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HomeMy WebLinkAboutDrain Layers Permits 126 Frazer Fir Road (2) 1100025 TOWN OF SOUTH PERMIT NUMBER W I N D S O R, C T DRAIN LAYER PERMIT DATE: 07/25/11 GIS ID: 34430126 - MUNIS APPLICATION# 201100784 , ; FEE: 60.00 ' EXPIRATION DATE: 08/24/11 APPLICANT NAME: MANNARINO BUILDERS INC LOCATION ; ADDRESS: 400 CHAPEL ROADS : 126`FRAER FIR ROAD UNIT 3F - ER MAN1yAF�INO BUILDERS LLC SOUTH WINDSOR,CT 06107441 © CHAPEL ROAD#3F PHONE 860-289 7055- SOUTHlj NDSOR,CT 06074 WORK DESCRIPTION: NEW SEWHppTI(71 THE DRAIN LAYER ASSIGNED TO THIS 13 RI- HAS A VALID LICENSE ISSUED.BY TM-- TATE AND HEREBY AGREES TO A THE TERMS AND CONDITIONS SET FORTH INTHE ATTACHED`GO ITIpI�FS� AIL W{1 SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ACL OSHA REQIITREMEIITS AI�tD THE ATTACHED CONDITIONS. ISSUED BY 7/25/2011 10:28 AM DATE INSPECTED INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT r PERMIT NO.: C1000d; — CONTRACTOR: Alir (w-�,_1 LOCATION: I (0 T I�� Zell- TYPE OF WORK: ii ill DATE INSP NEEDED: DATE INSP: 8) )1 INSPECTED BY: o-b WORK IN PROGRESS: f.; '' Pyc s D SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: I W12007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WIN'DSOR 1540 SULLIVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: 0 �Zf�r�-�r Street No. Street Name Premises owned by: CC s Name of Firm: fle �PrA 4Jorot 4,9KU1 c--f Phone: Address of Firm:_ /d/ XbRA Jyh4 TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres r� Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date —;�a 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 h1d Permit is to be issued to IhIt (.y'i 10-8e the holder of Drain Layer's License No. ZR/Ix 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. PLEASE NOTE: CBYD No. 'Pom 170 I S740' IFA SANrmYSEWER LATERAL IS WITHIN 75 FEET OFA WELL IT MUST BEAIR TESTED Signed: Print Name: n1j cie c4g/ Licensed Drain Layer Date: -Z2-9a1l Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT:doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING- ADDRESS STREET SUBDIVISION: -paeb 1'fe_ . NORTH ARROW ' I r r 4 r f I ,L r C ex- CONTRACTOR/(PRINT) E OF CONTRACTOR'S SUPERVISOR (PRINT) flo /Alcg)f 4 rb - STREET ADDRESS IG REC (320 i �l 9 `\ -7` - '� DATE TOWN STATE ZIP INSPECTED BY TOWN Zp o -69-?- 2tm"7 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING .ENGINEER / DEVELOPER