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HomeMy WebLinkAboutDrain Layers Permits 27 Blue Spruce Road (2) 1.400024 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 07/16/2014 , GIS ID: 11800027 ✓ i2, FEE: 60.00 MUNIS APPLICATION# 2014009505 }� EXPIRATION DATE: 08/15/2014. APPLIC LOCATION. NAME: EAGLE EARTHWO �S, R� F v�� �4 ,A�?DR1 S ttl, SPRUCE ROAD ADDRESS: 101 N MOUNTAIN O � 3 { cant RINO BUILDERS INC CANTON,CT 0601 °r <E �k�y# ' '� ^v A'o CHAPEL ROAD.UNIT 3F Fl ©inH'WINDSOR CT 06074 PHONE 860-69. 2Dl7 1--A-4. Ka ti` �:y �� y ��,�a Y WORK DESCRIPTION: NEWS THE DRAIN LAYER ASSIGNED TO THI E�II`I� S A_a3Jt7� 1�C�ISSTE '� STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORI1sli"E3���?x I15' LORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STAND ,, LL OSH�S R (UI �N6il' x E ATTACHED CONDITIONS. ll ISSUED BY /DATZ SPECTED INSPECTED BY 7/16/2014 12:00 PM i ak c A U oe Af ow r . Yr✓sWt �f S Y t �^�y� � +}i yxv r " ti�z e �'¢ t, s � '} .. g . �y� TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ®u CONTRACTOR:-�� cr W06. LOCATION: 1LLE L,2 f v CG L TYPE OF WORK: A(A L2(1)_QA 1n y) cr ' 'I o lr1 DATE INSP NEEDED: DATE INSP: ZZ _7 INSPECTED BY: r{ll WORK IN PROGRESS: �P �� I���Pv ti J /� f J1��J �G �o4vL 4 � r� IAI �s b/ini Pj4/P;d hell " 1,&frlll helA2a� r,•�r SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014 Town of South Windsor INPSECrION REPORT 14 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: �17 l BUILDING ADDRESS .: Z o-1- ka STREET : , Q ru c.C SUBDIVISION: C NORTH ARROW { ' f � - ( I ( ! ' � I CONTRA OR (PRINT) NAME OF CONTRACTOR'S SUP SOR (PRINT) f 1 S EET ADDRESS SIG RE�� ��� r'�_�b�✓�� � /' � DATE TOWN�^ STATE ZIP INSPECTED BY TOWN �1 0 �.. q3-�-- , 7 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: Pj :2 7 e l u e �-Pn E Lot #�_ Street No. Street Name Premises owned by: '.'kewlow:Ao (9C4(de_rS Name of Firm: r-4�)r -!" � LL;O-V C Phone: O e; Address of Firm: TYPE OF WORK: Lay House Drain; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres f! � r"� f Connection will be made withU Existing Water Supply: Public Water f Well Proposed Start Date r —,,4 fimated 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 ,fir,[to,-N the holder of Drain Layer's License No. Only holders of P-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 terms and conditions set forth in the permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No.� Signed: laovzf Z'—Print Name: Licensed Drain Layer Date: Standard Forms\Permlts\APPLICATION FOR DRAIN LAYERS PERMIT.doc