HomeMy WebLinkAboutMiscellaneous - 224 SUMMER STREET 4/30/2018 (2) rf -224 SUMMER STREET
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Lot& Street '
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Map/parcel
CONSTRUCTION AppROVqL
Has plan review fee been paid YE
PlanNO
Approval: Date: Permit#
Designer: Approved by;
Conditions: Plan Date:
Water Supply. Town Well
Well Permit:
Well Tests: Chemical Driller:
Bacteria 1 to Approved
Bacteria 11 Dat Q proved
Date App ed
Plumbing Sign-off..
Comments: Wirin -
g Sign-offf.,
Form "U»Approval: !,
Date Issued Approval to Issue:
Conditions: BYES NO
y:
Final Approval: 1
All Permits P
Well Construct on A
Septic System Constuchon Approval?
NO
Certification? pproval? YES NO
Other? YES NO
YES NO
Any Variance Needed? YES NO
FINAL BOARD OFYES NO
DATE: HEALTH APPROVAL:
APPROVED BY:
SEPTIC SYSTEM INSTALLATION
CONDITIONS:
Is the installer licensed?
Type of Construction: NO
New Construction: Certified Plot Plan Review NEW RIR
Floor Plan Review NO
Conditions of Approval from Form U YES
Issuance of DWC permit: S N
DWC Permit Paid? �5
DWC Permit# 20� / YES NO
Installer:
Begin Inspection:
YES NO
Excavation Inspection:
Needed:
Passed: 68
By:
Construction Inspection:
Needed:
0
As Built Plan Satisfactory:
YES:
i
Approval of Backfill: Date:
By:
Final Grading Approval: Date:
By:
Final Construction Approval: Date:
By:
Certificate of Compliance: Approval:
Date: