HomeMy WebLinkAboutDrain Layers Permits 11 Blue Spruce Road (2) 1400002 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
DRAIN LAYER PERMIT
DATE: 02/27/2014
GIS ID: 11800011 FEE: 60.00
MUNIS APPLICATION# 201400178 EXPIRATION DATE: 03/29/2014
APPLICAI - LOCATION
NAME: EAGLE EARTHWO1� ADDRESS: TBLE SPRUCE ROAD
ADDRESS: 101 N MOUNTAIN O ll - 6) 14ANN, RINO BUILDERS INC
CANTON, CT 060111s - = ,f CHAPEL ROAD UNIT 3F
z SQ�ZTI WINDSOR,CT 06074
PHONE 860-69 2027 V
WORK DESCRIPTION: NEW S BCTION
Ai
THE DRAIN LAYER ASSIGNED TO THIS PFIAIIT HAS A VALID LTENEISSUED.BY TLC STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORPIN THE ATTACHED` 6NDITIONS ALL,VORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANI)j;D ALL OSHA REQUIREMENTS Al D Y IE ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
2/27/2014 1 I:00 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: 6o c' e
LOCATION: 1 1 ► '. ,�( y L �2 Get
TYPE OF WORK: (,4-> r-e 6.,c c'r1
DATE INSP NEEDED: DATE INSP
INSPECTED BY:
WORK IN
PROGRESS: I yc 5D
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �' BATE:
W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOB.DRAIN LAYER PEP041T
TOWN OF SOUPH WINDSOR
1540 SULLIVAN AVEN riE
PUBLIC WORKS DEPARTMENT
TOWN HALL -
SOIJTH WINDSOR, CT
FEE$60.00
Location of proposed work: I B 1up K Fru t.,:E. .9 D—LO t
Street No. Street Name - -
-Premises owrwed by; crh�tcr r►`LaA I Irld s
Name of Finn: Gent 1%ctr 'taPhone:
Addresss of Firm:. IZI /tI R P r-&"
TYPE OF WORK:
Lay House Drain : Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with r V(
Existing Water Supply: Public Water_ ,! well—
Proposed Start Date �Estimated time for completion—4Q-2L`Y�l -
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 A C �a e l tA4+ 7c e the holder of Drain
Layer's License No. a2 9 ! 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 DOTE:
1S WITHIN 7s FEET OFA WELL
IT MUST SEArR TEMD --
AWSoned: 1Z ��PrjntName:
Licensed Drain Layer
Date:
Standard G'orms\Perrn'sts%APPLICAT ON FOR DRAIN LAYERS PERMT -doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: e
BUILDING ADDRESS C Zc,,4 r
STREET :
SUBDIVISION: Zr� ,e
NORTH ARROW
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CONTRAC OR (PRINT) NAM 0 CONTRACT 'S SUP VISOR (PRINT)
000,7,
STR ADDRESS
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DATE
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TOWN' STATE ZIP INSPECTED BY TOWN
- 7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER