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HomeMy WebLinkAboutdrain layer permit 55 Frazer Fir Road 1000032 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT � � DATE: 06/23/10 � --/%%vG GIS ID:34430055 MUNIS APPLICATION# 201000767 z� � G FEE: 60.00 s EXPIRATION DATE: 07/23/10 APPLICAN'L � LOCATION NAME: MANNARINO BUILDI °� SFRAfR FIR ROAD ADDRESS: UNIT 3�EL ROAD �x O BUILDERS INC 5 y 3 �LTGTON RD es SOUTH WINDSOR, } 1 --� �� � �DSOR,CT 06074 Jl PHONE 860-28905 g = £ , y WORK DESCRIPTION: NEW SE £ Cal THE DRAIN LAYER ASSIGNED TO THIS P HAg,A ISUFB TATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTF �T�ECH SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDAI p USE ATTACHED CONDITIONS. ISSUED BY 6/23/20 1 0 2:17 PM DATE SP ED INSPECTED BY 000 s �e�Jr y � y� SE £ _ gJS NA il _ � y G _ S £jj ' �3 a of j y / al To af y r s s c ii TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 3 _ CONTRACTOR: /Ian na r/l7 D LOCATION: S S� (2z�2 /"1 _ kai? TYPE OF WORK: /��t.t' �c cZP2 �/� �n�C'tt'/ d DATE INSP NEEDED: DATE INSP: .INSPECTED BY: B 0 WORK IN PROGRESS: �mrl T , s: �Q�� -PyC SD�3S fro 54-4 Avid SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [] YES ❑ NO AS-BUILT: (/ INPUT: DATE: W12007 Town of South Windsor INPSECRON 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: -S'� Frg z�`2 Gr��Lot # 1 SStreet No. Street Name Premises owned by:�nza r'1 76 460 tl ��- Name of Firm: 9 J5?r9 ra©9h_ J�yI Ce5 Phone: 0 Address of Firm: 1®/ A)Cg TYPE OF WORK: Lay House Drain ' Repair House Drain ; Lay Main ; Lay'Lateral for Commercial/Industrial Building of acres n Connection will be made with _Pl)C Existing Water Supply: Public Water V Well Proposed Start Date __�c ` Estimated time for completion _40 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 gef W L the holder of Drain Layer's License No. .2 28 11,e Only holders of P-1, P-7 or W-9 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER r 4DATE 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. -W/O Jqy� Ste/ Signed: �� Print Name: Licensed Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY - SEWER LATE RAL_.._.fl-E LD LOCATION DATE OF CONSTRUCTION: (m BUILDING` ADDRESS r`aZ F ' 9, r STREET rook, r SUBDIVISION: LOT C)o e N TA EE- r'vn NORTH ARROW C� Ns A1 CON R (PRINT)' NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS = SI NATURE 1J-6rn � �6®/`j aVIJATE TOWN STATE ZIP INSPECTED ,BY TOWN 6 �t � �z DATE TELEPHONE NUMRER WHITE - TOWN PINK - CONTRACTOR YELLOW- CONSULTING .ENGINEER / DEVELOPER