HomeMy WebLinkAboutdrain layer permit 48 Frazer Fir Road 900073 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 12/15/09
GIS ID:34430048
MUNIS APPLICATION# 200901516 FEE: 60.00
4 .- EXPIRATION DATE: 01/14/10
APPLICAN = LOCATION
NAME: MANNARINO BUIL FRAlYR FIR ROAD
ADDRESS: 400 CHAPEL ROAD eaft
UNIT 3F �` � O BUILDERS INC
j2lf§%lLIjNGTON RD
SOUTH WINDSOR,�T0�4 _ ?INDSOR,CT 06074
PHONE 860-289 0 �
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WORK DESCRIPTION: NEW SE
THE DRAIN LAYER ASSIGNED TO THIS 1S A SII ATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTIS PikA G I!'Ifl - ;. RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STAND ASH RE - A T ATTACHED CONDITIONS.
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12/15/2009 3:03 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9 00 0-2 3 '
CONTRACTOR: �VI�a lr' I ✓1 0
LOCATION: L F-Via Zer F/
TYPE OF WORK: Xe")
DATE INSP NEEDED: DATE INSP: r 2 i a
INSPECTED BY: J�A�s
WORK IN
PROGRESS: �� �+,- ` ..5 lO'� f yc
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C,l' DATE: ` d c)
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:—* -F'Y t Zl f-r 1 ,r X b Lot # Vi
Street No. Street Name
Premises owned by: 9 1./a0crr
Name of Firm: ag Ae, 1:cz S, phone: L60
Address of Firm:— f01 Al oft! �L, �� ('�,' C 1. drr p f 9
TYPE OF WORK:
Lay House Drain_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with P
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 . l/a'R the holder of Drain
Layer's License No. d27 i6 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. _dXq (1 f0 M
.Signed: int Nam e.• / f��g�( t017C6
e
Licensed Drain layer
Dater
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN 0� 'SOUTH WINDSOR
SANITARY SEAER.-� LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET F
SUBDIVISION:
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CO tbR .(PRINT) NAME OF CONTRACTORl SUPERVISOR (PRINT).
STREET ADDRESS - ANATURE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE TOWN PINK ! CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER