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HomeMy WebLinkAboutDrain Layers Permits 151 Buckland Road (2) 1600025 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 06/06/2016 GIS ID: 15300151 FEE: 60.00 MUNIS APPLICATION# 201600728 EXPIRATION DATE: 07/06/2016 APPLICANfi - LOCATION NAME: RRJR CONSTRUCTION-CORP ADDRESS- 151`BUCKLAND ROAD ADDRESS: P O BOX 4477 OWNER EVERGREEN WALK LLC STAMFORD,CT 06907 _" " CITPL ACE "- HAR I FORD,CT Q6103 PHONE = _ WORK DESCRIPTION: NEW Sk-WER CON` CTICIN FOR COIVIMI RICAI ZUTLIDING THE DRAIN LAYER ASSIGNED TO THIS PER�vIIT HAS A V"ACID LICENSI ISSUED BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FOkTI44IN THE ATTACHED`CbNDTTi_ONS'. ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STAND4p8,ALL OS REQUIREMENTS,AND THE ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INSPECTED BY 6/6/2016 9:28 AM _ _ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.; 0 CONTRACTOR: - LOCATION: /ti _.,�� �l y� bad TYPE OF WORK: AYLAe) LC)CA.- �< yI h 'C a✓i DATE INSP NEEDED: DATE INSP: A Al INSPECTED BY: &_b WORK IN PROGRESS: Aj e,,j m/ 4 s �o� 42 S-v G/+� . c�� 'Ted @ �.S� ��'r�� L ilt-A Cl r-- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: l`_ DATE: lJollu S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SUL UVANAVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,CT FEE$60.00 Location of proposed work:�� - Sh eet No. Strreet Name Premises owned f Name of Firm: t�t6`I`i:pq U��l'� d�c _ Lg_: ' Address of R m: 1:5, 9e TYPE OF WORK: Per P I a h Lay mouse Drain�j Repair House Drain 15- 6 P Y I for Commercial/Industrial Builds of— acres Grp Connection will be made with E sting Water Supply: Public Water__ Well Pmposei Start Dab " 6 P Estimated time for completion ALL WORK TO BE IN A000RDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA_REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit IS io be issued toft,e/c�w� : 1 'YriS the holder of Drain LOWS License No.RM e-7Q395 la ., Only holders of P-1, P-7. or W-9 licenses will be issued a permL PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth In the permit and attached thereto.. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. PLEASE NOTE: CBYD-No. 703 e9 8' rFA SWlTARYS WER LATERAL IS MVMrN7SFERT OFA WELL rTNUSTBEAIR TESTED Signed• Print Name:Cr1�/- c�,yl t, i5 '. Licensed Drain Layer9/4 , t�ate•_���-�/ - ------------- st anal F«ms\P= sVU1PUcan0N Fa MM LAYM PM Mil:doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: u ty tF O Ar 20 <G' BUILDING ADDRESS IS I &UCH L.4IVQ fiodb STREET : D So o E -I- SUBDIVISION: Ef1E d 61MAW Wd LK NORTH ARROW 1 : i . I c j I i ! I: 006, 62M. AV -- r-- ( ; CORP. 101A, CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT) I-?! 0- go /-/ !�t 7 - Aq,;vc',5ro 4. �:�g STREET ADDRESS SIGNATURE Ts414FOgP yo -f . .._� 4�G�� DATE TOWN STATE ZIP INSPECTED BY TOWN Z O 3 Z f 9 7 7 9 9 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER � . : z . �� � � . � � � �T © <��< . . . , . . >. . . � � � � � � : 9 © � : .«< ƒ � �: » . :\: � 2� � . © : ��� � y �® �d�< � � � ���' � / � 2 . . > _ ��< �©�� ^ . x��- : ` . � « - . , �w � , - «x ��< » ° � .$�/� � . n � ry � y �©� y d . � , � �}> . � «� • > . . > _ � � \�\} w � \`� �� - , , , ,� - � � \\���� ��w�j��7_�� � � . \\\\/ � . _ Z , s . �� . ««\ § �««< j \ � , t §». ® � ^ \�w»� :©� ` g » � «» } «<v © ^ _. « y\ . \� :