Loading...
HomeMy WebLinkAboutDrain Layers Permit 0338 Avery Street (2) 1800027 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 05/02/2018 } ' GIS ID:06300338 FEE: 0.00 MUNIS APPLICATION# 201800595 �� ,� x - 4 F s EXPIRATION DATE: 06/01/2018 z A to T` r `�U st , APPLICANT ` _ ,s LOCATION NAME: NUNES CONNECTIC T INC z, + _ ADDR$x S `3 A'Ilk RY STREET ADDRESS: 75 WEST DUDLEY n QVyN� OA SiIITI 2 `QWNER �`�' RSTI,7 tULDES BLOOMFIELD,CT b60 AVIARY STREET 1 ` S©U 'WINDSOR CT 06074 r PHONE RN s,f s §?� WORK DESCRIPTION: REP AII H(�SE I I AIN'AVI✓RY STREEfi�f O V1� 'R JEC I NO FEE t THE DRAIN LAYER ASSIGNED TO THA E IAA }P A II. S tj VALI�i LTCEISE ISSURI3$ THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTII"i1V THE ATTACIF `C JI`7II3TB ,+ j, ORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WANDSOR STANDAItDS�,ALL OSHA REQETAREM N'T` ,AID WE ATTACHED CONDITIONS. n xawl , k ISSUED 8Y DATE INSPECTED SPECTED BY 5/2/2018 2:08 PM Nlir',110 AN i3 �h r s r 9ri�yil r g `Ei r�`. � � F f 3m k 4 ai ° pp lxxt " 5{ uw $t y3 t '` .` ,z i t i ` z A �y' t r J .vV ti 5 r3 G —S �c TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: U 6 '�- TYPE OF WORK: - t�- DATE INSP NEEDED: DATE INSP: Gz INSPECTED BY: WORK IN PROGRESS: (:ClAJTiVAc.+Sri �t F�ias ci a;j/VG sot,-)ITA sc�wf-rc: COeAL 3 L rc ot^!^-) S C�N�e►Li Anr �' �{4STc'� }�' �A�a s:.�r.� SEPTIC TANK PUMPED, SMASHED, FILLED wrmESSED ❑YES ❑ NO- AS-BUILT: ' INPUT: DATE: S/Molloy/Porms 2014 Town of South Windsor INPSMON REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT ✓ r�. TOWN HALL C� 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location'of proposed work: Avery Street Lot Street No... Street Name Premises owned by: UvLbrr-s. oglnzz Name of Firm,. Nunes Connecticut;:Inc. Phone; 860.883.4340 Address of Firm 75 West Dudley Town Road,.Suite 2, Bloomfield, CT 06002 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: x . Well. Proposed Start.Date 6/21�17 Estimated time for completion'ii 1 17 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 David Fernandes the holder of Drain Layer's License No, PLM.0284783-P7 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 ail the terms and conditions set forth in the permit and attached thereto. Applicant has received Town Street Excavation Permit No. 22197Zand/0ronnDOT Permit No. CBYD No. 20172100727 PLEASE NOTE; IF A SANITARY SEWER LATERAL Is wx,rHZN 75 FEE' OF A WELL IT MUST BE AIR TESTED Signed Print Name:. David Fernandes Licensed Drain Layer Date: 9 i7 Standard Forms\Permlks\APPLICATION FOR DRAIN LAYERS PERMIT.doc ~ TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 9-"2 2 - I-q. BUILDING ADDRESS : 33 9 AQ 679Y s-F STREET 5r SUBDIVISION: NORTH ARROW -7-- r- F -� 6I _ ! _ _-FF ___�. QjP,- I + I tQ WJ 6'S Go tjS-rft VGTtyA) CONTRACTOR (PRINT) NAME OF CON CTOR S SUPERVISOR (PRINT) $2- CAg.NAD-10 AS STREET ADDRESS SIGNA 1,Ud LOW laA- DATE TOWN STATE ZIP INSPECTED BY TOWN V9 3•- 5 q i� -W 916 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW -- CONSULTING ENGINEER / DEVELOPER