HomeMy WebLinkAboutDrain Layers Permits 11 Chaponis Way (2) 1700051 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/28/2017
GIS ID: 18270011 FEE: 80.00
MUNIS APPLICATION# 201701333 EXPIRATION DATE: 10/28/2017
APPLICANT LOCATION
NAME: MANNARINO BUILDERS INC ADDRESS: 11"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.
ISSUED BY DNITt NSPECTED INSPECTED BY
9/28/2017 3:45 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7 CONTRACTOR: 4!� �4 6 dl�,( C
LOCATION: C Ci,s a
TYPE OF WORK: 1A) 5{z(Le(
DATE INSP NEEDED: DATE INSP:.
INSPECTED BY: 13 n
WORK IN
PROGRESS: C� ► �i c tl�s; ' ^� �'y S J)rz-
o l
�J�M ��f✓L� � :�it_ �''�/1.C'vL�c-ot►r�- iLl �� C, ✓`�'� �^ Js'��
/r%-4 /AC
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:_([� i
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
is
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN-AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HAIL
SOUTH WINDSOR,CT e C 8O 00
Location of proposed wok: lea l` � Lj� Lot#
Shed No. Strom Name
'Premises owned / let
Name of Firm: Lo!z Phone:
Address of Firm: al',
TYPE OF WORK:
Lay House Drain- • Repalr House Drain-
Lay Main ; Lay Lateral for Commerdal/Industrial
Building of acres
Connection will be made with
Bdstin Water Su •
9 Supply. Public Water Well
at Da � t7Proposed S
Estimated time for completion 1
ALL WORK TO BE IN AOOORDANCE wmi.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONDMONS ATTACHED TO THE'PERMTT
Permit is to be issued to f '� e C the holder of Dian
Layer's License No. A 2 T/7Only holders of P-1, P-7. or W-9 Ilcentft
WWII be issued a pemflL 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 6ccavation Permit No. and/or ConnDOT Permit No.
PLEASE NOTE: ;;
} CBYD No. Si327 %r.a l�A S�I/VITAItYSL�WER LATE,
IS WITHIN75FaT OFA WELL
ZTNI/STBEAIR TESTED
Signed.-_
Licensed Drain Layer
Standard Forms\PermitsWMCATION FOR M1;A,'M PERT TT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: '1-4Z-9 c-901-
BUILDING ADDRESS A f t Lod n'
STREET61,60n/
SUBDIVISION:
NORTH ARROW
•
: 6eru Aq i-(- Lt1^tf166 V-
• i t I
ti CONTRACT R (PRINT) n NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
S EET ADDRESS SIGRATUlt
TOWN STATE ZIP INSPECTED BY TOWN
COO DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER