HomeMy WebLinkAboutDrain Layers Permit 05 Balsam Fir Road 900017
PER!wffNUMBER TOWN OF SOUTH WINDSOR, CT
DRAIN LAYER PERMIT
DATE: 05/04/09
GIS ID: 07150005
MUNIS APPLICATION# 200900443
FEE: 60.00
APPLICANT s
EXPIRATION DATE: 06/03/09
NAME
MANNARINO BUILDERS INp LOCATION
ADDRESS: 400 CHAPEL ROAD
x � f S BALSAM FIR ROAD
UNIT 3F AI 'NO BUILDERS INC
SOUTH WINDSOR
PHONE ry I1�s4 tt � 1 9 ELL*GTON RD
860-28947055 .
q SOR, CT 06074
WORK DESCRIPTION:
NEW SE ��� O .m.�:
s �
THE DRAIN
LAYER ASSIGNED TO THIS .' T :
THE TERMS AND CONDITIONS SET FORTIS.
T $iJaE� TATE AND HEREBY AGREES TO ALL
THE TOWN OF SOUTH WINDSOR STAND
. L v I2K
SHALL BE
AR A ;OSt �.. IN ACCORDANCE WITH
<vTS ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED
5/4/2009 3:46 PM INSPECTED'By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT-NO.: R 1900 l`? CONTRACTOR:
. _ il y1 a rLl h t�
LOCATION: �Q QS� vr, C-7 cy
"TYPE OF WORK:
--=- -- - --DATE INSP NEEDED: DATE INSP:
INSPECTED BY: ab
WORK IN
PROGRESS: S D2 3 ry^'
AS-BUILT: !/
INPUT: DATE:-----------------
W/2007 Town of South Windsor iNpsEcTioN REPORT 07
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:4 &kel F--e � L— , 17
Fl--e- of #
Street No. Street Name
Premises owned by: _.604INue 6y,74/
Name of Firm: Cevv te1 Phone: XO 24:Z-.7
Address of Firm jo I VORA., M— 4, 1Cl', (�CCS,AA-91 4;
TYPE OF WORK:
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
1`
Connection will be made with p V
Existing Water Supply: Public Water_ Well
Proposed Start Date Estimated time for completion W r I
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 B t l`CAQ& W,` o 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: 6 print Name:_ &(Uq—e �1 `l cvx
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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