HomeMy WebLinkAboutDrain Layers Permits 77 Foster Road (2) 1600057 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 10/18/2016
GIS ID: 33300077 FEE: 60.00
MUNIS APPLICATION# 201601538 EXPIRATION DATE: 11/17/2016
APPLICANT ,; LOCATION
NAME: JAMES THROWE DBA, ADDRESS: 77 F-OSTER ROAD
ADDRESS: 97 RIVERSIDE DRIVE OWNER: COTE RICHARD D&VALERIE J
VERNON ROCKVILLE, CT 06066 77 FOSTER ROAD
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 FORT14IN 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 DATE INSPECTED INSPECTED BY
10/18/2016 10:26 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT Na: 16 000 CONTRACrOR: -TOLOVS Ar&2-),,z
LOCATION: 7`7 ZE:Os -,�e r 90a-;r-,/
T YPE OF WORK: se w Pt G�►� ��� mil'®r�
DATE INSP NEEDED: DATE INSP: ec z ®4
INSPECTED
WORK IN
PROGRESS:
-t-esa/
SEPTIC TANK PUMPED,--SMASHED FILLED WITNESSED &YES ❑ NO
AS-BUILT:
DATE:
S/monovimms 2014 Town of South Windsor MSECI M REPORT 14 _
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SUL.LIVAN-AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,CT
FEE$60.00
-Location of proposed work:_ j 7 _E s4c-r- IAt#
Shred No. Stred Name
Premises owned ' ale,
Name of Rrm: n:1 .-23 5 co IS
Address of firm:_q7?
TYPE OF WORK:
Lay House Drain=; Repair House Drain. •
Lay Main_; Lay Lateral for Commerciai/Indushial
Building of acres
Connection will be made with SOS �S
Existing Water Supply: Public Water_ Weil
Proposed Start Dat jjU6-rl Estimated time for completion �2l06 r C,
ALL WORK TO BE IN ACOORDANCE W1TH.TOWN.OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND COND17MNS ATTACHED TO THE PERMIT
Permit Is to be Issued tD r �� the holder of Drain
Layer's License No. Only hollers of 1-11, 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 tD ail the terms
and conditions set fortis In the permit and attached drift.. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
C DD-No.�I(, WO Z Y4 7 PLEASE NOTE:
lFA SA/YITARYSAWER•LAIBM
ISWITHrN75 FE*TOFA WELL
1TMl6T5EAIR TESTED
Slgned: 7"L Print Name: jr4 r
Licensed Drain Layer
Date:- oc; l �
sward ►ft,APPiranauFOR M41N was PERM .&C
f
TOWN OF SOUTH WINDSOR
��,SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: c;z 1—/16'
BUILDING ADDRESS .
STREET : ems 2 ,d
SUBDIVISION:
NORTH ARROW27
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CONTRACTOR (PRINT) NAME OF ONTRAC OR /-IPERIISOR (PRINT)
STREET ADDRESS SIGNATUE
��--✓�+'1�a n �'� ����� �� � � j �1�1{� DATE
TOWN STATE ZIP INSPECTED BY TOWN
njr DATE
TELEPHONE NUMBER [s�
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER