HomeMy WebLinkAboutDrain Layers Permits 421 Quarry Brook Dr 1400005 TOWN OF SOUTH WI
PERMIT NUMBER N D S O R, C T
DRAIN LAYER PERMIT
DATE: 03/31/2014
GIS ID: 74100421
MUNIS APPLICATION# 201400300 FEE: 60.00
EXPIRATION DATE: 04/30/2014
APPLICANT LOCATION
NAME: SCHADTLE CONSTRUTIE)N
ADDRESS: 259 WEST ROAD _ ADDRESS; 421 QUARRY BROOK DRIVE
MARLBOROUGH,cT-4G447 = -- ION COMPANY
185 SILAS DEANE HWY
PHONE --= _ - - WTIRSFIELD,CT 06109
WORK DESCRIPTION: NEW S1Vf CQECTIbN '
THE DRAIN LAYER ASSIGNED TO THISPI; IIT�IAS AV�LID LIQ}FISI ISSUED BI'TI THE TERMS AND CONDITIONS SET FORFHIN TI31 ATTACTIEI3 GQII}I STATE AND HEREBY AGREES TO ALL
3i()NS,"ALL XVO
THE TOWN OF SOUTH WINDSOR STANDASs ALL QgHA RK SHALL BE IN ACCORDANCE WITHREQUIREIy1E1TS,AIDHE ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED -°
3/3 1/2014 1 1:00 AM INSPECTED BY
LaCava Construction Co. ' } s z
Builders and Developers
185 Silas Deane Highway
WETHERSFIELD, CONN. 06109
DATE
TO y SUBJECT
J Gam( % ✓? 1/ i e`Ni J`�f � J
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SIGNED f/f/ _
a PLEASE REPLY NO REPLY NECESSARY
® To Reorder.
800.226-6380 or nebs.com
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: VDD( S- CONTRACTOR: Sch o -V e . cbos
LOCATION: y a 1
TYPE OF WORK: mew Sower coYv fL lor\
DATE INSP NEEDED: DATE INSP: i
INSPECTED BY: OD
WORK IN
PROGRESS:
'�L7 �i7•�s ! [`�i -V['�YytyZ C`5"--'!'L'Ltl1 - d y4o.R3 `,1 y� C_ / =3 iSa 61 s-oS
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: y
INPUT: C��U� `` DATE: 1/ D I .
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: OL✓ a24<1 Lot #
Street No. Str t Name
Premises owned by: G-a_C�✓A
Name of Firm: Phone: '6_ (p0Zc�S`,-110
Address of Firm: ��'�6T -ZD C7 oC,tiy -1
TYPE OF WORK:
Lay House DrainS� • Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 6 jalz— is—67-�,/-;tt
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 &JI n S A AnT � the holder of Drain
Layer's License No. Pjfn o2`5� )T!�7 Only holders of P-1, P-7 or W-9 licenses
mi will be issued a pert. 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.
CBYD No. d_l 1- �. - J- /,Z
Signed: lz� Print Name:_ rl
L censed Drain Layer
Date: ),---l o—f tj
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESSQZL/ -�Y
STREET &Lz
SUBDIVISION: u/ood��S
NORTH ARROW
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CONTRA OR (PRINT) MAU 6F CONTRACTOR'S S VISOR (PRINT)
STREET ADDRESS VNATORP
- ffig oro L/S �T CrI C� ? J� 3 i� DATE
TOWN STATE ZIP INSPECTED BY TOWN
60 Sol DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER