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
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TOWN TH WINDSOR
SAMh� ,, �Y` SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING .ADDRESS Ale
STREET
�= SUBDIVISION: .
NORTH A ROW
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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`
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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 _
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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