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HomeMy WebLinkAboutDrain Layers Permits 117 Cliffwood Drive (2) 1600018 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 04/25/2016 GIS ID:21000117 FEE: 60.00 MUNIS APPLICATION# 201600488 EXPIRATION DATE: 05/25/2016 APPLICANT LOCATION NAME: KEMENT&SON CONSTRUCTION INC ADDRESS: 117 CLIFFWOOD DRIVE ADDRESS: 297 NORTH ROAD = OWNER: BURNHAM GARY R JR&RACHEL A BROAD BROOK, CT 06016 117 CLIFFWOOD DRIVE SOUTH WINDSOR,CT 06074 PHONE WORK DESCRIPTION: SANITARY"SEWER CONNECTION THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED BY THk STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH IN 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 INSPECTED TNSPECTED BY 4/25/2016 3:21 PM ----- -- ------- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: /to 0061 CONTRACTOR:_ So 0 �S LOCATION: i l l C )I -�'' IDo� TYPE OF WORK: a n SP -Pr DATE INSP NEEDED: DATE INSP: /� INSPECTED BY: � WORK IN PROGRESS:_ G So,�, L��S i � LVe- �- 'S" SEPTIC TANK PUMPED, MASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C:tA) - " DATE: � I� S/molloy/forms 2014 Town of South Windsor INPSECTlON REPORT 14 APPUCAL710H FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULLIVAUAVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,CT FEE$60.00 : .Location of proposed WML._�11-7 Suet No. Street Name Premises owned by: G Y t>R.N 4 A rn . Name Of flrm:_+�s,M.F N r (_O-N s cn oN Phone: SCDU,(u 3,36�y Adder of Film: aq1 NoP_ru R� Beor�� tzou GT oco uj•(0 TYPE OF WORK: - . . Lay House Drain✓ ;Repair House Drain Lay MaI_; Lay LYmml for Commercial/Industrial Building of_awes • Connection will be made with Lz�" nv c_ s t,9- 3s Existing Water Supply: Public Wager✓_ Well Proposed Start N �ASA., Estimated time for completion ALL WORK M BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA.REQUIREMENTS AND©ONDI' IONS ATTACHED M THE PERMIT Permit IS W be issued do_S T"-�Y ; K n _M r JR • the holder of Draft Layer'S License Na porn• o'0\61 Only hokkn of P-1, P-7. or W-9 licenses will be issued a permit PERNIT WILL EXPiR6 THIRTY(30) DAYS AFTER DATE OF-ISSUANCE. The undersigned Drain Layer hereby agrees W all the germs and conditions set forth In the permit and attached tim eto.. Applicant has received Town Sbed Eucavation Permit No. and/or ConnDOT Permit No. PLEASE NOTE: mA CBYD No. o « o 3� lFA'SANITARYSkWER•LATERAL IS m71rN75FEET OFA WELL ITMI/STSEAtR TESTED Sign Print Natne: STD T�L_F_y T, J 4 n 4Dral�ayjer Data: o`1 - a = a o 1 b. Standard FmnsW mitsXWL1CkUOM FOR MAIN LAYERS PERW.&C LEPHONE, & N31.54'39"L ,N SERVICES. 80.00' ? `L22.9 4 STALLATI ON COMPANIES) lr-10' ,. _ 1 2.. . _ i 115. /r r=50' ! (GARAGE 321.0 EI�EV.=323.0 DECK 1 ELEV.- i 324.5 W I NV.= x 22. /320.84 l 9 � SINGLE FAMILY \` �, / W .o / HOME 331.9 1 6' N / O F.F.=325.0 BSMT.=316.0 EUECT. �NDUIT 1 I i321 3 4.7EDO N GftA32O r= 3 x 5 � �/ 1910 x321.4 \M4" PVC STANDPIPE N 63396.3 , \ \ ` x324. i I 204'-6" PVC SDR-35 SANITARY SEWER �' S=0.02 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: -01/4 BUILDING ADDRESS // 7 STREET : C h i EWCO-h), -1>r','uf- SUBDIVISION: NORTH ARROW _7 Af 1019 ' -- ry -- - - ' - {_.-- r ® i CONTRACTOR (PRINT) NAME' C N RACrOR'S SUPERVI OR(PRINT) a q7 Po r (L :.,�1 STREET ADDRESS SIGNATURE / G r 0 iLs &-ook,, DATE TOWN STATE ZIP INSPECTED BY TOWN ® G is - 30 t, DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER