HomeMy WebLinkAboutdrain layer permit 97 Commerce Way 900052 TOWN OF SOUTH WINDSOR CT
PERMIT NUMBER
DRAIN LAYER PERMIT
DATE: 08/17/09 An
71
GIS ID:22500097
MUMS APPLICATION# 200900970 FEE: 60.00
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EXPIRATION DATE: 09/16/09
APPLICANT ;LOCATION
NAME: M&S PAVING AND SAfiTN C� ERCE WAY
ADDRESS: 435 BUCKLAND ROtI - Al ARF
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D O
��#l;IY LLC
SOUTH WINDSOR,GT I160 4 � �� �lk 0 AND ROAD
-SOUTH INDSOR,CT 06074
PHONE 860-6489fln, � % s
WORK DESCRIPTION: M&S PA �TW �
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THE DRAIN LAYER ASSIGNED TO THIS PL� Ie � A El$ � -STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH f T11 O LORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS; L N I W;Xt / E ATTACHED CONDITIONS.
�i 4 -----------------------
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ISSUED BY DATE iv SPEC TED IN BY
8/17/2009 2:54 PM
TOWN OF SOUTH WINDSOft INSPECTION REPORT
PERMIT NO.: 9 OD 05a CONTRACTOR: (I
LOCATION: - / D (� YD 1
TYPE OF WORK: _
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK JN
PROGRESS: ti: Z rl '' V c a z 3S
r S47- L Fro PIL
AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSECiTON REPORT 07
Aug 17 09 01 : 26p M&S Paving And Sealing, I 860-648-4602 p. 2
a ao 9 009 ® 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: Lot #
Street No. Street Name
Premises owned by:
Name of Firm:_ yw d 4'v CU'. Phone• Kc 6 `--?1.S—
Address of Firm:_ 77
IYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water. y 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 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 AVER
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: cc• j �r = _Prnt_Name:A�
/Licensed Drain yer
Date:
Standard F0rms\Perm1ts%APPLICA7I0N FOR DRAIN LAYERS PERMIT.doc
PLUMBING&PIPS'
I CC3NTRACTOR
DOi,
9 P��IN
LIC./REG N
Q E TIV. f EXPIRES
I PLM.6164549=P
10/31/2009:
SIGNED
08/14/2009 11:26 TOWN OF SOUTH WINDSOR PG 1
catherinedmolloy APPLICATION PROFILE Ipiappent
GENERAL APPLICATION
-------------------
Application ref 200900970 Fee Effective Dt 08/14/2009
Department 3111 - ENGINEERING
Location 97 COMMERCE WAY
Parcel 22500097
Cross streets
Add'l loc desc 97-105 COMMERCE WAY
Municipality SOUTH WINDSOR
Subdivision Lot
Existing use INDUSTRIAL VACANT LAND
memo
Current Zoning
Flood zone
Applicant
Proj/Activity SEWER CONNECTION COMM/INDUST
Class of work
Description M&S PAVING NEW SEWER HOOK UP
Proposed use INDUSTRIAL VACANT LAND
memo
Proposed zoning
Flood zone
Non-conforming N
Applic received 08/14/09
Estimated cost 0
Estim start/end
Actual start/end
Impervious Surf
Assigned to
Status ACTIVE
Status code desc NEW Multiple submissions N
Next action Government owned N
memo
Ordinance ref
Reason for app
Parent app
INSPECTIONS
Type Requested Scheduled Insptr Permformd Results Dal Due
NEW SANCON .00
AUDIT HISTORY
-------------
Department Action Source Created by
Date Comments
3111 - ENGINEERING Permit payment collected APP catherinedmolloy
08/14/09 Payment collected on permit SEWER CONNECTION CHARGE -COMM
3111 - ENGINEERING Permit payment collected APP catherinedmolloy
08/14/09 Payment collected on permit DRAIN LAYER PERMIT D
3111 - ENGINEERING Application entered. APP catherinedmolloy
08/14/09
08/14/2009 11:26 TOWN OF SOUTH WINDSOR PG 2
catherinedmolloy APPLICATION PROFILE Ipiappent
Application ref: 200900970 (continued)
** END OF REPORT - Generated by Molloy, Catherine **
TOWN OF - SOUTH WINDSOR '
SANITARY - .SEWER LATE RAL "RE LD LOCATION
DATE. OF CONSTRUCTION:
BUILDING ADDRESS j 0'e�'
STREET 07
SUBDIVISION:
TNORROW
V b
Not
Ir
— OF oll
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as a
ONTRACTO PRINT NAME OF CONTRACTOR'S SUPERVISOR: (PRINT)
StREET ADDRESS SIGNATURE
7
Oda DATE
TOWN STATE ZIP INSPECTED BY TOWN
8� DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER