HomeMy WebLinkAboutDrain Layers Permit 427 Abbe Road I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7473 Contractor SKIPS SEPTIC
Location .0427- .A9BE,-,ROAD Address 27 MUDDY BROOK ROAD
Type Work ANEW SAN LAT ELLINGTON CT 06029
No. (860)875-2332
Date Insp Needed �1s 16a
Time Insp Needed
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Perk-tv--no. 7473 Town of South Windsor, CT
Permit Date 07/18/2002 Drain Layer Permit
Expiration Date 08/17/2002
Descrip:
Applicant Location
Name SKIPS SEPTIC 4 ABBE ROAD
Addr. 27 MUDDY BROOK ROAD T HT STEPHEN C &
ELLINGTON CT
Phone No. (860)875-2332
The Drain Layer a i s 4-- 1 cense issued by the
state and hereby agr s� t nd i s set forth in the
attached 'Conditions' Ni i c with Town of South
Windsor standards, al uir > i `s t ached conditions.
Issued By
Date Inspected to By
SCANNED
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: '07 Lot #
Street No. Street Name
Premises owned by:
Name of Firm: PS '5cf r7C Phone: 7 Z 332,
Address of Firm: 7 /k K P p y El-I- I&Crh
TYPE OF WORK:
Lay House Drain X ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with R P VC-
Existing Water Supply: Public Water Well
Proposed Start Date , 7-2 3 Estimated time for completion 7- Z v Z
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 �j fi-/- )C--e the holder of Drain
Layer`s License No. zo?9 z !r- . Only holders of P1 or P7 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. ;2ooZ Z ?aZ 00
Sig:hed-//: Print Name: 401?tA�C/t- UAL
Licensed Drain Calrer
Date:
Stabdard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc S AN NI
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE Of CONSTRUCTION: a
BUILDING ADDRESS
STREET :
SUBDIVISION:
NORTH ARROW
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SK[P5 S TA" Si feu (C':�- T'uC - M iaA4T( LA5KA
CONTRACTOR (PRINT) NAME OF CO TRA R'S SUPERVISOR (PRINT)
Z? /ku0P� (sl2voc� r-� a
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STREET ADDRESS SIGNATURE
&cc(1V(.T b N c7T-. b( 6 0-1 DATE
TOWN STATE ZIP INSPECTED BY TOWN
966 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
**
(CALL BEFORE YOU DIG - CT) 07/17/2002 14:22:32
-5G -C4 -CW -GV
-OT 14-8W SWINDS -T5
__________________________________________________________________________
***** ROUTINE *****
TIME. . 14:20 DATE. . 07/17/2002
REQUEST NO. . . 2@022902190
LATITUDE. . 41. 8656387 LONGITUDE -72 5413093
. . .
| TOWN. . . . . . SOUTH WINDSOR
|
ADDRESS. . . 427
STREET. . . . ABBE RD
NEAREST »�._K ��� N -
^v
CROSS STREET. . ROBERT DR
__________________________________________________________________________
TYPE OF WORK. . . . . EXC TO CONNECT TO SANITARY SWR
AREA IS MARKED. . . YES
REMARKS:
WORKING IN THE FRONT OF THE PROP. . . .
__________________________________________________________________________
START DATE. . . . . . 07/22/2002 START TIME. . 07:00
CALLER. . . . . . . . . . LAURIE WALKER
CALL BACK. . . . . . . 8-5
PHONE #. . . . . . . . . 860-875-2332
FAX #. . . . . . . . . . . 860-875-0428
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . SKIP SEPTIC SERVICE
ADDRESS. . . . . . . . . 27 MUDDY BROOK RD
CITY. . . . . . . . . . . . ELLINGTON
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06029
__________________________________________________________________________
EXCAVATOR DOING WORK. . SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1 ) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED: