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HomeMy WebLinkAboutDrain Layers Permit 68 Deerfield Lane (2) i i ' TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. - Co,nt'tact.orKF�lOhE.TT; `"'S::I,LVESTER & SONS Location Adclre ;s: 6 CI3E12RYTfiEET Type Work NEW SAN LAT SAi:IiARTI�ORCT>:_06108 Phgie.Ns5E � 9 366 C,.A\1 Date Insp Needed � l�c�te �sy��s �• ....�,_,,. Time Insp Needed Time iris YY` i Inspected By ---------- Work in Progressa rSx 1 ------------------------ — Inputyr�_____ Date Permit No. 8021 Town of South Windsor, CT Permit Date 01/23/2006 Drain Layer Permit Expiration Date 02/22/2006 Descrip: Applicant Lgcao n :.::b E E l: E LD .fANE . ' 8 Name VIOLETTE SILVESTER NS:::{`:-:.; ': '."< K. >r;7.Q:........... ..>:.;R Addr. 65 CHERRY STREET We, Owner MEYEA2 AQ.,'.' LD D.;& JUDITH G ix 1 EAST HARTFORDT d6${3$ Phone No. (860)289 3466 The Drain Layer lea t pezitt#t h�8 d ya�id I3cense:issued by the state and hereby a4;rees. 86 all-"Che texffisxtd conditians :'set forth in the attached 'Condition - Pll dfk :sha'21 be ze �rdax�ce with Town s.' wv of South Windsor standards, a11'"O.SHA r'equlrement ;.._:andattack�ed;cinditions. Issued By --- -- � t >: <:>> ------------------ Date Inspected --------------------- Inspected By --------------------------- 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: !6 Lot #_______ Street No. - Street Name _ Premises owned by: "v Name of Firm: n Phone: 9,k T-3 s'66 Address.of Firm: C°7— ©/eo6 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 �C Well Proposed Start Date Estimated time for completion ------------- -WORK TO BE IN ACCORDANCE WITN*TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT ' Permit is to be issued to �1s �� o r e Layer's License No. qc the holder of Drain Will be issued.a • Only holde�r��of �-j, P-7 or W-9 licenses permit. PERM WILL EXPIRE THIRTY(30);DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all th and conditions set forth in the a terms Permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. Q00A0 /Opp 2�3 i a Signed��. /7ense Print Name: J ©� /mot d Drain Layer Date: Standard Forms\Permits\APPLICA';ION FOR DRAIN LAYERS PERMIT.doc —� Bernard Drabek- Locate Request 20060400243 Page 1 " From: <Cal[Center@CBYD.com> To: <cbyd@southwindsor.org> Date: Mon, Jan 23, 2006 1:09 PM Subject: Locate Request-20060400243 (CALL BEFORE YOU DIG -CT) 01/23/2006 13:03:33 -5G -Cl -CW -GV -OT 1-SW SWINDS -T5 -------------------------------------------------------------------------- *****ROUTINE****'t TIME..13:03 DATE..0 1123/2006 REQUEST NO...20060400243 LATITUDE..41.8287162 LONGITUDE..-72.5436782 TOWN......SOUTH WINDSOR ADDRESS...68 STREET....DEERFIELD LN NEAREST CROSS STREET..SELT RD -------------------------------------------------------------------------- TYPE OF WORK.....EXC TO INST SEWER,STORM AREA IS MARKED...NO REMARKS: WORKING FROM THE BACK OF THE HOUSE TO THE FRONT STREET LINE WILL BE MARKED -------------------------------------------------------------------------- START DATE......01/26/2006 START TIME..07:00 CALLER..........ANGELA CASASANTA CALL BACK.......8-5 PHONE#.........860-289-3466 FAX#...........860-528-9694 ALT. PHONE#.... EMAIL ADDRESS... CONTRACTOR......VIOLETTI SYLVESTER&SONS ADDRESS.........65 CHERRY ST CITY............EAST HARTFORD STATE...........CT ZIP.............06002 -------------------------------------------------------------------------- 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: