HomeMy WebLinkAboutDrain Layers Permits 20 Chaponis Way (2) 1600070 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 11/14/2016
GIS ID: 18270020 FEE: 60.00
MUNIS APPLICATION# 201601681 EXPIRATION DATE: 12/14/2016
APPLICANT LOCATION
NAME: EAGLE EARTHWORK SERV ADDRESS: 20 CHAPONIS WAY
ADDRESS: 101 N MOUNTAIN ROAD OWNER: MANNARINO BUILDERS LLC
CANTON,CT 06019 400--CHAPEL ROAD#3F
-----SOU TI WINDSOR,CT 06074
PHONE 860-60-2027
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.
ISSUED BY DATE SPECTED INSPECTED BY
1 1/14/201 6 3:04 PM
---------------------------- --
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 00 d 7 CONTRACTOR: eFak a 22g�.
LOCATION: /) 12 .,�
TYPE OF WORK: I ALL 4-; Gj n Y)ic--r
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
e
�JI
SEPTIC TANK PUMPED,SMASH9D, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: ' DATE: '
Se/molloy/firms 2014 Town of South Windsor INPSECMN REPORT 14
APPLMATION FOR DRAIN LAYER PERMIT
E 'OWN OF SOUTH VMDSOR
1540 SULLIVAN,AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,Cr
= FEE$60.00
-LDcafion of Proposed work:
Streefi No. Lot
Name
'Premises owned
Name of Finn:
—� ,. �'i ju Phone: �S 3
Address of Farm:
L—AIL—LI—f I oca( q
ME OF WORK:
day House Drina • Repair douse Drain• •
Lay Main Lateral for Commerctai/F qg.,q al
Building of
acres
Connection will be made with d�
Misting water Supply: Public Water WTI
roposed Stan D Estimated time-ror completion
ALL WORK TO BE IN ACRDAN Yd TOWN OF SOUTH wIN ALL OSHA DSOR STANDARDS,
REQUIREMENTS AND C(ND171ONSATTACHED TO TfiE PERMIT
Pert Mil,is to be
issued to - the holder of Drain
.p Lc No.
will r ,Sued a �- Only holders of 1, P 7. or W-9 licenses
MMIL PERRf4rr MILL EKPIrRE THIRT9r(30) DAYS AFTER
DATE'0 �JAMCE. The undersrjned Drefn Layer a and conditions sit, grew to all the inns
h in the permit analt( ched thereto.:Applicant has received
Town Street Exta®n Permit NO. � and/or ConnDOT Perm
it No.
CBYD No.
PLEASE NOTE:
-r--• rFA$AArrARYSMER.LATERAL
Signed•
_Print Na . 'e
censed Drain Layer
Date:
S' :r..larid Fo n veimit WPLIQUION FOR DRAIN LAYERS i'ERMITE i .doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER, LA TERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 2-0 # )o
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR_ (PRINT)
STREET ADDRESS SIG TURE C-i C y s .JJ,� ill,I /r
/t DATE
TOWN STATE ZIP INSPECTED BY TOWN
``] DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER