HomeMy WebLinkAboutDrain Layers Permits 1464 Main Street 1500092 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 11/30/2015
GIS ID: 54901464 FEE: 60.00
MUNIS APPLICATION# 201501752 EXPIRATION DATE: 12/30/2015
APPLICANT LOCATION
NAME: JAMES THROWE DBA ADDRESS: 1464 MAIN STREET
ADDRESS: 97 RIVERSIDE DRIVEf OWNER: SUNDERLAND EDWARD T III&LINDA M
VERNON ROCKVIIyLE;CT 06066 1464 MAIN ST
SOUTH WINDSOR, CT 06074
PHONE 860-289-0095.
WORK DESCRIPTION: NEW SEWER CONNECTION CORNER OF 12 STRONG ROAD AND 1464 MAIN
ST
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 DAT NSPECTED INSPECTED BY
11/30/2015 9:18 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 13-Z900 CONTRACTOR: %A✓®we
LOCATION: 1 q6� Mall) f'd r ilex 0/7 A,
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: a ' e _
INSPECTED BY: ,
WORK IN
PROGRESS:_(`�� n ✓ ,' !� Pyc-
c'E4 � s�i S /� ✓C' c l�v
SEPTIC TANK PUMPED SMASHED FILLED WITNESSED--�❑ NO
AS-BUILT:
INPUT: G m DATE: 16�
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLr ATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULL VANAVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,CT
FEE$60.00
Location of P roPosed work: l Y mr ►n Lot#
Street No. Sbvd Name
'Promises owned by: Cc Sun 1r--1Ct,3A
Name of Rnn 05 Phone., I�
Address Of rim— Y Jf� �.1`-cr11YA
TYPE OF WORK:
Lay House Drain Repair House Drain. •
_ Lay Main ; Lay Lateral for Commerdal/Industrial
Building of aces
Connection will be made with 56 1� 8S,
B ting Water Supply: Public Water Weil
Proposed Start Dat A V IS Estimated time for oompletion /4?,, /_S
ALL WORK TO BE IN ACCORDANCE WTTH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONDTRONS ATTACHED TO THE PERMIT
Permit IS to be issued to J, the holder of Drain
Layer's License No. . Only holders of i�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 tenns
and conditions set forth in the permit and attached thereb.. Applicant has rec&W
Town Shed Excavation hermit No. and/or ConnDOT Permit No.
PLEASE NOTE:
CBYD No. y_ht�/SG lFA'SA1V1TARYMWER G4TERAL
IS WITHIN75FEET OF WELL
IT NUSTBEAtR TESTED
Signed: — Print Name:J., -7�rel, .
Licensed Drain Layer
Date•302L1)1� AS'
Standard Forrr\PerM tsWPPLICATION FOR DRAIN LAYERS PERM .&C
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: kk l5
BUILDING ADDRESS V
STREET I'Y1a,rr" 5 "
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) j NAME OF CONTRACTOR' SUPERVISOR (PRINT)
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STREET ADDRESS (,1,e,,ocz,j SIG URE
TOWN STATE ZIP INSPECTED BY TOWN
o DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER