HomeMy WebLinkAboutDrain Layers Permits 89 Deepwood Drive 1500076 TOWN OF SOUTH WINDSOR
PERMIT NUMBER C T
DRAIN LAYER PERMIT
DATE: 11/16/2015
GIS ID:27000089
MUNIS APPLICATION# 201501658 FEE: 60.00
EXPIRATION DATE: 12/16/2015
APPLICANT LOCATION
NAME: JAMES THROWE Do, ,
ADDRESS: 97 RIVERSIDE DRIVE,-------
RIVE - ADDRESS: 89"DEEPWOOD DRIVE
LLE,CT 06066 OWNER. RICE HARRIET W
VERNON ROCKVI
89 DEEPWOOD DRIVE
PHONE 860-289-0695 SOUTH WINDSOR, CT 06074
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.
ISSUED BY
ATE INSPECTED INSP CTED B
11/16/2015 8:46 AM
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TOWN OF SOUTH WINDSOR INSPEMON REPORT
PERMIT NO.: 15�f �7� . CONTRACTOR:
LOCATION: u)•
T1FPE OF WORK: o Y`P %b
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DATE INSP NEEDED: DATE INSP: �i f sr.ks'
INSPECTED
WORK IN
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AS-BUILT:
INPUT:
S/mdioy/forms 2014 Town of South Windsor INPSECM REPORT 14
APPLFCA710N FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SUL UVAN.AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL.
SOUTH WINDSOR,CT
FEE$60.00
: .Locaft of proposed wmtc
Street No. Sb eel Name
Premises owned by:
Name of Firm I Lweer b Srzy//,,- U Phone.- C�0 9 S
Address of Firm:
TYPE OF WORK:
Lay House Drat • Repair House Drain.
Lay Main._; Lay Lateral for Commerc ialAndustrial
Building_ of ages
• Connection will be made with
B ting Water Supply: Public Wafter= Wdl
Proposed Start Dak Vol— Estimated time for wmpietion ��y�✓ 5'
ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONDITIONS A1TAa1ED TO THE PERMIT
Permit is to be issued to CA( Mvl-t the holder of Drain
Layer's Uaense No. . Only holders of P-1, P 7. or W-9 licenses
Will be dssued a permit. PERMIT WILL EXPIRE THIRTy(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees txo all the tI~rrns
and conditions set forth in the permit and attached thereW.. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
PLEASE NOTE:
CBYD lFA'MNITARYSSWER-LATERAL
IS M WrN75FME.T OFA WELL
1TMIISTBEAr TESTED
Signed: Print Naime: �, . ✓�
Licensed Drain Layer
Date:
Sbtudatld F=1S�ftMb%AWUCA1I0N FOR DRAIN LAYERS PERMIT:doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: //_ /G %
BUILDING ADDRESS : 1?9
STREET : bee.� �A �`
SUBDIVISION:
NORTH ARROW
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-440.10
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S PERVISOR (PRINT)
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STREET ADDRESS SIGNA U E
Vlv/16/1'N i .6-WE
TOWN STATE ZIP INSPECTED BY TOWN
1�o Z-y P1 ���.� DATE
TELEPHONE NUMBER
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