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HomeMy WebLinkAboutDrain Layers Permit 41 Gail Lane (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7994 Con.. Eor COVEN CONSTRUCTION CO. Location rNE A3dress. Type Work RPJk 9 hAT : PS oae-0 Date Insp Needed G�-�/�r / -- Date I" Time In sp Needed i Inspected ed By Work in Progress _ -,-- --- ti ---- ,pp ` New_iccR ,, ems ti Permit No. 7994 Town of South Windsor, CT Permit Date 10/31/2005 Drain Layer Permit �{ Expiration Date 11/30/2005 9 Descrip: Applicant M. Location Name COVEN CONSTRUCTIG7N CO A d t a:V1 CI�II, YAIV _` Addr. P.O. BOX 427 Qwn�. :,. .URNESSRICLARD J ' KAREN A COVENTRY CT',06238 Phone No. (8 6 0)2 8 2 0 '2 - 5: 6 y The Drain Layer dssiyn�d t}r s p mil has 4,0 io nse i`9b#ed by the state and hereby agrees to aI the terns and coridatsans stet forth in the r attached 'Conditions'. All work shal`l.. ::.. o .o.rdle.:with Town of South Windsor standards, all: OSHA r$quizertxxt , apa the at.ta.,h d:, ditions. Issued By --- it3� ------------- Date Inspected Insp'e`dC''edFBy -------------------- ---------- ----- ---------- � > . t . 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: 1 Lot # Street No. Street Name Premises owned by: Name of Firm:_e_.oG� "(� ,� i C Phone: �q Address.of Firm: 0v� (J C✓✓� TYPE OF WORK: La House Drain y Repair House Drain Lay Main ; Lay Lateral-for Commercial/Industrial f Building of acres Connection will be made with C Existing Water Supp4ACCRDIANCE lic Water Wel'I Proposed Start DateEsstimated time for com letionpALL WORK TO BE IN WITH'TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND COND117ONS ATTACHED TO THE PERMIT Permit-is to be issued to t G�1/Q ell) the holder of Drain Layer's License No. 1 . 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. Signed: Print Name: t, lv t- icensed in Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc Bernard Drabek- Locate Request-20054500092 Page 1 From: <Cal ICenter@CBYD.corn> To: <cbyd@southwindsor.org> Date: Mon, Oct 31, 2005 7:59 AM Subject: Locate Request-20054500092 (CALL BEFORE YOU DIG -CT) 10/31/2005 07:53:51 -5G -C1 -GV -OT 2-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- ***** EMERGENCY***** TIME..07:53 DATE..10/31/2005 REQUEST NO...20054500092 LATITUDE..41.8074321 LONGITUDE..-72.5881690 TOWN......SOUTH WINDSOR ®� ADDRESS...41 STREET....GAIL LN NEAREST CROSS STREET..LEFOLL BLVD -------------------------------------------------------------------------- TYPE OF WORK.....EXC TO REPAIR SWR AREA IS MARKED...YES REMARKS: WRKNG IN THE FRONT CENTER OF HSE &FRONT YARD PLEASE MARK ALL LINES FROM ST TO HSE... -------------------------------------------------------------------------- START DATE......11/01/2005 START TIME..07:30 CALLER..........MIKE COVENSKY CALL BACK.......8-5 PHONE#.........860-742-0796 FAX#...........860-742-0796 ALT. PHONE#.... EMAIL ADDRESS... CONTRACTOR......COVEN CONSTRUCTION ADDRESS.........P.O. BOX 427 CITY............COVENTRY STATE...........CT Z I P.............06238 -------------------------------------------------------------------------- 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: