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HomeMy WebLinkAboutDrain Layers Permits 19 Blue Spruce Road (2) 1400013 TOWN OF SOUTH WINDSOR, CT- PERMIT NUMBER DRAIN LAYER PERMIT DATE: 06/02/2014 f: GIS ID: 11800019 h FEE: 60.00 MUNIS APPLICATION# 201400685 EXPIRATION DATE: 07/02/2014 mv APPLICA LOCATION } 4 w 3'4 47'ir.� f Mfi 4 NAME: EAGLE EARTHWOPKSI�7 ApDREBS ' `BL ,�SPRUCE ROAD ADDRESS: 101 N MOUNTAIN.1 rR t r f� NER -y tMA IARINO BUILDERS INC CANTON,CT 06019' '400 CHI PEL ROAD UNIT 3F 41 n a ti ti S�JHVINDSOR,CT 06074 PHONE 860-69 '` ��� X't 5� 5 r�.•tit' 4 �� 'er5'"� !'�, WORK DESCRIPTION: NEW S� OiN�CTION �} THE DRAIN LAYER ASSIGNED TO' f�S?�=1 ,TD LxCE 4TSSUl b$Y II STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORiI'1N TIATI'ACID`C,0ONDIZIDI�T "AI,L 4VsbRK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDAR�S7 ALIT C�SHtt'REQIIREMEITS D TIE ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INSPECTED BY 6/2/2014 3:55 PM k y 5 3 4 { PMl9 f b h h t 4 i, - �� S z�•� N t s A'1 v�, i .Lw.� ,s wi �i 6 � ss 1 jL S f T la ti -vk. TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1110 613 CONTRACTOR: CQU/e KL LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 1; 3 �i INSPECTED BY: A b WORK IN rf PROGRESS: _L:ww � ;�nS [� PVC j f { l e� �r�✓t , r e�'c cs; "ic1.d�2il �c-e> e NJ Ca�,ne �� 5'Vi 5'ci+ YO i,;, ?J�+�t, SJ�Y' $c.rfi �► SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: " DATE: S/2014 Town of South Windsor INPSECTION REPORT 14 APPMATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOIt 1540 SULLIVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR, Cr FEE $60.00 Location of proposed work C Ql v� SpfuGe Lot# Street No. Street Name Premises owned by. A"i?rr'na w (o S Name of Firm: F7a a(� ewlk, c dery tq Phone: 60-�'93-2�� -�. - Address of Firm: O/ W11,1f4 /t, TYPE OF WORK: Lay House Drain • Repair House Drain Lay Main ____; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with O p Existing Water Supply: Public Water_ Well Proposed Start Date �3-d a/y Estimated time for completion ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to_&,c4(del the holder of Drain Layer's License No. Y7f/. Only holders of P-1,-P-7 or W-9 Iicenses will be issued a permit. 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. ©f Y a ®a�y� IFA SAIVITARYSEWERLATERAL IS WITHI/Y 75 FEET OF WELL IT MUST BEAIR TESTED Signed: Print Name: ' ,'e 1A1-rit41 _ Licensed Drain Layer Date: " - standard rorms\PermiWAPPLICATION FOR BRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS f �' STREET : :r�% , F.; "U-C~ - �` SUBDIVISION: NORTH ARROW - - _ k le kl) MAN 9 CONTRACTOR (PRINT) p NA OE OF ONTRACTOR''SS SUPERVISOR (PRINT) �tfid ADDRESS SIG A DATE _ TOWN STATE ZIP ' INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER