HomeMy WebLinkAboutDrain Layers Permits 6 Blue Spruce Road 1400032 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/11/2014
GIS ID: 11800006 FEE: 60.00
MUNIS APPLICATION# 201401288 EXPIRATION DATE: 10/11/2014
APPLICANT - = LOCATION
NAME: MANNARINO BUILT EI_S IN - -- --AD
DRI �S: 4�`LU SPRUCE ROAD
ADDRESS: 400 CHAPEL ROAD? 3F OWNBR: MAI1�T1RIN0 BUILDERS INC
SOUTH WINDSOR,kU6474 400 CHA PEL ROAD UNIT 3F
OI VINDSOR,CT 06074
PHONE 860 284 76.55
WORK DESCRIPTION: NEW SIW Cl}NNECTION
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 FOIARW THE ATTACHED`CONDITIONS'. ALL V ORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
9/11/2014 10:23 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: M a nai ri a a Jui ld4 S'
LOCATION: o iJ I U� ��r N f (20
TYPE OF WORK: ��
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: /''iy e l bn 3 5-
y17 c rush eo
v
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
J
INPUT: C DATE: I
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN `'-
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR, CT
FEE $60.00
:Location of proposed work: RR&Q 7�IrUc-C /20 Lot
Street No. Street Nameti
}
Premises owned by.-,,14 JL Ik
Name of Firm: f' < G'✓0' i Phone:,
Address of Firm:—/of -&ag g C=eak�tl
_ ��
TYPE OF WORK: s
Lay House Drain K • Repair House Drain-
Lay Main- Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with puc
Bdstlrig Water Supply: Public Water Well
Proposed Start Date—q��"� Estimated time for completigtl �-
All WORK TO BE IN ACCORDANCE WM—TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to W 6'
the iaolder of Drain
Layer's License I Only holders of P-1,"P-`or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30r)DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby=�''—s to all the terms
and conditions set forth in the permit and attached thereto. A&icant has received
Town Street Excavation Permit No. and/oe--C nnDOT Permit No.
PLEASE NO1
CBYD No. A06 I ZFA SANI YSOWER-LA rE"
2"S Wmw II�' FEFI`OFA MElL
IT MUSTT 95.ArR'TESTED
Signed: Print Name:
Licensed Drain Layer
Date:
Standard Fbrmsftrmits�APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : 44 61
STREET : Apr
SUBDIVISION:
NORTH ARROW
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CONTRAC R (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) �•.__
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STREET ADDRESS SIMATURt
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N STATE ZIP INSPECTED BY TOWN
�( 6 9-a DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER