HomeMy WebLinkAboutDrain Layers Permits 29 Chaponis Way (2) 1600093 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 12/12/2016
GIS ID: 18270029 FEE: 60.00
MUNIS APPLICATION# 201601820 EXPIRATION DATE: 01/11/2017
APPLICANT LOCATION
NAME: MANNARINO BUILDERS INC ADDRESS: 29 CHAPONIS WAY
ADDRESS: 400 CHAPEL ROAD#3F OWNER: MANNARINO BUILDERS LLC
SOUTH WINDSOR,CT 06074 400 CHAPEL ROAD#3F
SOUTH�WINDSOR, CT 06074
PHONE
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.
7
ISSUE BY DATE INSPECTED INSPECTED BY
12/12/2016 11:27 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ,? . CONTRACTOR: ALn19a r S X►.4
LOCATION: 2 9
TYPE OF WORK: e � �
DATE INSP NEEDED: DATE INSP: ' ZA
INSPECTED BY: `3ra
WORK IN
PROGRESS:_ CfG.� '•^ :- 7�.s . ,y �i� (J1'`- rC
S'/e-.-y-e__ 5e '` Sc Yc
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C �' DATE:_��'
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
1
E 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: iS of#
Street No. Strei Name
Premises owned by:
Name of Firm: a Phone:-1& 3,? 02
Address-of Firm:
• 1
TYPE OF WORK:
Lay House Drain—_k Repair House Drain
. Lay Main ; • .
Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with C�
v�.
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 °
Layer's License No. "? Q the holder of Drain
Will be issued.a Only holders of P-1, P-7 or W-9 licenses -
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: G tint Name:
Drain ° C '
Licensed D i
. in Layer
Date: l�V)-,
Standard Forms\Permits\APPLICKUON FOR DRAIN LAYERS PERMIT.doc m
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 2 ,
BUILDING ADDRESS uYl
STREET
SUBDIVISION:
NORTH ARROW
43 .
i !
i
1 I �
1
:
I 41
llde-C4,
CO RACT (PRINT) NA 0- NTRACTOR'S SUPERVISOR (PRINT)
10 Mt
STREET ADDRESS SIGNATURE
N STATE ZIP
INSPECTED BY TO N
ftl5d C�'/'? ?'- 902 7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER