HomeMy WebLinkAboutDrain Layers Permits 204 Frazer Fir Road (2) 1300021 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
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DATE: 07/22/2013
GIS ID: 34430204
MUNIS APPLICATION# 201300999 - - - FEE: 60.00
ltn EXPIRATION DATE: 08/21/2013
APPLICANT ' ' LOCATION
NAME: EAGLE EARTHWORM$V � �RES5 264— ER FIR ROAD
ADDRESS: 101 N MOUNTAIN RCS '
AO - �A1`1NA INO BUILDERS INC
CANTON,CT 06019 �00CHAIEL ROAD
UNIT
PHONE 860-693027
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WORK DESCRIPTION: INSTALL$ ITRWLAI'I3RA
LOT 49 Dh AE
THE DRAIN LAYER ASSIGNED TO THIS 1RIT FIRS A LN� SU> II ' 1HTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTII1E ATFAIIl,3`CITIQ�1 4 Wes{SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAIN AL"I,-o�H-P R QLI 2El T AI D-THI ATTACHED CONDITIONS.
ISSUED BY DAA INSPECTED INSPECTED BY
7/22/2013 2:42 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:}3 00,�/o-{ CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: , �' %3
INSPECTED BY: , 6r;'Il a
WORK IN
PROGRESS: f t em e Ir cv'.4 /t t v/4 _�Av t'-,—1 e h Gd,
rt-1'1 ri k' /d ti/Gr G-� � L�'� �a 7r iy► CGi �� 1� �
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SEPTIC TANK PUMPED, SMASHED, FILLED 4� WITNESSED ❑ YES ❑ NO
AS-BUILT:
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 RALL
SOUTH WINDSOR,CT
FEE$60.00
t mation of Fro
tamed work:
Street N . Street Name
� 7 8 a Premises owned by:
6,G39z Name of Frm: Phone
Address of Rnrn:
MIT
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Maine;.Lay Lateral for Cb nmercial/Industrial
Buliding of sores
Connection will be made with. 011*1 �-
Existing Water Supply: Public Water` Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE-IN AOOORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS,,
ALL OSHA.REQUIREMENTS AND CONDTiIONS'ATTACHED TO Ti E Pt 2MIf
Permit is to be issued.io - holder of Drain
Layer's,License No Only hofdof P-1, P-7 or W-9 license
wifl be iss4 ,4.peMIL PERMIT ML EXPIRE T [IR' Y pq) DAYS AFTER
MATE�OF ISSUAM.�E the undersigned Drain tay�r hereby agrees to all the terms
and,oonditions set fortlt.in the i t ch
and a
! + ed thereto:. Applicant has received
.Town Street Excavation Perm Na. and/ ConnDOT Permit No.
- --PLEASE-NOTE:
CBYD No. IFA SAIYITARYSEMR-LATERAL
IS 1411MW 75 EE`T OFA_ CU
3"TMU'rTBEAI TESTED
Signed: 'hint Name:_ ��
Licensed Drain Layer
Date: '
standard=farms\P,eM ts\APPLICATnON FOR[)RAIN LAYERs PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:'
BUILDING ADDRESS
STREET
SUBDIVISION: 12�aa-, q-re,,t--
NORTH ARROW
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CONT CTOR (PRINT) _ NA F CONTRACTORS SUPE I .OR (PRINT)
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ST EET ADDRESS 7� SId TURE
(� lbri'G ' Z �� DATE
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TOWN STATE O
ZIP INSPECTED BY TOWN
Z2 ` 1na!z DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER