HomeMy WebLinkAboutDrain Layers Permits 27 Longmeadow Drive (2) 1800058 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/14/2018
GIS ID: 54670027 FEE: 80.00
MUNIS APPLICATION# 201801426 EXPIRATION DATE: 09/13/2018
APPLICANT LOCATION
NAME: SSC CONSTRUCTION LLC ADDRESS: 27 LONGMEADOW DRIVE
ADDRESS: 1700 SAYBROOK ROAD OWNER: TOLL LAND XVIII LIMITED PARTNERSHIP
42 OLD RIDGEBURY ROAD
MIDDLETOWN, CT 06457
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.
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ISSUED BY DATE INSPECTED INSPECTED BY
8/14/2018 12:23 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: sSC, l ans g
4
LOCATION: 1 I) V-e
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: /� /��
INSPECTED BY:
WORK IN
PROGRESS: 5 ke Gf 7-
/
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT: r
I
NUT. RATT:.
S/mouoy/farms tom Town of South wincsor INPswmN REPORT m
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $80.00
Location of proposed work: 2 °i*Mex6-`1 Lot # /
Street No. Street Name
Premises owned by: —Cod` pc�s. any
Name of Firm: Sfc Phone: ��• 2So. 3 3
Address of Firm: (1%3 wl`�JrJ�'�wn
TYPE OF WORK:
Lay House Drainepair House Drain ; Sanitary Disconnect
Lay Lateral for building with connection ; or no connection
Lay Main
Lay Lateral for Commercial/Industrial Building number of acres
Connection will be made with 6 f02
Existing Water Supply: Public Water Well
Proposed Start Date �' �• Estimated time for completion I`�•
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 s�tvG'��--C��^.,�. �J the holder of Drain
Layer's License No. ?tom 6z�7 W f P7 . Only holders of P-1, P-7 or W-9 licenses
will be issued a 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. -00(T-3 30 t 9-7 Z PLEASE NOTE:
IF A SANITARY SEWER LATERAL
IS WITHIN 75 FEET OF A WELL
IT MUST BE AIR TESTED .
Signed: Print Name: S4((/akr
Licensed Drain Layer
Date: r<<I. (?,
Standard FormsWermits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 3/2018.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 7 1o=35mcc4ovu Or,
STREET
SUBDIVISION: s---
NORTH ARROW
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CONTRACTOR (PRINT) NAME 0 CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SI NATURE d
DATE
TOWN STATE ZIP INSPECTED BY TOWN
:i�-6 0 e S 0.Z .3 i 3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER