HomeMy WebLinkAboutDrain Layers Permits 188 Frazer Fir Road (2) 1300017 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/27/2013 4 -
GIS ID: 34430188 _ ,
MUNIS APPLICATION# 201300893 FEE: 60.00
N EXPIRATION DATE: 07/27/2013
APPLICANT "r LOCATION
NAME: EAGLE EARTHWORIfnRU % ER FIR ROAD
ADDRESS: 101 N MOUNTAIN ROAD`
% R ILIA INA IN0 BUILDERS INC
CANTON,CT 06019
406 HAZEL ROAD
PHONE 860-693 4027 ;
WORK DESCRIPTION: NEW SEWLOT� �
THE DRAIN LAYER ASSIGNED TO THIS £RM- HAS A AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT IL E 1AC�� ITQ WRg SHALL BE IN ACCORDANCE WITH
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THE TOWN OF SOUTH WINDSOR STAND IN OS REQREME AITIATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
6/27/2013 10:51 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: D&V/7 CONTRACTOR: Z4 4 `Ih tc�d
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LOCATION: J �2�
TYPE OF
DATE INSP NEEpEp:
DATE INSP• 7117
INSPECTED BY:
WORK IN
PROGRESS:��, f
TO � /6,,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPUCATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULIJVAN-AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR CT
FEE$00.00
Location of Proposed work -I�� lrl `' Lot# `
Street No. Stmet Name
Premises owned by:_ fl rl=��c
Name of Finn* -4-Q,P e t k- � tm—. hone: 0- ��-
Address of Firm:� �
TYPE OF WORK.
Lay.limse Drai • Repair:House:Drain
Lay Main y Lateral for Commerdal/Industrial
6ullding of acres
Connection will be made with
Existing Water Supply: Public Water_, Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE VI(ITH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND COMMONS ATTACHED TO THE PERMIT
Permit is to be issued'to; .i'Gf, ' l ¢ iC�,� a holder of Drain
Layer's License No. 7 A I j.9'' . . Only Wtd of P-1,P-7 or W-. licenses
will be 1§sued`v.Permit: PERMIT WILL EXPIRE T"MM(30) DAYS AFTER
[FATE OF ISSU E. The undersigned Drain Layer hereby agnaes to all the terms
and oonditlons set fort itt the p&it and attached thereto.. Applicant has received
Town Street Excavation Perms No and/or ConnDOT Permit No. .
PLEASE-NOTE.
CBYD No.
IF.4 SANITARYSZWER.LATERAL
TB N/ll'flINT5 FEET OFA WEIR
` Il''1FtUST BEAIR TE3TED
Signed: A'-�%��rmt Name:... A'l�lil RPM i" l �X
Licensed Drain 'Layer •
Date; 2I
Standard-r'�orms\Permits\APPUCATION TOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION: ,r� ;��' i rY�
NORTH ARROW
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CONTRA Mk (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE`
7,Ll E
TOWN STATE ZIP INSPECTED BY TOWN
rz""�� i `5, .- DATE
TELr HONE NUMBER ^�-
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER