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HomeMy WebLinkAboutDrain Layers Permit 179 Commerce Way (2) i • Permit No. 7711 Town of South Windsor, CT Permit Date 03/04/2004 Drain Layer Permit Expiration Date 04/03/2004 Descrip: SATELLITE TOOL COMPANY i Applicant LOCat;ion Name PDS ENG.& CONSTR INC:¥add (317:� COMMLRE {1A3( Addr. 107 OLD WINDSOR ROAD' Owner LUKASI2C JAN. &.ELIZABETH BLOOMFIELD QT 06002 Phone No. (860)242-8586.,. The Drain Layer .',a§szgrie�ltl�is Z7 tttit has a .v-41id CenSe z..s ied by the state and hereby agfees'tod >the terms `and condition. setfox'th in the attached 'Conditions! 3'11 work sYt 11 -1-t ac:c Bari e`: with Iowan of South Windsor standards, all OSHA re uirerr nCs and.the atta'shed ;e4hditions. C '�+t T3C] Issued B y ----------- 1`F ------------------ Date Inspected __ - Y APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work:_17 c? C OM M r-Ac E WA `f Lot # . Street No. Street Name Premises owned by:SAT-fit T-E 'rLAr>ta Coo- PAS Y Name of Firm: PQ 5 F�JNSEE F_�P,►/i& +CO-clS7 Phone: C&a 2,V2_-,p Add ress.of Firm: 06'0 VVIND.S0IR ROA D, BL;cx>-4i F 1r—D,c7: 06co� TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral-for Commercial/Industrial Building of .63,E acres Connection will be made with "A 0 I-10c E 5TA-r/UA_) Existing Water Supply: Public Water_ Well Proposed Start Date *1�'V Estimated time for completion 15T-// 0 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 RA&PH VI///Ulu" T R . the holder of Drain Layer's License No. :Zd 63 `f Y Y . 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. 200 9 02 Signed: f. �' �- Print Name: r A6 P� y'V 1/UIJ . Licensed Drain Layer Date: 3/3 0 Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc 151 STATE OF CONNECTICUT 16970 DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue ♦ Hartford Connecticut 06106 Attached is your license. Such license shall be shown to any properly interested person on request. No such license shall be transferred to or used by any other person other than the person to whom the license was issued. To report an address change,please contact the Department of Consumer Protection,Licensing Division at(860)713-6000. Visit our web address:www.dcp.state.ct.us/licensing/for information and applications. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER , tO PLUMBING B�,Pl,PI1�[ iTFi)CONTRACTOR 211 PokNT) 90AD RALPH WINN JR ir' B4T 06488 211 SCANTIC ROAD TYPE-.*P7 l: ._.: E WINDSOR, CT 06088 LIC./REG NQ FE IV EXPIRES 208449 e :t0] 203 �txts 70/31/2004 SIGNED - ............. ... .......... ............ ._..... . . AT OE`xCONNJG'�GC = ` bEPAYZTMT ' OF CONSJMER PROT CTI ''� -- �4` ,gr•, d � d�""�ixz �'�r`'�y ,� . _ g• �i,� - s°`dR °'. � �. tK � � _ a�;.,P �ry�„„�, p :_ > elt - n that krs � :,'•y$` t, �4a� - is zt ter - ttr J. x � F � � 11 SGA 2�T I` 1 0AD " d' .r r � xs t-" IC 4 rb-4 .r r °;f - i �`1.�+ - lit Og k• r Y� has;be n eerhfied b e arl �s r Prote q s la4F �2nTi '�t j.�". Z -nO�VMBIN & PI Al xtn a a t � l * PSiys 1 . ssn� � a x �d i� � s74 i} § ice 449s s F Effective: 11/01/2003 t � d l Exp res: 10/31 ^ a� r 2004 � , � : _ � _� • On s T Fleming, CommlSSloner *; - - - -� ' L t , i LEGEND EXISTING CONTOURS PROPOSED CONTOUR 82.00 x EXISTING SPOT ELEVATION 82,00� N/F� PROPOSED SPOT ELEVATION REAL OR17UP LLC, SILT FENCE EROSION CONTROL VOL,939,PG,122 PROPOSED CATCH BASIN ❑ EXISTING CATCH BASIN CI 150 w METAL HALIDE EXTERIOR WALL PACK ® STAKED HAYBALE @ CATCH BASI ( EROSION CO •'CJZ''O.1» EXISTING BUILDING N 69 C. 5.00 , SZ4E �PRE .97 80 25 x CONSTRUCTION ENTRANCE M 81 ANTI-TRACKING APRON 1121,.F•12 P� 80.33' TF 7.40 20.00' 72,21\ 551.�•1 I 73. (12") ` \ 72,86�_ � � V.73 5(8 -p ' �6' 90 O �^ o ! oo• st 79,00 X m o • CA co n 1 . cA x78, 0 vo m a • ti TOWN OF SOUTH ANDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS l 9 STREET : 0 V" m �'' c 6�ec Lk D SUBDIVISION: NORTH ARROW � Id --lox A2LA12T91 a MN. 1 '7 40 " ' I Urns '`C . ( 'c)t(!1 T CONTRACTOR (PRINT) u NAME OF T 'S SUPERVISO (PRINT), STREET ADDRESS f SIGNA DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER