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HomeMy WebLinkAboutDrain Layers Permits 32 Long Meadow Driv (2) 1800012 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT ,!,', DATE: 03/26/2018 GIS ID: 54670032 FEE: 80.00 MUNIS APPLICATION# 201800352 y uy EXPIRATION DATE: 04/25/2018 APPLICANT `} LOCATION NAME: SSC CONSTRUCTIONLLC<f ADDRESS 3 LOItiIGMEADOW DRIVE ADDRESS: 1700 SAYBROOK R 4 OWNER TOi�L,IAND XVIII LIMITED PARTNERSHIP MIDDLETOWN,C '064 7X50 GIBtALTAR ROAD H,�M,PA 19044 u PHONE zy k 4 Y s ' WORK DESCRIPTION: NEW Swt �1 05 QI�T�3CTION h vs ,hr r f THE DRAIN LAYER ASSIGNED TO THI�;PEwdy IT Ht S A�AT�T�)I,I 1*ISl!ISSUED BY�THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORT ,'`IN !HE AT I ACBD'` ONDITIC?1`TS'�AI�L CORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDAMS SAI E ATTACHED CONDITIONS. r L ISSUED B DATE INSPECTED INSPECTED BY 3/26/2018 11:57 AM c,F ` b .. f r x lti, 4344� yz a k`NY� � k � � i. �.ti r i�'3 v^ t� -j`e � '� ♦s +�` ryfty, \ 'k TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: g 000 a CONTRACTOR: .S.SG LLCI LOCATION: 3 a L.n % D TYPE OF WORK: s e k, e DATE INSP NEEDED: DATE INSP: 3 / INSPECTED BY: WORK IN PROGRESS: t�c: ) c «5 - L� ��tz ✓^Neel ��C c `-t 504 `f f3 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: ' INPUT: DATE: S/rnolloy/lbrms 2014 Town of South Windsor INPSELTION REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 1 D� FEE $80.00 Location of proposed work: 3 2 �-�'��fM�c�a`�-� Lot # q1 Street No. Street Name Premises owned by: Name of Firm: Phone: �'6c 2sv. 2 3 t 3 Address of Firm: I'7cjc) TYPE OF WORK: Lay House Drain Repair House Drain ; Lay Lateral for building with connection ; or no connection ; Lay Main Lay Lateral for Commercial/Industrial Building number of acres Connection will be made with 6« S0 rL 3f Existing Water Supply: Public Water �� Well Proposed Start Date 3.26• 0" 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 the holder of Drain Layer's License No. � _©Z�?b't-� I 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. Z° I 0'�'_ 13 60 cfG/c�C> PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTED Signed: Z- ,--__Prdnt Name: Licensed Drain Layer Date: 3 26 l Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 2017.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ��ctirL BUILDING ADDRESS 3.Z-f STREET [002f4f,?c kc)fJ 7� ;t, .. SUBDIVISION: F4e� � 5e:t_. v. yj,.v�e,i �,;r NORTH ARROW 3 _- tin I- �.-_ -, E CONTRACTOR (PRINT) NAME CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE /Dr TOWN STATE ZIP INSPECTED BY TOWN ri Sc) . j�i-J DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER