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HomeMy WebLinkAboutDrain Layers Permits 40 Clinton Drive (2) 1600055 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 10/04/2016 GIS ID: 21300040 FEE: 60.00 MUNIS APPLICATION# 201601446 EXPIRATION DATE: 11/03/2016 APPLICANT LOCATION NAME: ADB CONSTRUCTION&SEPTIC CORP ADDRESS: 40"CLIP TON DRIVE ADDRESS: 77 A WOODLAND STREET OWNER: WILLMIC HOME SERVICES LLC MANCHESTER, CT06042 6 TROUT BROOK CIRCLE NEWINGTON, CT 06111 PHONE 860-667-0579 WORK DESCRIPTION: NEW SEWER CONNECTION 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 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. c �' D ,, ISSUED BY DATE INSPECTED INSPECTED BY 1 0/4/20 1 6 3:23 PM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 16 CONTRACTOR: 4 j)j _ G v e7 s ra- , LOCATION:_- Y o c I J'12 ZQA, Ae ; U ie TYPE OF WORK: --k,10Q_ _4.Qor c DATE INSP NEEDED: DATE INSP: INSPECTED BY: 90 WORK IN PROGRESS: 6' %? A +n l • I+'l ��t L�',.t C d`i� • ✓7DY�t �GLbe":L . � � �,t'GL'•'t ��� f_vvl� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED b4FS ❑ NO AS-BUILT: INPUT: DATE: 0 Ili Ito , S/moRcy/forms 2014 Town of South Windsor INPEMON REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: �16 C�•� ?J�- Lot # Street No. Street Name Premises owned by: Name of Firm: Phone: Address of Firm: `2.9 (AooeJ`4-4W S y- TYPE OF WORK: Lay House Drain X ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with C-- Pwc- Existing Water Supply: Public Water Well Proposed Start Date /O i 16 Estimated time for completion s 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 A06 13�LI4 the holder of Drain Layer's License No. Oa'-roo6g- ►P? . 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 thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. Q c,16 3giJ ,-7 3 PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTED Signed: Print Name:'4 Licensed Drain Layer Date: ,"o%�4 Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc N /V I r 4� A'1 y L r 20.4 .-S N/F JAMES D. � VIOLA N. WILL IAN ✓. MARGAREft!�o I MICHAEL ✓ ROSE L. � NANONEY GARVEY MADEL I C STA. 3* 71. (a 6"LAr. 24.0'-S 'C n ©,EEG "LAT. o 10HN E � FRANCES C. 6"I A7: 20.4-S O S 5--6 7, 4 - _ 6 ' -EEl� o ARNESEN T 5 'DEEP o A 6 B 2.2 , © N C STA 8 a POOL LLJ DECK r� 432 � 40 148 2 STORY {� 1 STORY WOOD 2 STORY WOOD ' I 2 STORY WOOD WOOD - - - \ 56 w $ . .-84 —r�V.243:�_ v m �j BM q `� 5 N.E.0 .- BOir M -TEP FLAGPOLE I ,7 0100.0 m -- -- -0 m 100.0= I - m I I I 100.0 ' --- C URB -- �o° c_a. 5t � � 2- 45� 6E,vos 7t 4 "IJRB -- w 1 432-25 E'f -- - - 100.0 ; 100.0 - > 100.0 --- C)100.0 w I 31.46 ~ o � to m \\ in /is � Im-:I - IF � I � o 0co o r I 1p m .#� 29 37 11 # 45 1 1 I� 2 STORY �< CJ I d3-- 53 I I 21/2 STORY WOOD I 1 WOODY L j WOOD (� ( 2 STORY OOD J ..- % L x X— 6 "LAx-20.4-Al/ 6"LAr. 20.4 '-N x— + 6.0 ,.D ISTA. Co"S•4.9 © w POOL STA.4+50. (;"- / o p 6 "LAr `� iCj TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 10 i/- /t BUILDING ADDRESS L16' STREET : G/(P -�yi SUBDIVISION: NORTH ARROW g I I i - � tt�/ _ _ ___ _ --_..-r• L_. 70 eo CONTRACTOR �(PRIINT) / i ( NAME OF CTOR'S SUPE VISOR (PRINT) I/�/U�3dL�"ylt! STREET ADDRE SS I ATURE DATE TOWN STATE ZIP INSPECTED BY TOWN ;,b _ 61,74 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER