HomeMy WebLinkAboutDrain Layers Permits 209 Frazer Fir Road (2) 1300028 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/13/2013 /
GIS ID: 34430209J?o FEE: 60.00
MUNIS APPLICATION# 201301317 ��, EXPIRATION DATE: 10/13/2013
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APPLICANT
LOCATION
NAME: MANNARION BUILDERS /
y: �� }RE A FRAMER FIR ROAD
ADDRESS: 400 CHAPEL RD#31 A 1a�AINO BUILDERS INC
SOUTH WINDSOR, I-*60 4 66 CHAPEL ROAD
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PHONE /
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WORK DESCRIPTION: NEW SE ONW-Am I
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THE DRAIN LAYER ASSIGNED TO THIS 1 R4�11T HAS;A- I su Y iF-STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTFIV TEE At�CH���I71 A ,WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARt ,Aid EQLREwFS�A1TIATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
9/13/2013 8:30 AM
AN
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: d 9 CONTRACTOR: ffiao r)cvC-1 .0
LOCATION: 0 0i
TYPE OF WORK: A L w �2:�-� C�v��•eS��`�y�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:a-,n fi"�, `rA jz .Q_,& C,, UC S b a `3 S Fro,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L� 14A,.. DATE: q.11y
W12007 Town of South Windsor INPSECTION REPORT 07
-
APPLICATION FOR DRAIN LAYER PEl1Tf
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE;
PUBLIC WORKS'DEPARTMENTj
TOWN HALL
SOUTH WINDSO1.k a
FEE$60.00
Location of proposed work:_fig �� 9cY-�2a Lot#�2
Street No. Street Name
Premises owned
Name of Firm: phone: . 4 3-a-0z-7
Address of Firm: /Q
TYPE OF WORK: i
LayMause-Dral Repair:House Drain
Lay Mains; Lay Lateral for Commerdal/Industrial
Building of acres
Connection will be made with u
Existing Water Supply: Public Water_ Well
Proposed Start Da 3EEstiimated 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 'Uf hA 1,eOLk the holder of Drain
Layer's License No. Only holdeM, of P-i, P-7 or W 9 licenses
will be issueo-e permit, .PERMIT WILL EXPIRE THIi'FY(30) DAYS AFTER
DATE OF IS�ItANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth.-!
n the per'It and attached thereto.- Applicant has received
Town Street Excavation Pert No . and/or ConnDOT Permit No.
PLEASE NOTE:
CBYD No. IFA SA=ARYSEWER-LATERAL
IS*I HIN75FEET OF WELL
1T N11Sr8EArR rESTED
Signed: rint Name:
'l' h ( u l► ��,d X
Licensed Drain Layer
Date: (Z-Z?40!.
standard'r•'vrms\P,ermks\APPUCA'nON FOR DRMN IAYERS PERmrr doc
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TOWN OF SOUTH
WI NDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: -q- I `
BUILDING ADDRESS #- :: �0 �1
STREET
SUBDIVISION: Zen
NORTH ARROW
CONTRA R PRINT) NAME 0 CO TRACTOR S SUPERVISOR (PRINT)
*171
STREET ADDRESS SIGNATURE
06 � _ 9�!' / DATE
TOWN STATE ZIP INSPECTED- BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER