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HomeMy WebLinkAboutDrain Layers Permits 134 Frazer Fir Road (2) ------------- 1200044 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 08/21/12 ` , r p y GIS ID: 34430134 y ; FEE: 60.00 MUNIS APPLICATION# 201201083 - EXPIRATION DATE: 09/20/12 AN- 3_M $ 3 S APPLICAN r c2 LOCATION NAME: MANNARINO BUILDS IN DRE911R)V-- ER FIR ROAD ADDRESS: 400 CHAPEL ROAD _ � � E 00-T A INO BUILDERS LLC UNIT 3F = 3 � AEL ROAD#3F �pp SOUTH WINDSOR � T04 � INDSOR,CT 06074 PHONE 860-289 055 � WORK DESCRIPTION: NEW SE --WCIMVA THE DRAIN LAYER ASSIGNED TO THIS I' R1TIA AJE„ IIE,FATE AND HEREBY AGREES TO ALL V THE TERMS AND CONDITIONS SET FOR �3 SI K SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STAND TTACHED CONDITIONS. NQ ISSUED BY DATE INSPECTED INSPECTED BY 8/21/20I211:05 AM low red-WE z 7 _. It j In r � biolk § y = � _ a � _ � s� �JR � � TOWN OF SOUTH WINDSOR INSPECTION REPORT PC-Ri`T- �'��"1/►� CAL/ CONTRACTOR: f3 .2 LOCATION: / TYPE OF WORK:-- DATE INSP NEEDED: DATE INSP: R/a& INSPECTED BY: f3-'ib WORK IN PROGRESS: o lA-.,4r ins ,filed Pyc sop- ss S�" 'ro F��/�'l IrDnV' CO/Y'•{/� 11oe�/1Q p01Ke r� Y 9� .]I owy- C'e r►w[ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: c/ INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION 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: Ft z�-r'r<7 Lot # Street No. Street Name Premises owned by:_-__ nn4 7 td Name of Firm: )Earl & ryxf,! ,Phone: Address of Firm: -. 01 IUo/zkk f-, oe'ps a,a l�fA- ZIY— TYPE OF WORK: Lay House Drain Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with P1h� Existing Water Supply: Public Water_ Well Proposed Start Date �-!- 11Estimated time for completion l©`" / 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 �r6f UX i,a 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. IFA SANITARYSEWER LATERAL t.23 to IS WIT/fIN 75 FEET OFA WELL IT MUST BEAIR TESTED Signed: _ int Name: (04n C Lv" Ic-ox Licensed Drain Layer Date:q`a4- ./ :2— standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: �`' - - ) BUILDING ADDRESS STREET SUBDIVISION: 120� r NORTH ARROW c - fc-c & - �rYL tL CONT OR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) tot X)o,e STREET ADDRESS IGNATURE ` TOWN STATE ZIP INSPECTED BY TOWN ® Ga 7 DATE TEYEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER