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HomeMy WebLinkAboutDrain Layers Permit 432 Buckland Road Permit No— 7288 Town of South Windsor, CT Permit Date 06/12/2001 �j Drain Layer Permit Expiration Date 07/12/2001 Descrip: KATTEN LATERAL AT Applicant Location Name MECHANICAL PLUMBING & HFATING,I . A.ddr . "0432 BUCKLAND ROAD Addr. 52CRESTWAY ,Owner VILLAGE AT BUCKLAND COURT HAMDEN CT tY65=4 Phone No. (203)281-5522 The Drain Layer aso 7 j od try ie perms t `has 'a vAT i d .1 1,cense issued by the state and hereby agrees to =-a'11 ;'tha terms. and .cdn;dit`iohs set forth in the attached 'Conditions' A11 'work sha 1 :be 'in accordance with Town of South Windsor standards, all `OSHA .rquiremnts., and the,' attached conditions. Issued By T i.t l e —.'f3��. ......+�✓ Date Inspected Inspected By 1 Permit No. 7288 Town of South Windsor, CT Permit Date 06/12/2001 Receipt - Drain Layer Expiration Date 07/12/2001 Descrip: KATTEN LATERAL AT VILLAGE AT BUCKLAND HILL Name : MECHANICAL PLUMBING & HEATING Property Address 0432 BUCKLAND RQAD , lntertown Agreement N Type CK14458 User Type COMMERCIAL =" Co1,1 etted,r By 1 api en P/R User Fee Connection Charge Paid Permit Fee Paid2 .{1� Total Paid .00 ; Tendered:CK14458 4 w : TOWN TH WINDSOR SAMh� ,, �Y` SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING .ADDRESS Ale STREET �= SUBDIVISION: . NORTH A ROW t ` — — I p + F - I i e : r , i s ! ! 1 I y ! _.3._. .J _ _._{ _ - s "7 # ! i I i y , I CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER f DEVELOPER NOTE: LATERAL CAP WILL NOT BE REMOVED UNLESS INSPECTOR FROM THE TOWN OF SOUTH WINDSOR IS ON SITE. CONTRACTOR WILL THEN PROBE LATERAL TO INSURE IT IS CLEAR OF OBSTRUCTIONS OR ROOTS PRIOR TO INSTALLING ANY ADDITIONAL PIPE. C O 0 0 1 T 1 0 N S 1. This permit is issued under the express condition that every person acting under the same shall conform to the representations and conditions of the application therefor and shall conform to and be governed by the ordinances and regulations pertaining to sewers of the Town of South Windsor including amendments, thereto• and all. other pertinent laws, resolutions, ordinances. rules, and regulations of the Town of South Windsor and/or its Water Pollution Control Authority. 2. This permit say be revoked at any time. 3. This permit shall be maintained at the site of any work being done under its authority and shall be .shown upon request of any authorized person. LAWN/ STREETS/ 4. This permit does not authorize the doing of any acts ing upon or to private CROSS-COUNTRY PAVED AREAS property without the consent of the owner thereof. The duty of obtaining such TOPSOILsso0ORBEED SEE PERMANENT consent and complying with the conditions thereof rests solely on the drain layer PAVEMENT PATCHING DETAIL and those for whom he acts. 4-W11, �a'v�la'v- 0 0 APPROVED GRANULAR NON- Q ve S. This permit does not authorize any excavation in any public street, highway or . .•Q`9bto. ` o� OROANIC GACKrILL MATERIAL p O p• PLACED AND COMPACTED IN grounds. or doing any work therein or the placing of any obstruction therein. o o ONE roar(I'IIMAXILIFTS. Specific permission for such shall be obtained from the proper official having I WARNING TAPE PER CONN. charge thereof. eE GENERAL AT T!SECTION I PLACED TOP Or.P PE 4 (mAK.)ABOVE 6. The Town of South Windsor and its agents assume no responsibility that any representations in the application for this permit were correct and assume no responsibility for any information furnished or not furnished. ; `�,:Q o•a°0: :�24+CF ;Cy17yOQ ' A:ti:.