HomeMy WebLinkAboutDrain Layers Permits 212 Frazer Fir Road (2) 1300020 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER DRAIN LAYER PERMIT
DATE: 07/22/2013 = -
GIS ID: 34430212 FEE: 60.00
MUNIS APPLICATION# 201300997 jee
g ARM ,; EXPIRATION DATE: 08/21/2013
APPLICANT LOCATION
NAME: EAGLE EARTHWORK E V ��%��RESS 2I2-F`Rp ER FIR ROAD
ADDRESS: 101 N MOUNTAIN R(
- f � UI( I NNAICNO BUILDERS INC
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CANTON,CT 06019 = s�p( HAIL ROAD
PHONE 860-693 2027
WORK DESCRIPTION: INSTALL T R Sf N —LATERA%
LOT 63 Dit TREE'=FARE /
THE DRAIN LAYER ASSIGNED TO THIS I RMIT I AS A VAI1 �0 I ISS I UEI Y I'E STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTI TI}E AT TAGI�F t3 1 I`I'IQNS TALI,�V RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARD ALA D$H RI QLl2ENE� AND TIATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED PECTED BY
7/22/2013 2:23 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: U� wos
LOCATION: V 2- R-ASc-e_
TYPE OF WORK: ►0 3-tAt t 5AAJ i
DATE INSP NEEDED: -7-23 13 DATE INSP: -7-7-3-13
INSPECTED BY:
WORK IN
PROGRESS: K)erc, 5—,:,,0 wc- i o i�c; s,_
Z_,L t a Ud<.F1G! &Vf i�i /U1��16/v MA7'!-V_I/b, C..SA&Jr> IIAA*�>
SEPTIC TANK PUMPED, SMASHED, FILLED "/A WITNESSED ❑ YES ❑ NO
AS-BUILT: *s�
INPUT: l�� DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
Zc 3 cc,99-7
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLNAN-AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,Cr
FEE$60.00
Location of proposed work:
Street No. Street Name
Premises owned by. 'y`la
*6q(R3c z Name of Firm; r .7ek Phone:.00
Address of Rtm:�1�,1� P45, L s1 rJ
TYPE OF WORK:
Lay House Dral • Repair House Drain
Lay Main------; Lay Lateral for Commerdal/industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water._ Well
Proposed Start Date.7� Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA,REQUIREMENTS AND CONDITIONS AITAC HED TO'THE PERMIT
Permit is to be issued to. `G the holder of Drain
Layer's License No. 1 Only holder-*f P 1, P-7 or W 9 licenses
will be issuo a-permit. PERMIT WILL EKPIRE TttiftY(30) DAYS AFTER
DATE OF ISSUANCE: The undersigned Drain Layer hereby agrees to all the terms �
and:conditions set forth.in the p it and attached thereto.. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
PLEASE NOTE:_
CBYD No. din IFA fANITARYsmm LATERAL
IS WITKIN75 FEET OFA WEU
ITMUSr8EAIR TESTED
Signed: Print Name• %
Licensed Drain Layer
Date: —c
Standard 0rmS\PeM ts\APPLIGATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET : �'�' , Z�oiE
SUBDIVISION: rf� .-
NORTH ARROW
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11
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CONTRAC Q (PRINT) NAME C N CTOR'S SUPE VISOR -(WIN )
S/R'EET ADD�)REESSS, /� 1 ,q, IG AT RE
"� DATE
TOWN STATE ZIP INVCY BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER