HomeMy WebLinkAboutDrain Layers Permits 121 Frazer Fir Road (2) 1300044 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 11/25/2013
GIS ID: 34430121 FEE: 60.00
MUNIS APPLICATION# 201301747 - EXPIRATION DATE: 12/25/2013
APPLICANT LOCATION
NAME: EAGLE EARTHWORK-§ERV;�'- 4VAIDI RP S: 1121 TIMZER FIR ROAD
ADDRESS: 101 N MOUNTAIN ROAk}% OWNER A k&NARINO BUILDERS LLC
CANTON,CT 06019 Z4o CCA'EL ROAD#3F
80jTTH WINDSOR,CT 06074
PHONE 860-693 2O2-
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WORK DESCRIPTION: NEW SEWffZATEQkV.A �CT�ON
THE DRAIN LAYER ASSIGNED TO THIS 'ERMIT H A VALID LIG3 ISSUED BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR Mp HE ATTIC t t)NI ITI�NS ZL WQ K SHALL BE IN ACCORDANCE WITH
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THE TOWN OF SOUTH WINDSOR STANDA ALL 0SHA-kt ShQ JII W-04 TS AND�HE ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED SPECTED BY
11/25/2013 9:10 AM
in
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: En.�i fawK �yics
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: ice- -l DATE INSP: M-2s--t 3
INSPECTED BY: ��
WORK IN
PROGRESS: APPP-vX.
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SEPTIC TANK PUMPED, SMASHED, FILLED N lA WITNESSED ❑ YES ❑ NO
AS-BUILT: air�+s-�-r
INPUT: DATE: '2 1 g
V/1Hl;07I of�JU`}1 vr Ilr,i or INPSECTION REPORT 07
Per m;l 4013000411
- APPUtCATION FOR DRAIN LAYER PERMIT
Appl aO/30/7 S/7 TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSO Cr
FEE$60000
Location of proposed worts: 2,` r`/' llzb Lot#
trees t No
Street Name
Premises owned by: afi 1 GCS
Name of Finn: o-
ne:
< C�J 5
�w
Address of Firm: . —�!>.
TYPE OF WORK:
Lay House DralrL_ Repair House Drain
- Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water_ Well
Proposed Start Dat% L,� 13 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 1c 4.1401A the holder of Drain
Layer's License No. 6 Only holders of P-11 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 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. j� ? '3a IFA SANITARYSEWER-LATERAL
IS WlTfflN75 FEET OFA WELL
IT MUST BEAIR TESTEV
Signed: f rint Name: �C l 46 Gc11.Y1
Licensed Drain Layer
Date:
Standard'Forms\Permits\APPLICATION FOR DRAIN WERS'PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS L,o-�
STREET :
SUBDIVISION: p h `I-TE f-z- q--7SrjAj
NORTH ARROW
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CONTR OR (PRINT) NAME OF CONTRACT RCS SUPERVISOR
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STR � ADDRESS S����'1 O� ; � I P ,� DATE
TOWN
/� P D STATE ZIP INS TO ON
6 D 6u`',;zo 5 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER �I