HomeMy WebLinkAboutDrain Layers Permit 771 Ellington Road TOWN OF SOUTH WINDSOR I. NSPECTION REPORT
Permit No o 7,5 �1 s . Contractor JAMES THROWE
Location "771 ' I.LI{U1' ," Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
e No. (860)289-0095
Date Insp Needed a(e sp. ll�2-
Time I nsp Needed
Inspected By
Work in Progress
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Town of South Windsor, CT
Ppt No. 7584
rVI Date 10/01/2002 Drain Layer Permit
Fxpi'ration Date 10/31/2002
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Applicant �.'.�"""� Location
Name JAMES THROWE dr. 0771 ELLINGT'ON- RClD- '
Addr. VANS SEWER & SEP UTH WINDSOR HISTORICAL SOCIET
97 RIVERSIDE DR
VERNON
Phone No. (860)289- 95
Al
The Drain Laye s �
it d license issued by the
state and hereby a l ms tions set forth in the
attached 'Conditi a ance with Town of South
Windsor standards, attached conditions.
Issued By Ai
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Date Inspected I ed By
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
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Location of proposed work:. 7 7 L l ��t�11,1t) NC, Lot #
Street No., Street Name
o G
Premises owned by: �1,4)r1,6A, '
Name of Firm: I lAin -k L Phone: �.� 002
Address of firm: � 7Pit�-)
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 Well
Proposed Start Uate-'I!:�G Estimated time for completion C> G
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND COND ONS ATTACHED TO THE PERMIT
Permit is to be issued to � ' €t ^-----' the holder of Drain
Layer's License No. 4 : :Z . Only holders of P1 or P7 licenses will be
issued 8 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'--- rtrif-,5' L
%
Lensed Drain Layer
Date:
Standard FormAPermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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(CALL BEFORE YOU DIG - CT) W9/27/2002 1W:52:25
-5G -C4 -GV -OT
J. SWINDS -T5 -W3
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_______
***** R8UTINE *****
TIME. ' 10:51 DATE. . 09/2//2002
REQUEST NO. . . 2W0239@2772
LATITUDE. . 42 . 8256816 LONGITUDE. . -72 578556� '��
TOWN. . . . . . SGUTH WINDSOR � --
ADDRESS. . . 771 ^
� STREET. . . . ELLINGTON RD
NEAREST
.�
CROSS STREET. . NORTHVIEW DR
TYPE OF WORK. . . . . EXC TO REPAIR SWR
AREA IS MARKED. . . YES
REMARKS:
WORKING ON THIS BLDING
THIS IS HISTORICAL SOCIETY/SCHOOL HOUSE
START 002 START TlME. . 07:00
CALLER. . . . . . . . . . JANES THROW
CALL BACK. . . . . . . ANS MACHINE
PHONE #. . . . . . . . ' 860-871-7968
FAX #. . . . . . . . . . . N/A
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . VANS SEWER & SEPTIC SERVICE
ADDRESS E
. . . . . . . . . 97 RIVRSIDE DR
CITY. . . . . . . . . . . . VERNON
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 12",6066
EXCAVATOR DOING WORK. . SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED B�:
CALL BACK: J. DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSQN CONTACTED:
°
. .
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(CALL BEFORE YOU DIG - CT) 10/01/2002 11 :30:09
-513 -C4 -GV -OT
3-SW SWINDS -T5
__________________________________________________________________________
DATE. . 10/01 /20N2
REQUEST NO. . . 20024001165
| IN REFERENCE TO REQUEST. . 20023902772 DATED. . 09/27/2002 FROM KCH
� .
TOWN. . SOUTH WINDSOR
CALLER NAME. . JAMES THROW PHONE#. . 860-871-7968
ADDRESS. . 771 ELLINGTON RD. . CUSTOMERS START DATE IS 10/02
HE ONLY HAS WTR MARKINGS. PLZ MARK ASAP. . THANKS
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: O �-
BUILDING ADDRESS 77 /
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME F CONTRA TO SUPERVISOR (PRINT)
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STREET_ ,,ADDRESS ' `f Y-/.
ATURE /
`/`Cn�Y11� 7 C) 6 0� 4 2.� � � /y./op-A-DATE
TOWN STATE ZIP INSPECTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER