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HomeMy WebLinkAboutDrain Layers Permits 150 Frazer Fir Road (2) 1200024 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 06/14/12 GIS ID: 34430150 FEE: 60.00 MUNIS APPLICATION# 201200774 EXPIRATION DATE: 07/14/12 APPLICANT, _ ,; = = LOCATION NAME: MANNARINO BUILDERS.INC ADDRESS;_ 150=FRAMER FIR ROAD ADDRESS: 400 CHAPEL ROAD = = tWt,ER" MANNAAINO BUILDERS LLC UNIT 3F = `° 40©6�IAIEL ROAD#3F SOUTH WINDSOR, CT 0 4 = ;_ SOI7TH WINDSOR, CT 06074 PHONE 860-289- I)55 WORK DESCRIPTION: NEW SEWER CONN CTION THE DRAIN LAYER ASSIGNED TO THIS PERNHT HAS A VALID LICENSE ISSUED BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTft- THE ATTACHI I3`C(3 1D7TIflNS',.ALL WQRK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA REQU REIvI1 N1 S,AN] THE.ATTACHED CONDITIONS. I l o ISSUED BY DATE MPFECTED INSPECTED BY 6/14/2012 2:48 PM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Zog CONTRACTOR: n n a r I n 0 LOCATION: TYPE OF WORK: r" -D sP i 'e", C-D n DATE INSP NEEDED: DATE INSP: -�/%s1, INSPECTED BY: � WORK IN PROGRESS: -I-O 1f\iF� ��C✓t� C'U '�� C`� Y�tl.,i2x G�'^ rto, t� '1� T'G'c�7r'vL Q unee SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: �J INPUT: DATE: " W/2007 Town of South Windsor INP5ECTION 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: f r FG7 /C,o Lot # Street No. Street Name . 'Premises owned by:_ Ais or tao Name of Firm a le 0�4 r4--h wa& Certi.14ts Phone. '003y1-027 Address of Firm: !DI IV,#eA M (0 (?eac%.j C OCOP TYPE OF WORK: Lay House Drain • Repair House Drain Lay Main y Lateral for Commercial/Industrial Building of acres Connection will be made with � Existing Water Supply: Public Water_( Well Proposed Start DatefoA L Estimated time for completion P/4 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 ,rc. 4oe (,��lc� the holder of Drain Layer's License No. 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. l -7 IFA SANITARYSEWER LATERAL IS K,7THM75 FEE T OF WELL ITMUSTBEArR TESTED Signed: A16�6��P�rintName: Licensed Drain Layer Date: 6�1 I,-, ao Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc C / lii ' IOWA Elmo m M ■ �`� ! I In ■ ■ I ■ . s ,ice 'I i■ ■ ■■ A ff ! 11' {