%,;:'i:'; LAND BLANKET 7. No sewer or appurtenance thereof may be cut into or connection made therewith. IA•YIN. �: '• ;:.:;t::' or any pipe laid. except in the presence of or under the direction of an Inspector '^�• '�''tt '' PIPE,AiiPECIrIEO from the Engineering Department. At least 24 hours notice must be given to the .,.e �� :i•;;� Engineering Department before such Inspector is needed on the work. in general. i';^' -} I/•O 0. t• _ !N•BROK[N TRAPROCK Inspectors will be available between the hours of 8:30 a.m. !0 4:30 p.m. on . pipe Mondays to Fridays inclusive. O•YIN. �. � �• ��'S 8. The Drain Layer agrees that he shall at all time indemnify and save harmless o.a the Town and its officerso agents and servants, on account of any and all claims. It "" I` ll damages. losses, litigation, expenses, counsel fees and compensation arising out of injuries (including death) sustained by. or alleged to have been sustained by SECTION the servants, employees or agents of the Town, or of the Drain Layer. any N.T.S. contractors employed by his or.any subcontractor or material men. and from Injuries (including death) sustained by or alleged to have been sustained by the public. any or all persons on or near the work, or by any other person or TOWN OF SOUTH WINDSOR TYPICAL SANITARY SEWER •�•••+•• property, real or personal (including property of the Town), caused in whole Or STANDARD DETAIL TRENCH SECTION In part by the acts or omissions of the Drain Layer, any contractor employed .AYY.R►. I•.I ••N„•� by him or any subcontractor or material man or anyone directly or indirectly w..�.«....�...... employed by them or any of them while engaged in the performance of any work covered by this permit and during any maintenance period specified in the aforementioned ordinance. 9. The Drain Layer and owner shall be responsible to see that only the type of wastes specifically permitted by this permit are allowed into the public sewer as a result of this permit. R TOWN'-Or 'SOUTHtWINDSOR INSPECTION REPORT Permit No. 7288 Contractor MECHANICAL PLUMBING & HEATING Location b432 BUCKLAND ROAD Address 52 CRESTWAY Type Work RPR SAN LAT HAMDEN CT 06514 s 1Phone No. (203)281-5522 Date Insp Needed y t3�te Insp. � Time Insp Needed �3If� # I Inspected By Work in Progress S� Input, _ Date _ ------------------------------------------- Permit No. 7288 Town of South Windsor, CT Permit Date 06/12/2001 Drain Layer Permit Expiration Date 07/12/2001 Descrip: KATTEN LATERAL AT VILLAGE AT BUCKLAND HILL Applicant Location Name MECHANICAL PLUMBING & HEATING Addr. 0432 BUCKLAND ROAD Addr. 52 CRESTWAY - Owner�:: VILLAGE AT BUCKLAND COURT HAMDEN CT aO ;f , Phone No. (203)281-5522 The Drain Layer assi;-gnei'd tht s permit `has s vatid license issued by the state and hereby agree .t0 i"I the: t1pr03 and cond�ltions set forth in the attached 'Conditions"i Al-1 work s ha,11 .b .fin accordance with Town of South Windsor standards, all 4 t=1A; requi raOwdrttit "end tho attached conditions. Issued By .�. Tit1e �-�� 5 Date Inspected _ Inspected By �1 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR J 6 PUBLIC WORKS DEPARTMENT b J� TOWN HALL 01� 15 v" 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT _V p FEE $25.00 UX, Location of proposed work: �--13 z 7;j�uQk Lps� 4 Lot # Street No. Street Name Premises owned by: n Name Of Firm: JW�i Coif- K-r - Phone: Z03 Address of Firm: S Z C,RL"I 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 V Well Proposed Start Date Atimated time for completion J ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT r Permit is to be issued to K' 1+- K the holder of Drain Layer's License No. 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. Signed �� `-�/ Print Name: Licensed Drain Layer Date: S 2-g—o/ Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc