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HomeMy WebLinkAboutDrain Layers Permits 137 Orchard Hill Dr -- -- 1300041 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/18/2013 = - = GIS ID: 66900137 = = FEE: 60.00 MUNIS APPLICATION# 201301700 EXPIRATION DATE: 12/18/2013 APPLICANT LOCATION NAME: JAMES THROWE DBA- AIDIS S. I37.�RCHARD HILL DRIVE ADDRESS: 97 RIVERSIDE DRIVE 0 +1ER L RIVIERE LEO F&JEANETTE I VERNON ROCKVILLE�CT 06066' ; 137 QRdIARD HILL DR "SOUT-H WINDSOR,CT 06074 PHONE 860-289-0095 WORK DESCRIPTION: INSTALLSAITAI21�"SEWATRA THE DRAIN LAYER ASSIGNED TO THIS f RMiTHAS A VACIDL�C NS1;IsSUEI3al N THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTi„IN THB"ATTACD CONDITIONS ,AI,L W41K SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARMM ALL OSHA REQUIRI I4IEN P8 AND THEITTACHED CONDITIONS. Ji- ISSUED BY DATE INSPECTED INSPECTED-BYt 11/18/2013 11:56 AM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 13 000 41 CONTRACTOR: TA M CS TlTo,,Je LOCATION: 137 Olc.Gk&re J+i ll TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 1l 9 i INSPECTED BY: 3b WORK IN PROGRESS: CP)�i T✓Gt- o:� ks�- C� P 1�C 51 �,�®M S 4-,I© -� i'Pwc of h�4 B� CC'rts) lcocA br a e AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 13occ41 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SUU1VAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,Cr FEE$60.00 -Location of proposed work: � �� _Ir ►nr�, 6�, l� Lot# Street No. Street Name 'Premises owned by: G6623 Name of Firm: ,� �� 9 c � �.� v>te... Phone: Address of Firm: !-. tRi W15) 1 d� 1/t.��► , TYPE OF WORK: La H • Y Ouse Drain-� Repair`:House Drain Lay Main Lay Lateral for Commercial/Industrial Building - of acres Connection will be made with 5 L R 3 Existing Water Supply: Public Water_ Well Proposed Start Date Estimated time.for completion 1 M60 13 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 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 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 SANITARY SEWER-LATERAL IS WITHIN75FEET OFA WELL IT I MUST BEA,IR TESTS© Signed: Print Name; E Licensed Drain Layer Date: 1 ll,�PhJ Standard f0rms\Per1nitAAPPL1CM0N FOR pRAIN IAYERs PERMrr.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: // - /9 - aOl3 BUILDING ADDRESS 13 7 STREET : ®RCHARhb NJI bg 1c&s' Th1oo,6 Qm, SUBDIVISION: NORTH ARROW , CONTRACTOR (PRINT)/ / NAME 0 CONTRACTOR'SePERVISOR (PRINT) STREET ADDRESS �--� SIGN T E C" l l� (�'r' I_� / DATE TOWN STATE ZIP INSPECTED BY TOWN ro--S" DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER