The URL can be used to link to this page

Home My WebLink AboutDrain Layers Permits 34 Candlewood Drive (2) 1900101 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT Ma DATE: 09/23/2019 GIS ID: 16500034 FEE: 80.00 MUNIS APPLICATION# 201902127 EXPIRATION DATE: 10/23/20 i 9 APPLICA `T F LOCATION NAME: CMC ENTERPRISES�,L r ADDRESS - 34 CA TDLEWOOD DRIVE ADDRESS: 48 EAST DUDLEY�TY? [Rt p. OWNER CHRISTENSEN JOHN ! 34 CAIpLEWOOD DRIVE BLOOMFIELD,C06Q©2+` l� 3 PHONE + � 5 WORK DESCRIPTION: REPAIR s�sr 'AxsEWEItZINE, ,ft THE DRAIN LAYER ASSIGNED TO THIS PIIT HAS A V,AI I I.INSE•,IS UID;BY IE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FOWf I1�THE AT i`ACT ED`CO DI3 0NS' I L CORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDIIS, rLL OSHA IrEIUIREMEKTS ►II:D T)IE ATTACHED CONDITIONS. : rr ISSUED BY ATE INSPECTED INSPECTED B 9/23/2019 9:00 AM ;Gt Of l w' sir r.T'.,' 1 t ti s Ss to h , R t G t IN j I nL:' F SN` +•v5 t 51 Y �F I �t S i +11, r 1 + y S G �i v� s. k TOW' OF SOUrH•.1NINDSORINSPEC N REPORT PERMIT NO.. • 1 ILI LOCATION: F TYPE OF V1fE RK: : s . DATE INSP:. `2 a a I DATE INSP NEEDEO <_ INSPECTED'BY: _ .�� . . rr . UC- PROGRESS: r • . Ea. SMASHED; RILi.ED .�.. - . • ; 1dV1TNESSED ❑-YES C]NO' • . . SEPTIC TANK PUMP. b,. AS BUILD'' DATE: INPUT: - Simillay/f ns 2M4 Taws of South Windsor•1NP8jMON EPOV 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $80.00 Location of proposed work: L)C Lot # Street No. Street Name Premises owned by: F) `\ � o�-j Name of Firm: °1C✓ CC Z �1t5� �, �� Phone:E6-6 e,�Esoo Address of Firm: �f� U�� ,� Z a�3tr ►-tip&Lb c_--- 0600 01 TYPE OF WORK: �- Lay House Drain ; Repair House Drain Sanitary Disconnect Lay Lateral for building with connection or no connection ; Lay Main Lay Lateral for Commercial/Industrial Building number of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date Estimated time for completion cl . - 1 q � Ly2 C'r 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 the holder of Drain Layer's License No%t r,�� Only holders of P-1, P-7 or W-9 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) GAYS 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. _q,,, 21 -i 4, PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 7S FEET OF A WELL IT MUST BE.AIR TESTED . y Signed: Print Name: ) p Licensed Drain�Jye Date: Q Standard FormsTermits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 3/2018.doc 1 &t4�� . 1 r i lam-- i'