Loading...
HomeMy WebLinkAboutDrain Layers Permits 81 Candlewood Drive (2) 1200033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 07/12/12 � GIS ID: 16500081 FEE: 60.00 MUNIS APPLICATION# 201200915  s- EXPIRATION DATE: 08/11/12 APPLICANT LOCATION NAME: SKIPS SEPTIC � ADDRESS: 8-1 CANDLEWOOD DRIVE ADDRESS: 6 NUTMEG DRIVE j OWNER: SCHULER RACHEL R P O BOX 29 81 CANDLEWOOD DRIVE ELLINGTON CT 06029 SOUTH WINDSOR CT 06074 PHONE 860-875-2332 AFAN MU, WORK DESCRIPTION: REPAIR HOUSE DRAIN THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH IN THE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS. ISSUED BY DATE IN PECTED INSPECTED BY 7/12/2012 9:41 AM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMITNO.: ' 0�®6� CONTRACTOR: I ( '' LOCATION:_ �, � TYPE OF WORK: 1r DATE INSP NEEDED: DATE INSP: 3 1� INSPECTED BY: WORK IN PROGRESS: ' FTC`, l�����ec (,c�C� sa-4ft !C0_0 4 Ink"Jt s A. i0 e-ce -F Pit AA was �.dL, : AY - . - c, SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: �' DATE: 13 S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25-.6 ' &0 ' 06) (oliP05 Location of proposed work: Asti r'MAX (AeJD,!e'�U&> )/Z Lot # Street No. Street Name Premises owned by: A 7)ugnrC0.7 ZgT 217.7.1 /2,74^f�6'5� Al 1, 4 .7" Name of Firm: sk/7OS S�- 7>"C Phone: V-6o -475--_Z,331 Address of Firm: 6 #*j«T-rh E G -1z- P U ' eO x cj � L j 67Z'\f TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water. Well I } Proposed Start Date fil3'-D 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 -7—ftLl I'd,1,74-& C/Z- the holder of Drain Layer's License No. 0 z 0 17 z . Only holders of P1 or P7 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. Sign �. Print Name: L censed Drain Layer Date: 7- (;I- Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc ""p'�,� � +y,_. � -�a��:. w ,ate �•s�P ii•• �'gyp r � ��� mg 3 i' '.' Itµ, G •r i d ■ �•• � ,F `J dr41 a ' •" •. 1. . - � .4 t. t Alf aiP .ram' �i'`-z t e , - m d � '.ate a - '• ° ,.. '. a ,y`;rey3.� ".s� "` a�'=�*�4C• -. y ! s e y IL JL 511 —="OMNI � _ m 1 � °�i`u ' ,�� ; "� �`a�. x� h• .�, r i T t t s t 3 � 5 A^ rlS� j ,.�'•' +y{.�i . _ r� °t�,.,�L'L �+i..,:t tea'. �t - i F • I` e iJL, 'r F.. --� ,�y_y T '1.��e,'° t e, .fir' ' �-.,,", i• t,a T 4 1.4 S � T � � 61 t y� +�' � � �•� flu" � y � `�: � .t �` � r �' �fx"sx� •4`a �{ €� '4 �� it r� �' ri '.� P!e k r fin= �'". '1. ,�, `E •i �-:x €' � °�' _ a � € � .� � ' qk Al �+�,� �a .�� �f • .- y}q T. _��i � '� P^`�� 1 i;: � ."PPP-- � � w �i -- p;• 's.... �6. .• x 4 � M •��„�.,arrH.. �,!` 1 r x x �� fl �Y,�f�2 4• f i x - - f zi x ° s � oP rol lk IT P t "¢�� � .. ; � « � € ` _fin•°t .t u 17 • �i1 F . ' a t �--7�-a �• � � sir 3 � ,"'..�. _ s `. �� �.�.,# x p . 0. R, a ` i 4. a ti , i R• �r a, •i!" r^�'ly W �'^� � _ S�R� �` �"�t Nam"e"' M1 w '.rS'st*• .:' R esr e�r w `R.;' ;�'''� — � � " ''x �' �rR "'�`4. r F' � Y � rf 1 t i ryi , R ,y a " . P r H. n r 3�^ IVII . 1 r i i ,�..: � a*� ':.+� - � IP�� � 3P..,4 i yd 4 49`s"mot • 3� �_'... �1 e d. I s . tA c , {,? �-fill. t� 44 •- r . . �: . . . . \�d�`��t ^ \ f�:«<, c«n ^ d� . ~\ w . < < . . � �a ��§ � . � � �:���« . _ « #« & :\�\% �� % ^ 2>� « © � » � ( 2 � ( �� � > y���w �/ . �� \ s\ - , � w \ \�: ��\� ~ �¥ w « % � . : � � /` } . \_ \ . .�\� � \ \%� \ � \ 2i�=�Sy ? . . #22 .�y�� - : _ \�3� \ ,�> /cam« _ <<f����� y- - 2. y �\ . . . . y y , - �®` �\�§y\\ - � � ���/\%_ . � . � � � ~ .�ay«. t . TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 9-0► 1,21 BUILDING ADDRESS �f.L STREET -F- SUBDIVISION: XT'g NORTH ARROW I J + I 4` to pip fan. I WE �I�j CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR RINT) (o mUTgEG AX STREET ADDRESS SIGNATURE 6 QGpW a _0� � d��//� DATE TOWN STATE ZIP INSPECTED BY TOWN 860 c9g(,�:: DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ' - �7-6,e2_ BUILDING ADDRESSL� STREET : J�"Al 45ti boo 'a&l r6' -I- SUBDIVISION: Vit'iT rs NORTH ARROW i { L{. N� i I 1 I I CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) 6, /A Z,/,-, STREET ADDRESS SIGNAT RE DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER