HomeMy WebLinkAboutDrain Layers Permits 47 Chaponis Way (2) 1600060 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: I1/07/2016 L h 0
GIS ID: 18270047 r
i `'`z ' 2ti FEE: 60,00
MUNIS APPLICATION# 201601640 4 xg
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EXPIRATION DATE: 12/07/2016
APPLICANTLOCATION
NAME: MANNARINO BUILDERS 1N6 ADDRESS: 4�7rC1PONIS WAY
ADDRESS: 400 CHAPEL ROAD#3F' <
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Y kNN1RIN0 BUILDERS LLC
SOUTH WINDSOR fG.T06 74'
" 4O(S PEL ROAD 43F
PHONE .z x s� 3}Sbi7TIFWINDSOR,CT 06074
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WORK DESCRIPTION: NEW SrJ' y z
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THE DRAIN LAYER ASSIGNED TO THIS,PE4ITI#S fl► { it ; ), s1SE ISSLII;I BHA STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOTt4I161�N THI1TTrCIED`CONDITIP-NS' < I L CORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDcRDS; L OSHA REQL7IR'I;METS A1D_TI ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED
11/7/2016 12:I0 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 000.L0 CONTRACTOR:
LOCATION;
TYPE OF WORK: 1V 4 ?�
DATE INSP NEEDED; DATE INSP; g ��
INSPECTED
WORK IN
PROGRESS; ; :'1' i'(s �sa A d (` '• �4 �r /: a i
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SEPTIC TANK.PUMPED,SMASHED, FILLED WITNESSED .❑YES ❑ NO
AS-BUILT:
INP�lT: DATE; '
S/molloy/f rms 2014 Town of South Windsor INPSWMN REPORT 14
/ APPLICATION FOP, [BRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
pF FEE $60.00
Location of proposed work: Lot #
Stree No. Street Name
Premises owned by: l 11.0 Ahdfnx
Name of Firm: °L E"A or Phone: L0
Address of Firm: 7 ��
TYPE OF WORK:
Lay House Drain ; Repair House Drain
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Lay-Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
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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 &Ika W 17( &/1 the holder of Drain
Layer's License No. I 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.
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Signed: ✓ Print Name:
Licensed Drain Layer
Date:
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR f. .
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISiON:
NORTH ARROW
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CO TRAC 0 (PRINT) NAME OF NTRACTOR'S SUP RVISOR (PRINT)
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STREET ADDRESS :,
DATE.
TOW STATE ZIP INSPECTED BY TOWN
DATE
90
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER