HomeMy WebLinkAboutDrain Layers Permits 56 Chaponis Way (2) 1700046 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/23/2017
GIS ID: 18270056 FEE: 60.00
MUNIS APPLICATION# 201701124 EXPIRATION DATE: 09/22/2017
APPLICANT LOCATION
NAME: EAGLE EARTHWORK SERV ADDRESS: 56 CHAPONIS WAY
ADDRESS: 101 N MOUNTAIN ROAD 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 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.
G -T -e�s �
ISSUED bY DATE INSPECTED INSPECTED BY
8/23/2017 11:26 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 17 Me (0 CONTRACTOR: Sa oIe f' v-Tk1
LOCATION: �C
TYPE OF WORK: kei,
DATE INSP NEEDED: DATE INSP: S 1,,;t3
INSPECTED BY: 5D
WORK IN
PROGRESS: C � -��' ,, i�,s ,, P i c S A p 3.s F rc.,vv
ff ,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: t/
INPUT: 6ITL DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLIVM AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,CT
FEE$60.00
WcaWn of propose!work: #1L.
Street No. Straefi Name
-Premism owned by..-&. a✓)R rf`??a
Name of Frm: aale :: Phone: �0•6 �3 ,2Q.2 7
Address of Firm: / Ea 714 /1/f l eo� H lr-j
TYPE OF WORK:
Lay House Drai • Repair House Drain ;
Lay Main : Lay Lateral for Commeroial/Industrial
Building of_as w
E�
• Connection will be made with p ue
Existing Water Supply: Public Water_ Well,
Proposed Start Dame . EsBmated time for compledon
ALL WORK TO BE IN A : ORDANCE MTH TOWN'OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDPIIONS ATTACHED TO THE PERMIT
Permit is to be issued to--�-� r f r� the holder of Drain
Layer`s License No. ;�7,11te . Only holders of P 1, P-7. or W-9 licenses
WWII be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees W all the terms
and condidons set forth in the permit and attached thereto.. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
101
�1` PLEASE NOTE:
CBYD No. � 7 rFA SAMMMYS R-LATERAL
M W rHrM75FEET OFA WELL
ITMIlSTBEAtR TESTED
Signed: �^
Want Name. C 4 e� J,JC rf
: . Licensed Drain Layer
Date:
Stan
d.-ird Fc4ms\Peimit5VffLICA1I0N FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 0 0 C ---,"7A V
GVqX1
STREET . S
SUBDIVISION: (J,k 4-1�eu
NORTH ARROW
- I
1 I
:
i
1
CONTRACT (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT)
ShEd ADDRESS SIG AT
TOWN STATE ZIP INSPECTED BY TOWN
�VCO 6-93 aoD7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER