HomeMy WebLinkAboutDrain Layers Permit 514 Foster Street ~ TOWN OF SOUTH WINDSOR INSPECTION REPORT
P;?rmit No. 8054 Contradtor BUTCH *AND -LOVELAND CO
Location s` OSTER $; ET A v dreSa. 16 OT D FLINTLOCK ROAD
Type Work NEW SAN LAT LiTQQMFIELII' CT:. 06::9.02
Phor�e :No 4aF�2)242 4�22
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Date Insp Needed Datensp
Time Insp Needed _____ Tame Irsp
Inspected By
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Permit No. 8054 Town of South Windsor, CT
Permit Date 05/18/2006 Drain Layer Permit
Expiration Date 06/17/2006
Descrip: 37 USER FEE CK 10373,.;<"
Applicant L: :.;~
PP ocat .on
Name BUTCH AND LOVELAND COd 051 FOSTER STREET
Addr. 16 OLD FLINTLOCK;'ROAD Ovt r LON60 ANGEL£?. P"'& AUDREY W
BLOOMFIELD CT,06002
Phone No. (860)242-4321
The Drain Layer ass`ignQd thsis ; .;[A h s s�zakfd license <assued by the
..
state and hereby afire ;>.'ta;a; 1e the`'" 'fms`-' i' ''C`on'ditxCri. ' t::"forCh in the
attached 'Conditions'. . AT1 .wol slal:l:::i: '..::1 : �xdan5 with To�Fn of South
Windsor standards,
da ds all OSH ::r�`:.u ' e: ra
A ., q Im��1?.,. .,..: i1�3 :.C,k'e'att:a'bPied,.c.ontlitions.
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Issued By --------------
ai
Date Inspected ---------------------------
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:_ 5'! - � Lot #
'� 3 f•
Street No. Street Name
Premises owned by: S '
r- Name of Fitm:�
• PhoneT."Do zz
Address.of Firm: ( l
TYPE OF WORK:
Lay House Drain �; Repair House Drain--.-
- - Lay Main - -
Lay-Lateral'for Commerdal/Industrial
Building of acres
Connection will be made with _ S btt ��--
Existlng Water Supply: Public Water Well
Proposed Start Date '� Estimated time for completion
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
Layer's License No.2.rp the holder of Drain
Will be issued.a Only:holders of P-1, P-7 or W-9 licenses
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.
Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Pe it No. _
-CPYD No.
Signed: rint Name:
— i re ed Brain L - ---
Date:
Standard Forms\Permits\APPLiMhON FOR DRAIN LAYERS PERMIT.doc
Bernard Drabek- Locate Request-20062001237 Page 1 {
From: <Cal lCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Tue, May 16, 2006 12:05 PM
Subject: Locate Request-20062001237
(CALL BEFORE YOU DIG -CT) 05/16/2006 11:57:35
-5G -C1 -CW -GV
-OT 6-SW SWINDS -T5
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*****ROUTINE*****
TIME..11:57 DATE..05/16/2006
REQUEST NO...20062001237
LATITUDE..41.8317337 LONGITUDE..-72.5295715
TOWN......SOUTH WINDSOR
ADDRESS...514
STREET....FOSTER ST
NEAREST
CROSS STREET..DEPPWOOD DR
--------------------------------------------------------------------------
TYPE OF WORK.....EXC TO INST SANITARY SWR
AREA IS MARKED...YES
REMARKS:
WORKING FROM THE ST TO THE REAR OF THE LEFT SIDE OF HSE
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START DATE......05/19/2006 START TIME..07:00
CALLER..........CINDY BUTCH
CALL BACK.......8-5
PHONE#.........860-242-4322 :
FAX#...........860-242-4304 ;
ALT. PHONE#.... `
EMAIL ADDRESS...
CONTRACTOR......BUTCH & LOVELAND
ADDRESS.........16 OLD FLINTLOCK RD
CITY............BLOOMFIELD
STATE...........CT
-- --ZIP.............06002
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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:
TOWN OF SOUTH WINDSOR
- SANITARY SEWER LATERAL FIELD - LOCATION
DATE OF CONSTRUCTION:
o
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
w �. \U
T at
r
- 0 jq
CONTRACTOR (PRINT) 4SIGNATU
TRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS p
DATE '.
TOWN STATE ZIP INSPECTED BY TOWN
�6 2,, Z^ LI ��.�� DATE
TELEPHONE;NUMBER
WHITE - TOWN PINK CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER
- �� ✓r'' '`t / �f.� . t."��-r .-.a/. :�"/.r c..�y..s�. �/ i'��� .yi�F L-/j-'�-' f /��jl'/�''� �/.�� � ,�,(��tf
'To help locate your sewer connection on the main line, Tease show
where you v+could like the connection by drawing a _line Frorn the house or
the septic tank to the main line in the street. Also, install stake in yard
to indicate line as shown on sketch. if you have any doubt please contact
the Town Engineering Department,
Please draw important information such as drive�.niays, large trees
and other, obstructions. -
PLEASE MAIL Ti-iIS FORM INAMEMATi-LY TO:
JAMS S . MINGES & ASSOC, , INC.
The Exchange
Farr r7 ington Avenue
Farmington, Conrlecticut 06032
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