HomeMy WebLinkAboutDrain Layers Permits 89 Chaponis Way (2) 1700012 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 04/25/2017
GIS ID: 18270089 w wx FEE:. 60.00
MUNIS APPLICATION# 201700423 olv s �" EXPIRATION DATE: 45/25/2017
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APPLICAN}} LOCATION
NAME: MANNARINO BUILIkRS ADDR S ,' 89 GH}PONIS WAY
ADDRESS: 1169 ELLINGTON R.4A'b �1ANNARINO BUILDERS LLC
SOUTH WINDSOR,OE i 16974CHAPEL ROAD#3F
WINDSOR,CT 06074
PHONE 860-281 '"05501
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WORK DESCRIPTION: NEW SS—W,-BP,&O CTTt�T � Y51
THE DRAIN LAYER ASSIGNED TO THII ERi'm T HX�S Ash!, I�II►'Jt EI3S TSSUL B3�,I'H STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR`Ffl IN BHA Pr�CID°COI�bITTOi>1S' 4LLORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDRDS, LX'OSI�It1�REQiJTI�EMEI TS,AtD TJ ATTACHED CONDITIONS.
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ISSUED BY DAT INSPECTED INSPEC D BY
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TOWN OF SOU M WINDSOR INSPECTION REPORT
PERMIT NO.: l 771920 LA CONTRACTM, l a n a Fes/tq rg- _
LOCATION:
TYPE OF WORK: L L ),9A— y� n
DATE INSP NEEDED: DATE INSP.--
INSPECTED BY.---.a
WORK IN
PROGRESS: , p y c S J a
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SEPTIC TANK.PUMPEDiSMASH9D,FILLED WITNESSED ❑YES ❑NO
AS-BUILT: �O
INPUT: WE;
S(mouaylibmw=4 Town of South Windsor iripse Pf REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SUU IVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR, Cr
FEE $60.00
51,1 C 1 `71 l Lot
Location of proposed work.'
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Street No. Street Name
Premises owned by: 77
Name of Firm: �' G�v Phone: '
Address of Firm:
TYPE OF WORK:
Lay House Drai ; Repair House Drain '
Lay Main: Lay Lateral for Commercial/Industrial
Building of acres
. Connection will be made with
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 �` c� R�C the holder of Drain
Layer's License No. .. I f 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.
PLEASE NOTE:
'�. CBYD No. lFA SANZTA ySt WER-LATERAL
IS l' 1 THrN7S FEET OF WELL
jr M!/STBEAIR TESTED
Signed: Ale-
Print Name;
Licensed Drain Layer
Date:
Standard Forms\Perrn1WPPL1GKn0N FOR DRAIN LAYERS PERMrr doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: ` 2
BUILDING ADDRESS : _#K? & 6�
STREET : 4 00 ,`l t�Jq
SUBDIVISION: Llork-El �1
NORTH AR OW Y
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CONTRACTOR (PRINT) RAMt OF CONTRACTOR'S SUPERVISOR (PRINT)
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TREET ADDRESS S NATURE
DATE
TOWN— STATE ZIP INSPECTED BY TOWN
er .-c,"ou 0 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER