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HomeMy WebLinkAboutDrain Layers Permits 123 Orchard Hill Dr 1400038 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 09/29/2014 GIS ID: 66900123 MUNIS APPLICATION# 201401375 FEE: 60.0 EXPIRATION DATE: 10/29/2014 APPLICANT---'--- ----------------- LOCATION NAME: JAMES THROWE DBA-F ADDRESS: 123'01(0-I-IARD HILL DRIVE ADDRESS: 97 RIVERSIDE DRIVE OWNER: BELLODY JEFFREY R VERNON ROCKVILLE,CT 23 06066 1 6RCIIARD HILL DR PHONE SOUTH WINDS, CT 06074 860-289--095 WORK DESCRIPTION: NEW SEWER--CONNECTION - THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH 114 THE ATTACHED`CONDITIONS'. ALL WQRK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS. Icy ISSUED BY DATE INSPECTED SPECTED BY 9/29/2014 4:01 PM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: "S LOCATION: I 3 ©rc{ acd �bl/ k " TYPE OF WORK: '1le'�,o Sew.. CQ Y-\necl or-, DATE INSP NEEDED: (P -Z-l4- DATE INSP: �- INSPECTED BY: WORK IN PROGRESS: '� I ��- (O TA16D W/-s ic>A)L �✓A"oy(, -rj Arc1 ck Fl 0 SEPTIC TANK PUMPED SMASHED FILLED ✓ WITNESSED YES F NO AS-BUILT- INPUT:— DATE: S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APPLMATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,CT FEE $60.00 :Location of proposed work: I a3 Drc �4 rc-J, /1 Lot# Street No. Street Name *Premises owned by: �'-� (C)CL Name of Firm: �' f, hone: 9 aG�S Address of Flrm: 6?11 VC i- TYPE OF WORK: , Lay se Hou Drain Re it x • Lay Main : Lay Lateral forHouse Drain Commeraai/Industrial Building of aces Connection will be made with SOR 3 S Existing Wafter Supply: Public Water Well Proposed Start Date—LQLTJJ 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 a �cl) w- the holder of Drain Layer's License No. J a Only holders of P 1, P-7 or W-9 licenses will be issued a permit. PERM WILL EXPIRE THIRTY(30) DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terns ...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.���� R 9bo PLEASE NOTE. 3 lFA SANITARYSL ER LATERAL IS W1TflIN75FEET OFA WELL 1TM11STBEAIR TESTED Signed:— ILPrint Name: Tpiop,4 po Licensed Drain Layer Date:_a Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: Q oc;-, q BUILDING ADDRESS : 1 a3 STREET : C.2rCVrc,rj SUBDIVISION: NORTH ARROW i -� -__--_ _ ._. _t _._ _�.__ _ r . _..�_ __.__ ____,___. Gti n C_ V Lc_1. �- -��► ..s 7-)f,L CONTRACTOR (PRINT) / NAME OF CONTRACTOR'S UPE VISOR (PRINT) !3 �:©© STREET ADDRESS NAT R AU✓, C l C� �D� 44,,6 ___14— , DATE TOWN STATE ZIP INM BY TOWN W6 Qv DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER