HomeMy WebLinkAboutDrain Layers Permits 59 Chaponis Way (2) 1600059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
DRAIN LAVER PERMIT
DATE; 11/07/2016 r
GIS ID; I8270059 t }
MUNIS APPLICATION# 201601639 N� u n 5 �� FEE: 60.00
�=F Y 4 i i ,. EXPIRATION DATE: 12/07/2016
APPLICANT4� 7 l 0
LOCATION
NAME: MANNARINO BUILDERS INC ADDRESS, S CH IPONIS WAY
ADDRESS: 400 CHAPEL ROAUl#3-T. RINO BUILDERS LLC
SOUTH WINDSOR,G 6074
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400 �HAPEL ROAD#3F
PHONE T T SSDUT HWINDSOR,CT 06074
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WORT'DESCRIPTION: NEW S15,V�-op C?1CTIGQN
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THE DRAIN LAYER ASSIGNED TO THI PE II H`1S 11i`TAI:Xj�T{ i SH�SSI jElYbi,yTHf STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FO 0I+dD1I0KS.;ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDDS,ALL OSHA3I (I1IRvIEIITB,t�ND�1IIl ATTACHED CONDITIONS.
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ISSUED BY DA E INSPECTED. INSPECTED BY
11/7/2016 12:02 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: d D CONTRACTOR:...flian rl/zir,/19 1-2
LOCATION:
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TYPE OF WORK:
DATE INSP NEEDED; DATE INSP:
INSPECTED SY: D
WORK IN
PROGRESS:
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SEPTIC TANK PUMPED,-SMASHED, FILLED WITNESSED ❑YES ❑NO
AS-BUILT. ._
DATE: r �
S/molloyftdrms 2014 Town or South Windsor INKSMON RVORT 14
/ APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 1AD Lot #
Street No. Street Name
Premises owned by: amutfi I'} ' oflk.
Name of Firm: Y �. Phone:
Address of Firm: lir2D, Ao6
TYPE OF WORK:
Lay House Drain__; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building ,of acres
Connection will be made with `r P U'
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
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Permit is to be issued to 6 �' !�y the holder of Drain
Layer's License No. 7S ff 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.
Signed: Print Name:
bc-ense6l Drain Layer
Date:
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
' SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: �-
BUILDING ADDRESS
STREET : rC3
SUBDIVISION: IQC� 'P
NORTH AR OW
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CONTRA OR (PRINT) NAJE 0 N CTOR'S SUPERVISOR (PRINT)
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S EET ADDRESS SIGNATURE
DATE
TOWN STAT ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER