HomeMy WebLinkAboutDrain Layers Permits 35 Oakwood Drive 1600032 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/15/2016
GIS ID: 66000035 FEE: 60.00
MUNIS APPLICATION# 201600798 EXPIRATION DATE: 07/15/2016
APPLICANT LOCATION
NAME: JAMES THROWE DOA ADDRESS: 35 OAKWOOD DRIVE
ADDRESS: 97 RIVERSIDE DRIVE OWNER: SATERNIS RONALD E&MAUREEN H
VERNON ROCKVILLE,CT 06066 35 OAKWOOD DRIVE
SOUTH WINDSOR, CT 06074
PHONE 860-289-0095
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 BY DATE INSPECTED INSPECTED BY
6/15/2016 12:15 PM
4
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; 16 00e9 4 CONTRACTOR: -Ja. 4 ee'5 .G�[�
LOCATION: 11Y_ OcZA� 22
A
TYPE OF WORK: � `eLt?Pr�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: Celi Ana eAe,- %, Sid 145 el f loyc- S o c '3
69 Gc 42 •1
SEPTIC TANK PUMPED, SMASHED, FILLED '` WITNESSED YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLNAN-AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL.
SOUTH WINDSOR,CT
FEE$60.00
Location Of proposed : a r L. do -Lot 0-
Street No. Street Name
'Premises owned by: &n r i'C
Name of Rrm: 1���.n _ „►tea.- ► �� t ��v k Phone;
Address of Rrm. �i r
TYPE OF WORK:
Lay House Drain" Repair House Drain
Lay Main : Lay Lateral for Commercial/Industrial
Building of_acres
Connection will'be made with
b._
Existing Wafter Supply: Public Water= Well
Proposed Start Estimated time for compietlon l 7J"n /6
.ALL WORK TO BE IN ACCORDANCE WITH.TOWN*OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CO
NDTRONS ATTACHED TO THE PERMIT
Permit Is to be issued to S �' r• _
Layer's License No. � � � � holder of Dram
Onty holders of P-1, P-7. or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE DF-ISSUAMCE. The undersigned Drain Layer hereby agrees W all the germs
and conditions set forth In the permit and attached thereb.. Applicant has received
Town Str eet Excavation Permit No. and/or ConnDOT Permit Na
CBYD No.02�����'d fG,� PLEASE NOTES
lFA SA/VI'TARYSkWER-LATERAL
tS WITHIN75FE4T OFA WELL
Xr NUSTBEAr TESTED
Signed: Print Name: ,jaflx ro u/'e--
Licensed Drain Layer
Data:_
Stanoard Foams\Permits\APPL1Ck710N FOR DRAIN LAYERS PERM.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 3�
STREET : tJC0J l
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SI TURE
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DAT
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TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER