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Home My WebLink AboutDrain Layers Permits 65 Chaponis Way (2) 1600068 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT •1 a.. T DATE: 11/14/2016Al h, GIS ID: 18270065 x FEE: 60.00 MUNIS APPLICATION# 201601678 yf 1.a ; �`=n EXPIRATION DATE: 12/14/2016 `5 � f APPLICAM 4 34 M f. LOCATION NAME: EAGLE EARTHWORM{ SE '' ADDRESS �1 `6 PONIS WAY ADDRESS: RC�101 N MOUNTAIN AI ,r • OWNER �, ' k£IANNIRINO BUILDERS LLC CANTON,CT 0601 ' T2 s 400'CHAPEL ROAD#3F µ v 4 �7TIWINDSOR,CT 06074 PHONE 860-69 2027 =h l iti . WORK DESCRIPTION: NEW S$4�Ri? r�� INCTTOrI THE DRAIN LAYER ASSIGNED TO THI%PE U GENS.E IS STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FOR IN'TftE A I CHIiD OND xTQ1 S''r ALL 1?ORK SHALL BE IN ACCORDANCE WITH _. THE TOWN OF SOUTH WINDSOR STANDARDS,AL,L I?SIYA RLQUREMENTS D TEE ATTACHED CONDITIONS. /MJ yF �• •-.. V. ISSUED BY DA ECTED INSPECTED BY 1 1/14/201 6 2:18 PM - - - - ----------- h T. '0F to T,t 11h 1 d <&SLx}ea-AV J It jbi kv #�„�, 4•y �,�"t �`F`+�'Y i .4 '"`ram fi r�hi 64jfp %R,W3, I1 f' y ^Ss i• 1 y�, y y i '`f5 - ;< fit• `kti,. ra TOWN OF SOUTH WINDSOR INSPECTION REPORT ---- PERMIT-CIO.: CONTRA01"©R: -- - _f LOCATION: r�i�l D TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: 't> WORK IN PROGRESS: C +� c•� , r `��itL s� Lzim fr c,Lt. V .1/ . 6 1 r SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: DATE: S/molloyffo-rms 2014 Town of South Windsor INPSEMON REPORT 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 ro .[it . p posed work: � � �' Lot # Street No. treat Name Premises owned by: Name of Firm: Phone: � '7°' Address of Firm: ®� �� C� 0 0,1 7 TYPE OF WORK: Lay House Drain_ /1 Repair House Drain Lay Main, Lay Lateral for Commercial/Industrial Building of acres Connection will be made with i Existing Water Supply: Public Water Well Proposed Start Date Estim ated hme 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 a (� ��C the holder of D Layer's License No. min . Only holders of P-4 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: Ap ®� Licensed Drain Layer Date: Standard Forms\Permits�APPLICATION-FOR DRMN LAYERS PERWT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: r / BUILDING ADDRESS if fi STREET SUBDIVISION: a, CC::�6 NORTH A ROW Ji F �1-- Dee - � rl -s-ct Clio, Wad- { CONT R (PRINT) NAIIE F ONTRACTOR':S SUPERVISOR (PRINT) - STREET ADDRESS SIGNATURE ccmr+616-01 / e 2' r �r// DATE TOWN ( rq 7 -STATE ZIP ZIP INSPECTED BY TOWN 0�✓ O ' b LS rc��-'...�� DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER