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HomeMy WebLinkAboutDrain Layers Permits 62 Chaponis Way 1700033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 06/28/2017 r GIS ID: 18270062 I� �. FEE: 60.00 MUNIS APPLICATION# 201700812EXPIRATION DATE: 07/28/2017 APPLICANTLOCATION NAME: MANNARINO BUILDE%S j$d ti; ADDRESS 62 CH PONIS WAY ADDRESS: 400 CHAPEL ROADS# \ 0 1 R MA TAT RIN0 BUILDERS LLC SOUTH WINDSOR,;, 1I6474 \ " 440 CHl1iPEL ROAD OF"y SOUTI WINDSOR, CT 06074 PHONE ' ` r l F y �s 5 I l ` WORK DESCRIPTION: NEW SW$ C©I�1NE�TI�Nk THE DRAIN LAYER ASSIGNED TO THIPT{$MIT BI-..SA ILID ISSTJI I7.�i'TH STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET PORT I`IN,TITEATT'AGH }R. `CQ IDITI©N ' !kL)ORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STAND Ai I7S, It OSHA'REQLIII�EME tT�,41�D 14E ATTACHED CONDITIONS. r _ ISSUED B DATE INSPECTED INSPECTED BY 6/28/2017 2:22 PM r s. tk h t "5 5f t 1 s ry x TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: .l A90 CONTRACTOR: l ���7��t��/�e LOCATION: TYPE OF WORK: O;l VI f _,�P e9n DATE INSP NEEDED: DATE INSP: Avo;Ar INSPECTED BY: WORK IN s PROGRESS: eve- "u;_ 1-�— J Je a Si SEPTIC TANK PUMPED, S SHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON 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 proposed work: — r tc)4 1, Lot # —le Street No. Street Name "Premises owned by: � i� -'-�_ t e t4 " Name of Firm: r Phone: 6 a.. i Address of Firm: d I� Cif TYPE OF WORK: Lay House Drain; Repair-House Drain Lay Main Lay Lateral for Commercial/Industrial Building of acres ct RICConnection will be made with Existing Water Supply: Public Water Well Proposed Start Date.( ' Estimated time for compWon ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA.REQUIREMENTS AND CONDMONS ATTACHED TO THE PERMIT Permit Is to be Issued to %C � � the holder of Drain :. Layer's License No, Only holders of P-1, P-7. or W-9 licenses Will be issued a permit. PERMIT WILL EKPIRE THIRTY(30) DAYS AFTER DATE OF ISSUANCE. the undersigned Drain Layer hereby agrees W 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 IFA SANITAR YSEWER LATERAL IS WITffIN75 FEE T OF WELL IT M11STEEAIR TESTED Signed: Print Name: Licensed Drain Layer .__.. Dater . standard Forms\Permits�APPL.ICATION FOR DRAIN LAYERS PERMU.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS clo STREET : --c-lop. Q221s SUBDIVISION: NORTH ARROW l- - - IL or LA te TT t ►_ CONTRAC (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT) �i p - STREET ADDRESS SIGNATURE �e' DATE T WN TATE ZIP INSPECTED BY TOWN ft 7 3 .� ....-- - DATE TELEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER