HomeMy WebLinkAboutDrain Layers Permits 65 Fairview Drive (2) 1500053 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/21/2015
GIS ID: 31500065 FEE: 60.00
MUNIS APPLICATION# 201501312 EXPIRATION DATE: 10/21/2015
APPLICANT =33 LOCATION
NAME: JAMES THROWE DBA ;. ADDRESS: 65 FAIRVIEW DRIVE
ADDRESS: 97 RIVERSIDE DRIVE OWNER: BARRY:SEAN D&GLADYS I
VERNON ROCKVI4LIyCT 06066 65AIIVIEW DR
SOQTM WINDSOR, CT 06074
PHONE 860-289 0095,
WORK DESCRIPTION: NEW SEWER CONNECTION /
THE DRAIN LAYER ASSIGNED TO THIS PEtMI HAS A VALID-LIdi4SE ISSUER'BY THI STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH 3N THE ATTACHED'C6NDITIONS',- ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAkDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
9/21/2015 2:18 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; IS'00n.�3 CONTRACTOR: 1 a ► -e /nu cLle
LOCATION:__._ r 2 y ti ry -I i u.Q.
TYPE OF WORK: . e?Lxloc^ r,r)VAV-fPe•i 1 4)
DATE INSP NEEDED: DATE INSP: 9 -.23- 15-
INSPECTED BY: 60
WORK IN
PROGRESS: /put 5i)e aJ
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SEPTIC TANK PUMPED, SMASHED, FILLED 9 /s�WITNESSED �46 F1 NO
AS-BUILT: V
INPUT: ( ; DATE: 10 O-LVI I
S/molioy/forms 2014 Town of South Windsor INPSECIION REPORT 14
,
APPLICATION FOR DRAIN LAYER PERMIT ,
TOWN OF SOUTH WINDSOR
1540 SULUVANAVENUE
PUBLIC WORKS DEPARTMENT
SOM WINDSOR,IT
FEE$60.00
Location of proposed work:., w �/�`�W Lot#-
Sbeet -
No. Street Name
Premises owned by: 'C
Name of firm: van + �eCj)c- U z G Phone: z�
Address of firm: )w-,g, J,(-,
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TYPE OF WORK:
Lay House Drain Repair House DrairL
Lay Main ; Lay Latierai for CommerciaMdustrial
Building of acres
- Connection will be made with S�00 3S
Bdsting WaW Supply: Public Water,_ Well
Propose!Start Dane Estimated time for completion
a�
ALL WORK TO BE IN ACCORDANCE WMITOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONXITONS ATTACHED TO THE PERMIT
Permit IS to be issued W � s�r� the holder of Drain
Layer's License No. Only holders 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 agn tD all the terns
and conditions set forth In the permit and attached thmeto.. Applicant has receiver!
Town Street 6ccavatilon Permit No. and/or ConnDOT Permit No.
PLEASE NOTE:
CM. -No. rFA'S rrMYSE'WER•LATERAL
IS W r1frN75 FEE lOFA WELL
- Zr NUSTBEA,IR TESTED
Signed: Print Name: r-
Licensed Drain Layer
Date:
StaMIM4 Forms\PermitsWWCAIION FOR DRAIN LAYERS PERW.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: -
BUILDING ADDRESS
STREET : F1`^ V,'��,/
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) ) J NAME OF CONTRACTOR' SUPERVISOR (PRINT)
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STREET ADDRESS SItOTURE
Ver✓ar� C Gam►- 0 CJ(o� —-\ - /. �s- DATE
TOWN STATE ZIP INSPECTED BY TOWN
'i -n 2�3� Qda DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER