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HomeMy WebLinkAboutDrain Layers Permits 41 Chaponis Way (2) 1600082 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/23/2016 GIS ID: 18270041 FEE: 60.00 MUNIS APPLICATION# 201601752 EXPIRATION DATE: 12/23/2016 APPLICANT LOCATION NAME: EAGLE EARTHWORK SERV ADDRESS:: 41 CHAPONIS WAY ADDRESS: 101 N MOUNTAIN LOAD OWNER: MANNARINO BUILDERS LLC CANTON,CT 06019 400-CHAPEL ROAD#3F SOUTH WINDSOR, CT 06074 PHONE 860-693-2027 WORK DESCRIPTION: NEW SEWER CONNECTION THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUER BY THE 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. 1/0 he �� ISSUED B DATE INSPECTED INSPECTED B 11/23/2016 12:46 PM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR: r<C'> LOCATION: TYPE OF WORK: P. o,,j-a-t in 0 A,--- DATE INSP NEEDED: DATE INSP: a i INSPECTED BY: flp WORK IN PROGRESS: led g, f iX .5 U%z 3 5-" �-c /C-4-1 C 4,i t G►%. SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: L v DATE: S/molloy/forms 2014 Town of South Windsor MP5Wa0WRMffr 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: � Lot # � - Street No. S reet Name Premises owned by: �- Name of Firm: Phone: o�'�,'�-.202 7 Address.of Firm: d _ 2 Av" 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 P Existing Water Supply: Public Water Well Proposed Start Date Estimated time for completion 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 C the Layer's License No. >�//6' holder of Drain . 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. Signed: Print Name: Licensed Drain Layer ©� Dater — Standard Forms\Permits\APPUCAj70N FOR DRAIN LAYERS PERMFF.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS V4 ,Yj7 STREET : / Uci SUBDIVISION: rjr.4 NORTH ARROW 7-7 qT- Wt - ! s t 1 1 , ? 1 i I f CONT TOR (PRINT) NAME 0 CONTRACTOR'S SUPERVISOR (PRINT) S//TREET ADDRESS S NATURE C.�-LN11 �G q DATE TOWN STATE ZIP INSPECTED B7 TOWN eri --4 - C3�`� DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER