HomeMy WebLinkAboutDrain Layers Permits 43 Oakwood Drive 1300013 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/17/2013
GIS ID: 66000043 FEE: 60.00
MUNIS APPLICATION# 201300828 = � EXPIRATION DATE: 07/17/2013
APPLICANT LOCATION
NAME: JDC ENTERPRISES III OAKWOOD DRIVE
ADDRESS: 420 JOHN FITCH BLVD
R 1f9 *PATRICK&SUE-ANNA
SOUTH WINDSOR GAT, Q6074 �'_ } JAKWOOD DRIVE
INDSOR, CT 06074
PHONE 860-667 4800
WORK DESCRIPTION: NEW SE*f�
THE DRAIN LAYER ASSIGNED TO THIS I RI IT BIAS A I ISSUED Y HESTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTfN TEE AXTACH���� I1ID. ALA WSRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARAL�OIAjtrQREM ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
6/17/2013 3:44 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 3 O ,I CONTRACTOR:
LOCATION:---q_321ht�,2 Ooc
TYPE OF WORK: Yl f -Le
DATE INSP NEEDED: DATE INSP:
INSPECTED BY. 6
WORK IN
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INPUT: DATE:
S/FORMSITOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN A1/ENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOk CT
FEE$60,00
. ..Location of Proposed work: t5 hW.wcry
Street No. Streetlae
Premises owned
Name of Frrm; 6 C c:'` =3�i°�-lsS' Phone: �� 'vz
Address of Firm. / G�,ra,Ac
TYPE OF WORK:
Lay Haase Draln_jZ Repair House Drain
Lay Main _____; Lay Lateral for CommerdaVIndustriai
Building of acres
Connection will be made with to .S�s 2 3 S^
Existing Water Supply: Public Water Well
Proposed Start Date�_�57 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH. OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CQNDTIIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. Only holder-of P-1, P-7 or W-9 licenses
wi(I be issu l a permit PERMIT WILL EXPIRE Tj[I Y(30) DAYS AFTER
dAT E O, F ISSUANCE. The undersigned Drain Layer hereby agrees do all the terms
and conditions set forfih:,in the pit and attached thereto.- Applicant has received
Town Street Excavation Perm No. and/or ConnDOT Permit No
CBYD Nei- oZ � //-. PLEASE,NOTE: -
IFA,SA/Y.ITARYSEWER iATERAL
IS LYrmw75FEET OFA W&
.rfifUSTBEA R TESTED
Signed: 'nt Name: T e��
Llcensed Drain Layer
Date:
Standard°rams\Petmits\APPLICA71ON FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: " 20 /-3
BUILDING ADDRESS 3
STREET oA,41�✓ �
S EET .
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF ONTRAC OR'S SUP OR (PRINT)
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STREET AD ESS SIGNATURE j
S• ��ti r��'n� � ��� �`T � — ���/1� DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER