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HomeMy WebLinkAboutDrain Layers Permits 585 Clark Street (2) 1300039 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/18/2013 GIS ID:20400585 FEE: 60.00 MUNIS APPLICATION# 201301698 EXPIRATION DATE: 12/18/2013 APPLICANT LOCATION NAME: EAGLE EARTHWORK SERV ; ADDRESS• 585 C-LARK STREET ADDRESS: 101 N MOUNTAIN ROAD s QTER A 1�fANNAINO BUILDERS INC CANTON,CT 06019 -` 400 C PEL RD#3F S©UTH V� NDSOR, CT 06074 PHONE 860-693 027--- WORK DESCRIPTION: INSTALL SAN--IT--- PRE E S W Y T 1 THE DRAIN LAYER ASSIGNED TO THIS PERMIT 8 AV 1IftDJ IcENs-Z ISSUE13 BY THE S I ATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTIS Ii�T HEATTA-CM0ft ` ONI ITIONS',ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA RRQ-IThREIVIENTS3 AND T1IE ATTACHED CONDITIONS. PFa �--- ISSUED BY DATE INSPECTED INSPECTED BY 11/18/2013 10:40 AM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 3 ov 639 CONTRACTOR: h-_, -c;-X LOCATION: 5 a 5 TYPE OF WORK: S ,.- inn e Kv% DATE INSP NEEDED: DATE INSP: INSPECTED BY: g� WORK IN PROGRESS )cl k:31- ►�,s}�C(� �i 4��d j s-�.�w , r 'r 1 35 6,41 1 h.,� I..KLi I+Y�'v-) V�'.Za7 �� '1ZJ/4 0 rLY�J SEPTIC TANK PUMPED SMASHED, FILLED WITNESSED ❑ YES [] NO AS BUILT: INPUT: ` DATE: d- ' W12007 Town of South Windsor INPSECTION REPORT 07 MI"1-1 Zot Sot 69 Pam„T APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR - 1540 SUU IVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR CT FEE$60.00 Location of proposed work: Axy� S74° Lot.#_' Street No Street Name 'Premises owned by:_PD�er�- Y! 6063�2 Name of Firm: Phone: g6o--6 ' ao {: Address of Film: CL)J tAl( f?rn, � TYPE OF WORK: Lay House Drain��; Repair House Drain ; Lay Matn _Lay Lateral for Commerdat/Industrial Building of acres Connection will be made with J115 A Ile Existing Water Supply: Public Water Well Proposed Start Datel l_ Q013EStimated 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)(4. e Wyk the holder of Drain Layer's License`No. 17e/Jk Only hoidermof 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 SAIVITARYSEWER.LATERAL IS WITHIN75 FEE T OF WEIL II`musrmAIR TESTED Signed: Print Name: h4e T—Ul1v Licensed Drain Layer Date:1 -1 , standard FotmsftrmitsWPLICATION FOR DRAIN LAYERS PERMrr.doC TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 'f BUILDING ADDRESS . STREET SUBDIVISION: NORTH AR N'�? { ! IAwI { i E { 1 ...___._. _._..__L__....._ff�...............).._.._.......1_,..._-_._...__..._L,._..__.i_....__....._.-_.. ._..___.f.__._�. —.-J.__—.._1_.�..._._t ._.._..�._...-_i._...._ _._._.A__.r-. ........J.__._s._....._�__ •.. _.�L�.._..J__._.._._J_......___._..__,..:___._...c.-�.. _ .__ CONTRA OR (PRINT) NAM OF ZCTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGWTURE DATE T WN STATE ZIP INSPECTED BY TOWN ;? DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER