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Home My WebLink AboutDrain Layers Permits 736 Burnham Street (2) 1500021 TOWN OF SOUTH WINDSOR, CT PENT NUMBER DRAIN LAYER PERMIT DATE: 05/07/2015 GIS ID: 15600736 FEE: 60.00 MUNIS APPLICATION# 201500467 EXPIRATION DATE: 06/06/2015 APPLICANT---- zt LOCATION NAME: INLAND PROPERTIES I LC ADDRESS' 736$URNHAM STREET ADDRESS: 57 COUNTRY CLUB DR OWNER: INLAND PROPERTIES LLC WINDSOR, CT 06095 57 COUNTRY CLUB DR WINDSOI CT 06095 PHONE WORK DESCRIPTION: NEW SEWER CONNECTION FEE PAID TO MDC ` 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 FORTRAN-1-HE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARbS,ALL OSHA REQUIREMENTS,ANp THE ATTACHED CONDITIONS. ISSUED B DATE INSPECTED INSPECTED BY 5i7i2015 8:17 AM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: �.-�� I CONTRACTOR: f d�"r'y P LOCATION: clv' rn 5 � TYPE OF WORK: e l'on n e DATE INSP.NEEDED: DATE INSP: INSPECTED BY: ,A WORK IN PROGRESS: c- , SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 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.-, 36 �u�NX��'l Sj _Lot# Street No. Street Name 'Premises owned by; A 6v-0 ACCa Pam? T��S Name of Firm:_Au ,-j CvkmAf6 7c bg aC Phone: a `/,Ps 93 3 Address of Firm: �1 s��Il� /-��11 �� ,�Q2w �,,, TYPE OF WORK: Lay House Drainer Repalr House Drain ; Lay Main Lay Lateral for Commerdai/Indusbiai Building of acres s Connection will be made with /I C Existing Water Supply: Public Water_____ Well zX Proposed Start Date jl Estimated time for completion ALL WORK TO BE IN ACOORDANCE WITH.TOWN'OF SOUTH WINDSOR STANDARDS, ALL OSHA.REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to the holder of Drain Layer`s Ucense No. 2-S 3 3-Co P-7 . 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 germs j 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. lFA SANITARYSkWER•LATERAL IS WITHIN75FEET OFA WELL ITMUST5EAIR TESTED Si ned.- 41 IDa�► 9 Print Name: Tt sJ«-5 Licensed Drain Layer Date: Standard Forms\PerroMAPPLICATION FOR DRAIN LAYERS PERWT.doc x May. 6, 2015 3:03PM MDC Ut i 1Svcs No, 6813 P, 1 Nd--65HE METROPOLITAN DISTRICT COMMISSION HARTFORD, CT 6. CONTRACTOR'S PERMIT Permit# rr 736 BURNHAM STREET Lot# on the NORTH side, in the town of EAST HARTFORD Connecticut. between LONG HILL at premises owned by INLAND PROPERTIES whose address Is 67 COUNTRY CLUB DRIVE WINDSOR CT 06095 Nature of work: QHouse Conn.: [jLot Drain, Catch Basin; Elmain Sewer; QNew; Repair; Bulkhead; Utility Drain;. nOlher Occupancy or Use: �]x Residential with family units; Commercial; Industrial; nOther Public Sewer or Drain Is: ©Sanitary pStorm nCombined Only the following SEWAGE OR DRAINAGE Is allowed to this connection: OSanitary Sewage . []Other C7Storm Drainage including surface and sub-soil water Connection will be-made with 6 "WYE CONNECTION 36'*I- EAST OF MAN HOLE IN FRONT OF THIS PROPERTY Located ENVELOPE PIPE IN FABRIC AND STONE TO STREETLINE Special Conditions SLOPE OF SANITARY SEWER WILL BE 13ETWEEN 2%AND 10% TRANSIT TO BE ON SITE ALL WORK TO MDC STANDARDS Data from Plan# Required plans, submitted and approvedO Job Code: Contractor's State License A 137-026 Contract# Contractor's Insurance explreE 6/16/2016 Main Sewer Approved for Connection [] Street excavation.permit# Sewer Tributary to W.P.C.F, Call- Before-You-Dlg# 20144700148 nX Property Assessed for Sewer QX Oullet Charge Paid on 11110/2014 Deferred Assessment to become Due and Payble as Requested by Owner o Sewer Connection Charge Agreement Signed by Owner on Voluntary Sewer Lien Signed by Owner and Initial Installment Paid on Connection Charge Paid in Full on PAID TOWN OF SOUTH WINDSOR Permit to be Issued to AUTUMN CONST The nderslgned agrees to perform under ord/nances the work Indicated. Signed by i Permit Issued By DV Dale 11/1812014 First Inspection E.4056 Final Inspection Called Called To Inspect To Inspect Final inspection Approved on ?-I 1 ByA,0I,1LtAMa May, 6. 2015 3; 03PM' MDC UtilSvcs No, 6813 P. 2 ul s� 4:�SCh�o ��iX`i��ERNCU o i . Got lZ.50 o. ( ,ho-4,