HomeMy WebLinkAboutDrain Layers Permits 10 Blue Spruce Road (2) 1400012 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER DRAIN LAYER PERMIT
DATE: 05/27/2014
GIS ID: 11800010 - FEE: 60.00
MUNIS APPLICATION# 201400646 ,= EXPIRATION DATE: 06/26/2014
APPLICAI %, LOCATION
NAME: EAGLE EARTHWOI §E&-V( ,�DRF SPRUCE ROAD
ADDRESS: 101 N MOUNTAIN ISO ��
b = NRlE1IA1RIN0 BUILDERS INC
CANTON,CT 0601 - 4 �CHIPEL ROAD UNIT 3F
`�� IIVINDSOR,CT 06074
PHONE 860-69 2627 -
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WORK DESCRIPTION: NEW SAW- G C I C3
THE DRAIN LAYER ASSIGNED TO THI 'EI"BIAS AIDE ISSELI3H STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORITN T'HA-AEE�CI;I}s {1k1I5IINs ' `1 L 4ORI{SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAI;L OSHA RE(1TIREMEII S ADD TEE ATTACHED CONDITIONS.
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ISSUED BY 5/27/2014 3:31 PM DATE INSPECTED INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Z V 60ota, CONTRACTOR:_
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: slxgbl{
INSPECTED BY: OD
WORK IN
PROGRESS: cof' ;llll� Sf:lb
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �' DATE: 0 1�
S/2014 Town of South Windsor INPSECTION REPORT 14
APPMATION FOR DRAIN LAYER PERM
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN.HALL
SOUTH WINDSOR,CT
FEE$60.00
.Location of proposed work: $P VyP, S prc oce Kr) Lot,#�_
Street No. Street Name
Premises owned by: a 1&r,4 o
Name of firma j,��,cri� t�R� 9&iC S Phone:. 6�ea7
Address of Hrm: 1?r = .0 6aA
TYPE OF WORK:
La House Drain._; Repair.House Drain
Lay Main ---; Lay Lateral for Commercial/Industrial
Building of aces
Connection will be made with r� P(/`�
Existing Water Supply: Public Water Well
Proposed Start Date ..�--/ Estimated time for completion, D
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ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONDITIONS ATTACHED.TO THE PERMIT
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Permit is to be issued to J ##CA Id. t—a, C �! the holder of Drain
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Layer's License No. 7el-L6. Only holden 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. O'l IFA SANITARYSEWER.LATERAL
IS WIT/fIN75FEET 4FA irVELL
IrMUSTBEAIR rESTED
Signe
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� �rrnt Name:
Licensed Drain Layer
Date:
Standard`rorms\Permits\APPUCAT10N FOR DRAIN IAYERs PERMIT doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: ' K
BUILDING ADDRESS P ,
STREET -
SUBDIVISION:
NORTH ARROW
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CONTRAerOR (PRINT) 9AMEPF CONTRACTOR'S SUPERVISOR (PRINT)
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S EET ADDRESS SI NATURE
611 j f2 2 &a d=!n� -s A 9/11; DATE
TOWN STATE ZIP INSPECTED BY TOWN
90 C13 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER