HomeMy WebLinkAboutDrain Layers Permits 23 Chaponis Way 1700034 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/28/2017
GIS ID: 18270023AP
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MUNIS APPLICATION# 201700813 {s t FEE: 60.00
y' r;t � EXPIRATION DATE: 07/28/2017
APPLICAhTT - LOCATION
NAME: MANNARINO BUILD ,%S INC ADDRE S 2 CHAPONIS WAY
ADDRESS: 400 CHAPEL ROADS# ,QNNARINO BUILDERS LLC
4 w " OWNER M
SOUTH WINDSOR,CTt0607A ` „ 41D0 CHAPEL ROAD#3F
OUT WINDSOR,
PHONE CT 06074
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WORK DESCRIPTION: NEW S
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THE DRAIN LAYER ASSIGNED TO THIS,PF-, IT H 15 A VALID LICBNSE ISSI ED 13�'TH rSTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORfiIFIN THE ATTAID'G(�NDITI01S' ALL WORK SHALL BE IN ACCORDANCE WITH
THEEAR
TOWN OF SOUTH WINDSOR STANDDS ALI, t OS�TA'REIIIREMEI>iTS{A1D CIE ATTACHED CONDITIONS.
ISSUE B 6/28/201 7 2:36 PM DA E INSPECTED INSPECTED BY
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7 CONTRACTOR: ��
LOCATION: 23 C; ha/'m el t
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Gh
WORK IN
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PROGRESS: c:,A-a.�)v, 5 .� f� { Cpvc. s7 a Faa .«t
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SEPTIC TANK PUMPED, S ASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: ` DATE: 3
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
j APPLICATION FOR DRAIN LAYER PERMIT
4 TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT \�
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: Lot #
Street No. Street Name
Premises owned by:
Name of Firm: rclo, /of t- Lloo�t- Phone: l4V
Address of Firm:—
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ay Lateral for Commercial/Industrial
Building of acres
f�
Connection will be made with .. P t,/
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 l� ` 2 Id/f�c�Cr�Z the holder of Drain
Layer's License No. ((s . 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. f317 k) 1\a R
(U)Si ne . ��9 d _ "k. Print Name: � -
Licensed Drain Layer
Date /
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMTT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 23 U
STREET .
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SUBDIVISION: C
NORTH A ROW
I
CON RACTQR (PRINT) NAME OF NT CTOR'S SUPERVISOR (PRINT) F
STREET ADDRESS SIGNATURE
DATE
N STATE IP INSPECTED BY TOWN j
���-� ��b,�� �t✓'�. r-7 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK -- CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER