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HomeMy WebLinkAboutDrain Layers Permits 50 Andrews Way (2) 1600033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT ........... DATE: 06/23/2016 GIS ID: 03200050 FEE; 60.00 MUNIS APPLICATION# 201600844 EXPIRATION DATE: 07/23/2016 APPLICAr"f y;4� ��, ,' LOCATION NAME: BUTLER COMPAN)f WS WAY ADDRESS: 848 MARSHALL PHEtPS RQAD dWNEIt SQUTI WINDSOR DEVELOPERS LLC WINDSOR, CT 06015x 26 MAIN STREET SUITE 100A I1HAM,NJ 07928 PHONE 860-68 8024 WORK DESCRIPTION: NEW CAL$L7tLDTNGr#4 UNITS 401-408 i THE DRAIN LAYER ASSIGNED TO THIfk PIRrIIT HAS eA iTALII?LIENBE ISSUT]F$Y�TH STAT$AND HEREBY AGREES TO ALL THEJERMS AND CONDITIONS SET FOR Hw-blHE ATTAC D 01*iDITION ' EkI.L WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STAND)kPt -S ,- L>L OSHA REQUIREMENTS, p THE ATTACHED CONDITIONS. ISSUED MY DATE INSPECTED INSPECTS BY 6/23/2016 8:38 AM S t Asl 3; it $ \ 4 ♦ a °vZ ; 4 � S TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 3 CONTRACTOR:_ LOCATION: b1o� TYPE OF WORK: UjS.D ,?sZ.� � 7 C� DATE INSP NEEdED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: � :� ;i)� S' �: :, j=roe+ ` ��;F �3�►31e�an.,., `� �s� �,r t.. LAM* Z© r ys✓t .: •a.r'p-S.-Ja Aft )V/ -- SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT• % DATE: S/rnolloy/Porms 2014 Town of South Wlndsar INPSEMON REPORT 14 APPLICATION FOR DRAIN LAMER PERMIT TOWN OF SOUTH WINDSOR 1540 SUUJVM-AVENUE PUBLIC WORKS DEPARTMENT TOWN HALT. SOUTH WINDSOR,CT FEE $60.00 Location of work: �� proposed Lot# Street No. Street Nam . 'Premises owned by: - G t . �8_V Name of Firm: _ Phone: Address of Firm: 2� 1 � avL TYPE OF WORK: Lay House Drain Repair.House Drain Lay Main Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water �� Well Proposed Start Date �, J� Estimated time for completion ALL WORK TO BE IN ACCORDANCE WITH.TOWN'OF SOUTH WINDSOR STANDARDS, . ALL OSHA REQUIREMENTS CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to ( �� ��► y elelder of Drain Layer's License.No. �b2 Only holders of PW-9 licenses will be issued a permit. PERMIT WILL EKPIRE THIRTY� S AFTER `. PLATE 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. PLEASE NOTE: y: CBYD No. l b2 ` D Z zFA sAAamRYst`WER LATERAL IS WrrHIN75FELFT QFA WELI _ '. IT 7ArR 1'ESTESigned: Print Name: c n ed Drain Layer Date: k A1111,, standard Forrns\PermiWPPUCARON FOR DRAIN LAYERS PERM ldoc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: b 2'7 / 2 BUILDING ADDRESS oI- D —6) STREET : AIA (60 4mpgk.ws LtAy � SUBDIVISION: W41X NORTH ARROW �- r CONTRACTOR PRINT) NAME OF CONT Q.A CTOR'S SUPERVISOR PRINT w STREET ADDRESS SI NA URE DATE TOWN STATE ZIP INSPECTED BY TOWN 8�A02Y DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER