HomeMy WebLinkAboutDrain Layers Permit 35 Good Hill Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No
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Type Work RPR SAN LAT
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Phorw'.No (B B 75 2332
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Permit No, Bill Town of South Windsor, CT
Permit Date 11/14/2006
Drain Layer Permit
� Expiration Date 12/14/2006
Descrip:
Applicant
LoC. tion
Name SKIPS SEPTIC dC1 0038 GOOp HILT,-ROAD
Addr. 27 MUDDY BROOK ROAD
�G7Tlef A�TZT_AJ O. L�i7SS T, &. WENDY R
ELLINGTON ;:.
'C.:T.:.::06..0;
Phone No. (860)875-2332
The Drain Layer '.assigned this permit .has. a Fraud Ideas issued by the
state and hereby agrees to a12; the e . cpz6ditio91 &-K.
s: et fCSrt'h in the
attached 'Conditions' -A tu4� - shaT1- li�..,sn aoec rdanee .y th ToWri of South
Windsor standards, a
:.;,t:: . ';
::: ✓ act f_he icki�d ct5il 'itions.
Issued By T?.t -------
Date Inspected
------------------- I . p ,t'ey.:
• 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: 35-- G o o)A//
Street No. Lot
Street Name
Premises owned by: S S ! 14 /V
. . Name of arm: P>S' - - Phone:
Address.of Firm: l 0. G6d x Z—O/ 2
TYPE OF WORK:
Lay House Drain Repair House Drain X
Lay Main . .
Lay:Lateral'for Commercial/Industrial
Building of.. acres
Connection will be made with C . Pvc sprt 3
------------
Existing Water Supply: Public Water >C Weil
Proposed Start Date 11- Estimated time for completion 11 /¢-.U
ALL 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 ��"►'�► A,,,q4 k-e x,
Layer's License No. 7--v�0)2 f the holder of Drain
vvill 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 ail the terms
-and conditions-set forth in the permit and attached therefio.
Town Street Excavation Permit No. Applicant has received
and/or ConnDOT Permit No.
CBYD No. o2oo G 0 0 ¢3
Signed: Print Name: '7'� i AS G� �k£,
Standard FMM\Pern11tSWPL1CM0N FOR DRAIN LAYERS PERMIT.doc
Bernard Drabek- Locate Request-20064600943 Page 1
From: <Cal I Center@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Mon, Nov 13, 2006 2:48 PM
Subject: Locate Request-20064600943
(CALL BEFORE YOU DIG -CT) 11/13/2006 14:47:29
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4-SW SWINDS -T5
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*****EMERGENCY*****
TIME..14:47 DATE..11/13/2006
REQUEST NO...20064600943
LATITUDE..41.8193225 LONGITUDE..-72.5196609
TOWN......SOUTH WINDSOR
ADDRESS...35
STREET....GOOD HILL RD
NEAREST
CROSS STREET..PINE TREE LN
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TYPE OF WORK.....EXC TO REPAIR SANITARY SWR LINE
AREA IS MARKED...YES
REMARKS:
WORKING AT THE RIGHT OF THE DRIVEWAY.
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START DATE......11/14/2006 START TIME..07:00
CALLER..........WILMA MATOS
CALL BACK.......8-5
PHONE#.........860-875-2332
FAX#...........860-875-0428
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......SKIP SEPTIC SERVICE
ADDRESS.........27 MUDDY BROOK RD
CITY............ELLINGTON
STATE...........CT
ZIP.............06029
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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:
BUILDING ADDRESS : S.
STREET � r
SUBDIVISION:
NORTH ARROW
-I_.
I
cr
d
CONTRACTOR (PRINT) / ( NAME OF CONTRACTOR'S SUPS R (PRINT) .
STREET ADDRESS SIGNATURE
61 a � t ` � DATE
1
TOWN—r STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE.NUMBER
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