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HomeMy WebLinkAboutDrain Layers Permits 22 Norton Lane 1600042 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 08/08/2016 GIS ID: 64800022 FEE: 60.00 MUNIS APPLICATION# 201601081 EXPIRATION DATE: 09/07/2016 APPLICANT LOCATION NAME: ADB CONSTRUCTION,&SEPTIC CORP ADDRESS: 22----N RTON LANE ADDRESS: 77 A WOODLAND STREET OWNER: -MEIKLE JOHN THOMAS W&A MANCHESTER, CT 06642 22 NORM ON LANE SOUTH WINDSOR, CT 06074 PHONE 860-667-0579 WORK DESCRIPTION: NEW SEWER CONNECTION ; THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED BY THIS STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTHIN THE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS. ISSUED BY DATE SPECTED SPECTED B 8/8/2016 12:07 PM - -- ------------ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO..:� CONTRACTOR: �� con. LOCATION: Pl a( ,fo ► Gr TYPE OF WORK: ��St DATE INSP NEEbED: DATE INSP: r►�i INSPECTED BY: Sb WORK IN PROGRESS: �_ c, c G�.� C� ��f3�il�C1 �C s ►©i.�s ��ri^G=2.6,(��� r i-t T ! SEPTIC TANK PUMPED,SMASHED, FILLE WITNESSED . YES 1 ❑ NO AS-BUILT:- INPUT: w S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULIIVAUAVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,CT FEE$60.00 Location of proposed work: � r-+v Nt Street No. Street Name Prerni�s owned by,.---, )e 6- Me i he- t'&h v Name of Firm Phone: �3�-s-99L Address of Frm:_ 2f TYPE OF WORK: Lay House Drat • Repair House Drain _• Lay Main ; Lay Lateral for Commendai/Industrial Building of_acres Connection will'be made with d Sb� ✓c. B ting Wager Supply: Public Water �:C Well Proposed Start Date to �6 _ Estimated time for completionl� ALL WORK TO BE IN ACOORDANCE WlT i TOWN'OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CON DTRONS ATTACHED TO THE PERMIT Permit Is to be issued to A-V� Ll the holder of Drain Layer's License No. ag aa6 S/ 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 terms and conditions set forth in the permit and attached tivrelm, Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. PLEASE NOTE., CBYD N0. ob l6'�3 lFA SAN,ITARYSSWER-LATERAL IS WITHIN75FEET OFA WELL I7"MZ6T0EAIR TESTED Signed: Print Name:_ is Lice sed Drain Layer Date:_ I l 1 Standard Forms\PermdsVM UCA WN FOR M41N LAYERS PERF :doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS r a4 STREET SUBDIVISION: NORTH ARROW 3; -48 b f� i ! a i --i , i I i CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUP ISOR (PRINT) 77. AJvoJ14,j �- STREET ADDRESS SIGNATURE C7 04(��� � ATE TOWN STATE ZIP INSPECTED BY TOWN Y3; . 5<7g6 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER