HomeMy WebLinkAboutDrain Layers Permits 139 Frazer Fir Road (2) ---------------
1200001 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 01/04/12
GIS ID: 34430139 FEE: 60.00
MUNIS APPLICATION# 201200007 EXPIRATION DATE: 02/03/12
APPLICANT - -" = LOCATION
NAME: EAGLE EARTHWORI "SERV= ADDRESS: 139 FRAZER FIR ROAD
ADDRESS: 101 N MOUNTAIN ROAD. "` OWNER: MANNARINO BUILDERS LLC
CANTON,CT 06019 400 CHAPEL ROAD#3F
SOUTH WINDSOR,CT 06074
PHONE 860-693 2027
WORK DESCRIPTION: INSTALL SANITARY SEWHR LATERAL
THE DRAIN LAYER ASSIGNED TO THIS kRMIT HAS A VALID LICENSE ISSUED BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTIS IN-THE ATTACHI D`CONDITIONS': ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
1/4/2012 3:38 PM
.........
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: QOIVIRACTOR:
LOCATION:
-TYPE OF WORK:
_DATE INSP NEEDED; DATE INSP: L
INSPECTED BY: 6.D .
WORK IN
PROGRESS- s t jai s1��� 3 a Fro-Y,..,
a �
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
'AS-BUILT:
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INPUT: Cwv DATE:
W12007 Town of South Windsor-INPSEMON 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: 13 I A-RZ1ff' r1 Lot # 3C
Street No. Street Name
Premises owned by: 1 c1AAA('Pna c>1 Prl�s
Name of Firm:_19IP. Phone: r60 G9.3-,Zv�L7
Address of Firm: /f1 l GIlyr4-4 e /Z P,
TYPE OF WORK:
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
u
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date I- S=tZ 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 1vc44� - W kOOlk the holder of Drain
er La s.License No. _!/t b
Y •nly holders of P-1, P-7 or Wry 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. 4/1 i0 77,g
Signed: >� Print Name:.. &C�1&1 !i1/►lGa,1
Licensed
Drain Layer
Date:
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: --
BUILDING ADDRESS 22
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STREET : -, s r FY p:L
SUBDIVISION: f.eA, I i
NORTH ARROW
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CONTRAC OR (PRINT) ME 0 CONTRACTOR'S SUPERVISOR (PRINT)
o
S R�EET ADDRESS SIGNATURE
z DATE
TOWN STATE ZIP INSPECTED BY TOWN
Q/D �3 '�O�`7 DATE
TELEPHONE NUMBER-
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER