �-
Name of Firm: SGA-MIL OWST, Phone: 866 �28-92S—Z
Address of Firm: _715i (26 M M,&Lc)G WAY
TYPE OF WORK:
Lay House Drat _: Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with_ VC,
Existing Water Supply: Public Water._ Well
Proposed Start Date -y ?&Z- Estimated time for completion Z I�K-5
01
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 J%NA LAIMAI- the holder of Drain
Layer's License No. 0Z6V —��: 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 WITHIN7SFEET OF WELL
IT MUST BEAIR TESTED
Signed: PPrint Name: 101 SPrM
License D p K Layer
Date:
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr doc