HomeMy WebLinkAboutDrain Layers Permits 201 Frazer Fir Road (2) 1300029 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/13/2013
GIS ID: 34430201 FEE: 60.00
MUNIS APPLICATION# 201301318 EXPIRATION DATE: 10/13/2013
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APPLICANT = %% ,.,� LOCATION
NAME: EAGLE EARTHWORIV j RED 211 FRAMER FIR ROAD
ADDRESS: 101 N MOUNTAIN RCAF Zy NO BUILDERS INC
CANTON,CT 06019 lJl-
04 CHAPEL ROAD
PHONE 860-693-2027
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WORK DESCRIPTION: NEW SEWE_bI �I -jar
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THE DRAIN LAYER ASSIGNED TO THIS 1RIT ITS As�38SUlyy F411LTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTIN1 TEE AtOH� _IT �VRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARIj �? A- t�RET� ATTATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPE TED BY
9/13/2013 8:47 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 13 CONTRACTOR: a t7Il.0d✓`
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LOCATION: off- 0 r �'rct Z-e('
TYPE OF WORK: �J'pi_Q ��L C 00Y-
DATE INSP NEEDED: DATE INSP: / /3
INSPECTED BY: gL2
WORK IN
PROGRESS:� .z_ � v e
SG �� / JO`L► ` Y l Ct-i•a.�—Q. fA ' c "✓t Q Yh
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: r l
INPUT: DATE: Jq11,2,
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 HALL
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 7r� C./'�ir � blot
Street No. Street Name
Premises owned by:Z
Name of Firm; Phone: � , 3- �
Address of Firm:_/-0 / 11L1 �Q fi ! �1---t
TYPE OF WORK:
Lay House Drain_ Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with p Vey
Existing Water Supply: Public Water Well
Proposed Start Date 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 V661'-' t✓r the holder of Drain
Layer's License No. Only holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL-EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer 1.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.
PLEASE NOTE:
CBYD No. IFA SANITARYSEWER LATERAL
IS WITHIN 75 FEET OFA WELL
IT P.usT BEAIR TESTED
Signed:
icensed Drain Layer
Date:
Standard'forms\Permits\APPLICATION FOR DRAIN LAYERS PERMITAx
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
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STREET . T
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SUBDIVISION: D �
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CONT OR (PRINT) NAME f CONTRACTOR UPERVISOR RINT)
TREET ADDRESS IG ATURE
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C171- � � �� / DATE
TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER