HomeMy WebLinkAboutDrain Layers Permits 437 Clark Street (2) 1500012 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/30/2015
GIS ID:20400437 FEE: 60.00
MUNIS APPLICATION# 201500237 EXPIRATION DATE: 04/29/2015
APPLICANT LOCATION
NAME: JDC ENTERPRISES INC. ADDRESS: 437 CLARK STREET
ADDRESS: 420 JOHN FITCH BLVD OWNER: WELLS FARGO FINANCIAL AMERICA INC
SOUTH WINDSOR, CT 06074 MAC X7801-013
FORT M113L, SC 29715
PHONE 860-667-4800-
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 IN THE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND-THE ATTACHED CONDITIONS.
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ISSUED BYJ DATE INSPECTED INSPECTED BY
3/30/2015 8:50 AM
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION 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: �"? P1a�h �•, Ltrt#
Street No. Sbed Name
Premises owned by: U Q Lt c
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: Name of Arm: l y 1•r ��-kl• � :
: Address of V� L ` , �--�,�,� 1,�, .C, 2q7t5
TYPE OF WORK:
Lay Huse Drain-- • Repair House Drain •
Lay Main____,_; Lay Lateral for Commeft Industrial
EUMIna of apes
• Connection will be made with
E)isting Water Supply: Public Water_ Well v'
Proposed Start Date Estimated time for CDmpietlon
ALL WORK TO BE IN ACCORDANCE WLT i MWN'OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREr ENTS AND CONDTRONS ATTACHE TO THE PERMIT
Permit IS to be issued to "T b C rn id-ja es the holder of Drain
° Layer's License No. aaQ V 3 a 3- P-7 . Only holders of P-1, P-7. or iN-911ac ses
will be issued a permiL PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the tenors
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:
>: C�fD No.=fit y lam_. TFA S W1rARYSEWER.L47ERAL
IS WITHIN75rERTOPA WELL
ITNIISTBEAIR ESlEO
Signed: t Name:
Licensed Drain Layer
Da �v e 7
Standard F=tlPerimiL VffUCATION FOR(RAIN tAYM-PS MIT.doc
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+ STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION
Be''it known that `
JOSEPH D CAREY
PO BOX 905
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SOUTH WINDSOR, CT 06074-0905
I
has been certified by the Department of Consumer Protection as a licensed
li PLUMBING & PIPING LIMITED CONTRACTOR +
I
i License # PLM.0208323-P7
Effective: 11/01/2014
Expiration:
p on. 10/31/2015
William M.Rubenstein,Commissioner
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS LI
STREET S4-
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) 1�
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STREET AQDRESS SIGNATURE
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TOWN y� `STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER