Loading...
HomeMy WebLinkAboutDrain Layers Permits 155 Frazer Fir Road (2) 1200020 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 05/30/12 - - -, GIS ID: 34430155 - ` " -- FEE: 60.00 MUNIS APPLICATION# 201200666 = '" EXPIRATION DATE: 06/29/12 APPLICANT - LOCATION NAME: MANNARINO BUILDHH INC" ADDRESS::; I55.FRAZER FIR ROAD ADDRESS: 400 CHAPEL ROAD = = OTTER MINNAIINO BUILDERS LLC UNIT 3F ,` = = 400 LAPEL ROAD#3F SOUTH WINDSOR, CT 06-0 K SOUTH- INDSOR,CT 06074 PHONE 860-289 7055, - - WORK DESCRIPTION: NEW SEWED=LATIrAL�CIIECTION THE DRAIN LAYER ASSIGNED TO THIS PERMTT HAS A VA0D MICENSE ISSUED-BY THE 5-T ATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH TI4THB ATTA&HIiI3` 4Nf3TTIONS ..ALS UV(1RK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDAI"S AT OSIIA RETJIREIIENTS,ANh THE"ATTACHED CONDITIONS. / ISSUEM BY DATE INSPECTED INSPECTED BY 5/30/2012 9:20 AM TOWN OF SOUTH W-MDSOR MSPEMON REPORT PERMIT NO: C' 0OMMCtnR: n Yea Y LOCATION: 1SS _�' Zerz i .TYPE OF WORK: V1 � ►� (h P �%�v� ;DATE INSP NEEDED;_ DATE INSP: INSPECm WORK IN PROG�ItESS• C �y 9 . �\^- / •- bhp '�,✓ ,' �,Wn� L rr /�'!/'� �.,�� �'.� T=.-off_ ! /O4 nrn .nn Gam' ©C.e/1g _ �i - ✓/D+L cl C-k� L l .-................... � SEPTIC TANK PU MPED,SMASHED,FILLED WIM SSED ❑YES ❑ NO - AS-BUILT:- DATE:- :� 3, /I --- Wl"07 Town of South wnd9Or MPSEM014 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: l �i'ZtZi�� '� J40 Lot # _ Street No. /Street Name Premises owned by:Ana 9 r;-*1 a Name of Firm: omg t4yek Phone: Address of Firm:_l 6/ 1207W lip-,/ 4 X&. ('nf �l TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main y Lateral for Commercial/Industrial Building of acres Connection will be made with It P/.� 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 Permit is to be issued to wroz the holder of Drain Layer's License No. ,A?1-9 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. a'�D�� ��I IFA SAN/ARYSEWER LATERAL IS WITHIN75 FEET OFA WELL IT MUST SEAIR TESTED Signed:-A- I _ Print Name: '11`d qe-,l k),6k Licensed Drain Layer Date: 6 "'A q - 0A Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 2912, BUILDING ADDRESS : lS-S �-O f STREET : Po r SUBDIVISION: 65!cq NORTH AR OW fodp + j- le— • + i • l ; i I � � I l i t i 1 i 3 < 11 I CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGIATURE DATE TOWN STATE ZIP INSPECTED BY TOWN gcQ- 6 C113 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER