HomeMy WebLinkAboutDrain Layers Permits 8 Grandview Terrace 1400030 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/25/2014
GIS ID: 3770000$ k FEE: 60.00
MUNIS APPLICATION# 201401173 x J� yk EXPIRATION DATE: 09/24/2014
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APPLICAN
LOCATION
NAME: EAGLE EARTHWOT Ry-
Zti ,1�7DRE $+J V. VIEW TERRACE
ADDRESS: 101 N MOUNTAIN') AMINO BUILDERS INC
CANTON,CT 06019 k fr x � 0'0 C EL ROAD UNIT 3F
INDSOR,CT 06074
PHONE 860-693#262'1
MMAOA
WORK DESCRIPTION: INSTALITA E�IrE T ATERAS2; ufix �
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THE DRAIN LAYER ASSIGNED TO THIS E$sIII"IAS A7s'll�T,I�3>ahT4 , SSU � Fi ROTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR IHE�A�TTACED` OI II?I�1S' ,AEI VIRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAIj �S R`EQLIZIMNS,A TI ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
8/25/2014 9:24 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I4c.cc)3 c' CONTRACTOR: F-Al-L ''� ""a
TYPE OF WORK: :EL2;Ai sw E
DATE INSP NEEDED: DATE INSP: 3-25-t
INSPECTED BY:
WORK IN
PROGRESS•_. 0"' " /�r�.. _ 22 y'v+� MJ0 ("'W6705, N'6
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [] NO
AS-BUILT:
C �-INPUT:
DATE.
5/2014 Town of South Windsor INPSEMON REPORT 14
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._z 2 (Cc,) Lot
Street No. Street Name
Premises owned by i2o(eon Te,4�cceq(i
:
Name of Firm:_ Phone: _6613, ),Q97
Address of Firm:- tOl fl)(qkJ� //�,r�,� CC/0 4V60' f
TYPE OF WORK:
Lay House Drain; Repair House Drain
Lay Main ; by Lateral for Commercial/Industrial
Building of acres
Connection will be made with P U(!,
Existing Water Supply: Public Water_ Well
Proposed Start Date �� 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 17,e °�P�I (Vi2eo'-Z the holder of Drain
Layer's License No. Only holders of P-1, P-7 or W-9 licenses
will be issued a permit. ERMIT 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. ��Z 17-7.
Signed: Print Name: &-b&d L'Lroe��
.
Licensed Drain Layer
Date: Z� ct- 'a
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: ` -
BUILDING ADDRESS
STREET . CU
SUBDIVISION:
NORTH ARROW
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CONT OR (PRINT) IAME F CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS NATURE
019 GATE
TOWN STATE ZIP INSPECTED BY TOWN
�7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER