HomeMy WebLinkAboutDrain Layers Permits 147 Frazer Fir Road 1200014 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 04/25/12
GIS ID: 34430147 ," - FEE: 60.00
MUNIS APPLICATION# 201200484 EXPIRATION DATE: 05/25/12
APPLICANT LOCATION
NAME: EAGLE EARTHWORK S-ERV =, ADDRESS 147 FRA ER FIR ROAD
ADDRESS: 101 N MOUNTAIN ROADS = OWNER: MANNARINO BUILDERS LLC
CANTON, CT 06019 406 CHAPEL ROAD#3F
SOiTH WNDSOR,CT 06074
PHONE 860-693 2027
WORK DESCRIPTION: NEW SEWED.._<CONKCTIO "
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED=BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR*'-MHB`ATTAC-H C(}NI 1I If�NS'. ALJ WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,.04 OHA REQUIREMENTS;AND THRATTACHED CONDITIONS.
ISSUED BY DATINSPECTED INSPECTED BY
4/25/2012 2:45 PM
TOWN OF SOUTH WINDSOR INSPEMON REPORT
. ' PERMITNO.: • c?660/ OONTRaCiOR: �a
LOCATION: i(A-7 T `CdZ
.TYPE OF WORK: ►� r
:DATE INSP NEEDED: DATE INSP: ..._
I1VSPE-CTED BY: g.�.
WORK IN
PROGRESS: ('
GtS �15 'C r sled S Jo�p ,1 i L /UZc.K G✓G1 � �
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED Q YES Q N4
AS-BUILT:
__,z_
DATE:
W12007 Town of Soutfi Windsor INPSEMON REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR ;
1540 SULLIVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR., CT
FEE $60.00
Location of proposed work: «7 z. F r' Lot #
Street No. Street Name
Premises owned by: Aglld tr2to Qv,)oeery
Name of Firm: 9�fVtes Phone: drQ
Address of Firm: W&Rm /"Z 124% 61A
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �l Pw—,
Existing Water Supply: Public Water Well
Proposed Start Date T"X—"Astimated time for completion 10 "
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 6-'�e( tvr ZZ& the holder of Drain
Layer's License No. .-79110 . 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. _N79019 lI��G��_. IFA SANlTARYSEWER LATERAL
IS WITHIN 75 FEET OF WELL
.IT MUST BEAIR TESTED
Signed: Print Name: Itylad 4),ye'r _
L� License Drain Layer
Date: `�e2 ��
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY - SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 1 Z
BU'1LDING ADDRESS :A� l q-7 Lcl?
777
STREET : rci ;>� }- `-
SUBDIVISION:
NORTH ARROW
If)
�
41
4
l O
CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPERVISOR (PRINT)
!pT U 9.k /444 i-Dd
S ET ADDRESS SIGNATURE
TOWNN�- STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER.
WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER