HomeMy WebLinkAboutDrain Layers Permits 26 Longmeadow Drive (2) 1.800035 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 05/23/2018
GIS ID: 54670026 FEE: 80.00
MUNIS APPLICATION# 201800741EXPIRATION DATE: 06/22/2018
APPLICANT LOCATION
NAME: SSC CONSTRUCTICTkLLC 4 ADDRESS26I.OGMEADOW DRIVE
ADDRESS: 1700 SAYBROOK ROD OWNER TOLL)YAND XVIII LIMITED PARTNERSHIP
MIDDLETOWN,CT U6457 , ., GIBRALTAR ROAD
,HORSHAM,PA 19044
PHONE
WORK DESCRIPTION: NEW SWI~ CONNECTION -
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THE DRAIN LAYER ASSIGNED TO THIPEIIT Iiz1S t�VA1 ID LIGEI ,511 ISSUEI33Y THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT AN-THEATT�iCH D`GONDIT ONS' Y ICI WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDt1tDS,ALL bSHx RQUIREMENTS�AND IIE ATTACHED CONDITIONS:
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ISSUED BY DATE INSPECTED INSPECTED BY
5/23/2018 11:57 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: -5 51 &ant°
LOCATION:
TYPE OF WORK: Co V7 ri e >
DATE INSP NEEDED: DATE INSP: "� f
INSPECTED BY: _
WORK IN
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PROGRESS: a F M c N�/ ,J r-VIC ,0' . . -
SEPTIC TANK PUMPED, MASHED, FILLED WITNESSED ❑-YES ❑ NO-
AS-BUILT., ,
INPUT: DATE:—14S
S/moiloy/forms 2014 Town of South Windsor TNPS15CnbN REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $80.00
Location of proposed work: ZG ���� ectckf-1 Lot #
Street No. Street Name
Premises owned by:
Name of Firm: SSG �►'15�+�vG�.ur� \\�- Phone: �60 2S�J. Z3i 3
Address of Firm: (-?00
TYPE OF WORK:
Lay'House Drai4 Repair House Drain ; Sanitary Disconnect
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 a2
Existing Water Supply: Public Water_ Well
Proposed Start Date S•2 3 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 C-r"""1- t c the holder of Drain
Layer's License No. 21M 0z?'78"H s -t?. 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. Zo PLEASE NOTE:
IF A SANITARY SEWER LATERAL
IS WITHIN 75 FEET OF A WELL
IT MUST BE AIR TESTED
Signed: Print Name:
Licensed Drain Layer
Date: S -2 7 . I
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 3/2018.doc
TOWN OF SOUTH WINDSOR
SANITARY SEINER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: A 3 t b
BUILDING ADDRESS
STREET
SUBDIVISION: _ i' - �tj : e-
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGMA RE
CT 0t l l S '7 ,!!g , .' DATE
TOWN STATE ZIP INSPECTED B"'Y TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER