HomeMy WebLinkAboutDrain Layers Permits 164 Frazer Fir Road (2) 1100047 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 12/08/11
GIS ID: 34430164 FEE: 60.00
MUNIS APPLICATION# 201101486 = EXPIRATION DATE: 01/07/12
APPLICANT LOCATION
NAME: EAGLE EARTHWORK SERV AISDRESS: 1 ORVER FIR ROAD
ADDRESS: 101 N MOUNTAIN ROAD; „ I?WNER:' MANNARINO BUILDERS INC
CANTON,CT 06019 - 4-00 CHAPEL ROAD#3F
O JTII'WINDSOR,CT 06074
PHONE 860-693 2027 - ;
WORK DESCRIPTION: NEW SEWER ONNECTo ==
THE DRAIN LAYER ASSIGNED TO THIS VERMITHAS A VALID LICENSE ISSUEb-BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTII IItI THE-ATTACHI I3`CQNT3ITIONS'. ALL WQTKK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA Ri¢IIIRE1t�IENTS,AND T T-ATTACHED CONDITIONS.
ISSUED BY DATE VE- CTED INSPECTED BY
12/8/2011 2:47 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
.TYPE OF WORK:
-DATE INSP NEEDED: DATE INSP: i
INSPECTED BY:- 18f)
WORK IN
PROGRESS:__Cc+;z
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
'AS-BUILT: , -�
INPUT: �' DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
Arpl aO//D/5f 85 TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 7- Ao Lot #�
Str et No. Street Name
Premises owned by:.,. ,.-6112
Name of Firm: � e 95aLN-1 ►P&& 9-er-ut4.s Phone: -6 -2oz-- 7
Address of Firm: 10l &at 2n. ra�_f ®mow
TYPE 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 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 "ae/ GJ`Gi'. the holder of Drain
Layer's License No. 2 Z J L C 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. _9 01/ *0 2:� 3,?'
Signed: � Print Name: 1� 1`Gb9e (Ni
Licensed Drain Layer
Dater 1 c
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