HomeMy WebLinkAboutRecords Retention 2010. Page 4 RECORDS DISPOSITION AUTHORIZATION STATE OF CONNECTICUT
Connecticut Towns,Municipalities, and Boards of a Connecticut State Library
Education . Office of the Public Records Administrator
Form RC-075(Revised 01/2010) «- �. r
INSTRUCTIONS: w.231 Capitol Avenue,Hartford,CT 06106
ww csl ib.org/pu blicrecords
1. Use this form to obtain approval for disposition(destruction or transfer)of public records pursuant to CGS§7-109.
2. If this form is used for educational records,please ensure that the Superintendent of Schools reviews and signs the form.
3. If necessary,use additional forms. Each form must be signed. Please fill-out the form completely and,legibly and submit to the above-listed address at
least 20 days prior to the proposed date of disposition.
4. Volume of Records:Letter-size drawer=1.54 cubic ft./Legal-size drawer=2.0 cubic ft./Record carton(standard banker's box) =1.0 cubic ft
5. After receiving approval,the original signed form must be retained in the Office of the Town Clerk. The originator of this form(custodian of the record)
may keep a duplicate copy. Records that cannot be destroyed have been so noted.
LOCAL GOVERNMENT ENTITY: DATE:
Town of South Windsor 7/21/2010
CUSTODIAN OF RECORDS: PHONE:
Building Department 860-644-2511 ext.230
ADDRESS(form will he returned to this address):
06074
I hereby certify that the records listed below have met the retention require.ments,estdblish'ed bythe Office of the Public Records Administrator in the
foam of approyed records retention schedules...No.records listed,m our opinion,pertain to,any pendin g case,claim,or action.
.CUSTODs,a,N OF RECORD(type vrprint): SIG ( •stndinn ofReeord): DAT
GOVERNMENT Building Department � -GO
AUTHORIZATION HEAD OF MUNICIPALITY(type t or rin : SIGN TU
p ) (Head ofM ' 'pality):4 DATE:
Mathew Galligan
EDUCATION SUPERINTENDENT OF SCHOOLS(type orprint): SIGNATURE(Superintendent of chools): DA E:
AUTHORIZATION
SCHEDULE& INCLUSIVEDATES'' VOLUME OF PROPOSED
SERIES# RECORDS SERIES.TITLE OF RECOR_ DS RECORDS DATE OF
(e.g.,MI-080) FROM- THRU fndieate cubiejt) DISPOSITION
1.M 10-0: i
2. M10-03 0 935 Main Street Permit#30314 12/29/2003 11/22/2005
3.M10-03 0 61 Lavender Lane Permit#30013 8/15/2006 11/19/2004
4.M10-03 0 31 Lakewood Drive Permit#30528 4/8/2004 9/14/2006 01
5.M10-03 0 168 Rimfield Drive Permit#30482 4/20/2004 7/2/2004
6.M10-03 0 172 Pheasant Way Permit#30466 4/2/2004 7/13/2004
7.M10-03 0 36 Tumblebrook Drive Permit#30505 4/5/2004 8/13/2004
8.M10-03 0 54 Lipman Drive Permit#30516 4/13/2004 4/26/2004
9.M10-031b 36 Natsisky Farms Road#30580 5/5/2004 8/11/2004
10.M10-0300 70 Eagle Run Permit#31338 2/22/2005 7/7/2005
I I-M10-03(0 '132 Pine Knob Drive Permit#31514 3/17/2005 6/24/2005
12.M10{ % 20 Eagle Run Permit#30656 5/27/2004 4/8/2005
13.M10-0A 1675 Main Street Permit#31390 12/21/2004 8/19/2005
14. Ml 0—0 3 0 77 Windy Hill Drive Permit#31161 11/1/2004 9/20/2005
APPR (Pu o d d nistrator): DATT�SCp o 9 2010
PUBLIC JCI
RECORDS ' e*
AUTHORIZATION APPROVED(S'tate�9rcivisY}� D�TF n 2010
StY 11
PUBLIC RECORDS NOTES: