HomeMy WebLinkAboutdrain layer permit 92 Frazer Fir Road 1000063 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 11/29/10
GIS ID: 34430092 FEE: 60.00
MUNIS APPLICATION# 201001594 EXPIRATION DATE: 12/29/10
APPLICANT LOCATION
NAME: MANNARINO BUILDERS,INC , ADDRESS: 92 FRAZER FIR ROAD
ADDRESS: 400 CHAPEL ROAD OWNER: MANNARINO BUILDERS INC
UNIT 3F 400 CHAPEL RD UNIT 3-F
SOUTH WINDSOR,CT,06074 SOUTH WINDSOR,CT 06074
PHONE 860-289-7'85
WORK DESCRIPTION: NEW SEWERS CONNECTION
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALIII LICENSE ISSUED BY THE;STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IN THE ATTACHED`CONDITIONS': ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA,REQUIREMENTS AND THI ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
11/29/2010 11:13 AM
. .........................................
4 .
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l (3� CONTRACTOR: rn c7t
LOCATION: a El Z.P(z- T'`
TYPE OF WORK: O e� S'p w-O-�
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DATE INSP NEEDED: DATE INSP: i i 301�o
INSPECTED BY:_ ,�
WORK IN
PROGRESS:_ .n4vur e✓ �n s 4�t a �`'(� � 51��' 3 �, s h to
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: --
DATE: ) 30 Q
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
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: �g {'j'`- P Lot #,
Street No. StreetName
Premises owned by: Awiinaroo R ud l`cr
Name of Firm: " 3
Address of Firm: bo/eI A pq I?))I?)) - Cf_ r ki
TYPE OF WORK:
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
�r PI/
Existing Water Supply: Public Water. Well
Proposed Start Date —3e Estimated time for completion t 4/11
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT k
Permit is to be issued to M;r-4 4e C 4) ��` 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.
901 e. q1040 31,E
Si ned: � ,Print Name:
f g
Licensed Drain Layer
Date:_ % " l
Standard Farms\Pe.mits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET : Ef `z,tr F-r. f P,
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
A1111
STREET ADDRESS SIGNATURE
Noll DATE
TOWN STATE ZIP INSPECTED BY TOWN
_e6 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER