Loading...
HomeMy WebLinkAboutDrain Layers Permits 50 Andrews Way 1600033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 06/23/2016 GIS ID:03200050 FEE; 60.00 MUNIS APPLICATION# 201600844 ♦ EXPIRATION DATE: 07/23/2016 N ., a ,, APPLICANT y: LOCATION NAME: BUTLER COMPAN)f WS WAY ADDRESS: 848 MARSHALL PHS RQAD dWNEIt SQUTI WINDSOR DEVELOPERS LLC 14 WINDSOR, CT 06015,, 261vIA1&STREET SUITE 100A lipf AM,NJ 07928 PHONE 860-68 8024 WORK DESCRIPTION: NEW S W CQNNECTION C NfIbIER C AL�L7II.DING'r#4 UNITS 401-408 k t THE DRAIN LAYER ASSIGNED TO THI PI R�rIIT H 4S A�TALII?E. BN611 ISSII DFBkfHi STAT$AND HEREBY AGREES TO ALL THE,TERMS AND CONDITIONS SET FOR-H-PI. I HR)WACM04 t t �QNDITIQI�IS' `Ekl i.WORK SHALL.BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDD5 AL,L OSHA REQUIREMENTS, p IHE ATTACHED CONDITIONS. A: ISSUED 137Y DATE INSPECTED INSPECTS BY 6/23/2016 8:38 AM r � s b, 1- :'4 h� k s., r3•. °vZ ; 4 4 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 3 CONTRACTOR:_ LOCATION: b1o� TYPE OF WORK: UjSD ?sZ.� Ire--s l7 C� r DATE INSP NEEdED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: L� ""fi.s,,� :� ahy �lL�� (11 J'L'� ;i)re A✓L' j�.r0 of 7(4'1r�0'& ,�. q© �'t n:.�: R ems•.C• _ e-fzLS —2•�a.ri - Ja cam'^ SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT• (% DATE: l f 1 S/mollay/forms 2014 Town of South Wndsor INPSECTION REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,CT FEE $60.00 Location of work: V proposed Lot# Street No. Street Nam Premises owned by: l W Name of Firm: _ ��. Phone: Address of Firm: 2� 1 � avL TYPE OF WORK: Lay House Drain 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 �, 1� Estimated time for completion ALL WORK TO BE IN ACCORDANCE WITH.TOWN'OF SOUTH WINDSOR STANDARDS, . ALL OSHA REQUIREMENTS CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to ( �� � �ethelder of Drain Layer's License.No. Ob2 Only holders of PW-9 licenses will be issued a permit. PERMIT WILL EKPIRE THIRTY� S AFTER `. PLATE 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: .y: CBYD No. �b . l b ` D f �/. rFA SANITARYSPWER LATERAL IS WrrHIN75FEET QFA WELL IT AdUSTj ArR TESTE Signed: Print Name: �� r2 c n ed Drain Layer Date: k A1111, standard Forrns\PerM!WPPUCARON FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: b 2'7 / 2 BUILDING ADDRESS aLaw4 *q(- o I- EoA) STREET : AIA (60 4mo2Cws LtAV SUBDIVISION: W4LK NORTH ARROW i �- 4. sm -ur _ tMa&L At REJXo CONTRACTOR PRINT NAME OF CONT CTOR'S SUPERVISOR PRINT STREET ADDRESS SI NA URE i4z_rr ATE TOWN STATE ZIP INSPECTED BY TOWN 8 A02Y DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER