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HomeMy WebLinkAboutDrain Layers Permit 394 Graham Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 8048 Con_t:r9'6tor JAM Location Location 0394 GRAHAM ROAD Rddre8a VANS-SEWER &`"S.EPTIC Type Work NEW SAN LAT II3E,>DRI V.E 32NS,N CT, g6U:66 P..hone No {$ M)289 0095 Date Insp Needed Time Insp Needed Wji 1 CAI/ � / i Inspected By n ,:... Work in Progress 77 wt v aN� � Ne�.•:> � ; �tL� ai - rt } p Input.::;>:.. ,.:mod t e Permit No. 8048 Town of South Windsor, CT { Permit Date 05/03/2006 Drain Layer Permit ; Expiration Date 06/02/2006 Descrip: INSTALL SEWER LATERAkk` Ant Pp cant Lp.edti::gn Name JAMES THROWE R�ic4 03$ GRA13AIN R© D Addr. VANS SEWER & SEPTIC Qwyi�r. STRONG R:2CI3ARD' K & SHEILA P 97 RIVERSIDE DRIVE r VERNON CT 06066 Phone No. (860)289-0095- . s , i The Drain Layer assigned-th3 s` piz has a u2�]ic1 13censQ slued by the state and herebya r:ees:: o'' Z`1-' g :. t k,. term"s"dnd`cofla' t;�>en�a<s:�t:;::forth in the att ached ed 'Conditions( :. :: <"All ; a��ardante .w�th Town of South Windsor standards, all OSHA requireuiits, ,� c tie atta' fied-. on'clitions. ) i Issued By Date Inspected p --------------------- Insp `ot'ecl:,.By —------------------------- 6o+6 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1.540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: Va Lot # Street No. Street Name Premises owned by: Ri(LvfJ 64r� Name of Firm: O v -- Phone: Address of Him: 137 RyLe p � � � � VLJA6n TYPE OF WORK: Lay House Drain 110Repair House Drain - - .Lay Main - - - • . Lay Lateral for Commerdal/Industrial - Building of acres Connection will be made with /J� ExisUng Water Supply: Public Water_______ Well Proposed Start Date. _ Estimated time for completion All WORK TO BE IN ACCORDANCE WITH TQWN OF SOUTH WINDSOR STANDARDS, ALL OSHA.REQUIREMENTS AND CONDrnONS ATTACHED TO THE PERMIT Permit-is to be issued to --�o�ft t,S Layer's License No. - the holder of Drain will be issued.a OnIY holders of P-1, P-7 or W 9 licenses Permit. PERMIT WILL EXPIRE THIRTY(30)VAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby a sees to all -and conditions-set forth in the permit and attad led thereto. g the terms Town Street Excavation Permit No. ApP licant has received and/or ConnDOT Permit No. .CBYD No:C2006 /?c5 -Ij 3_C�T- Signed: lice Print Name: nsed Drain Layer Date: ��r�y Standard Forms\Per"MAPPLICATION FOR DRAIN LAYERS PERMIT.doc -11 [Bernard Drpbek- Locate Request-20061802235 Page 1 From: <CallCenter@CBYD.com> To: <cbyd@southwindsor.org> Date: Wed, May 3, 2006 1:01 PM Subject: Locate Request-20061802235 (CALL BEFORE YOU DIG -CT) 05/03/2006 12:54:28 -5G -Cl -CW -GV -OT 7-SW SWINDS -T5 -------------------------------------------------------------------------- *****ROUTINE ***** TIME..12:54 DATE..05/03/2006 REQUEST NO...20061802235 LATITUDE..41.8553428 LONGITUDE..-72.5552864 TOWN......SOUTH WINDSOR ADDRESS...394 STREET....GRAHAM RD NEAREST CROSS STREET..HERMAN WAY -------------------------------------------------------------------------- TYPE OF WORK.....EXC. TO CONNECT SWR AREA IS MARKED...YES REMARKS: WORKING FROM ST TO HSE.... -------------------------------------------------------------------------- START DATE......05/08/2006 START TIME..07:00 CALLER..........JAMES THROW CALL BACK.......ANS MACHINE PHONE#.........860-871-7968 FAX#...........N/A ALT. PHONE#.... EMAIL ADDRESS... CONTRACTOR......VANS SEWER&SEPTIC SERVICE ADDRESS.........97 RIVERSIDE DR CITY............VERNON STATE...........CT Z I P.............06066 -------------------------------------------------------------------------- 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. '' ''c)(7 BUILDING ADDRESS . 6. STREET . -�- SUBDIVISION NORTH ARROW TT T. or Jy16 Elym vi-WILL c- J, ; CONTRACTOR (PRINT) NAME OF CONTRAC R'S SUPERVISOR (PRINT) STREET ADDRESS 4STN=E YIQn Q G DATE TOWN STATE ZIP INSPECTED BY TOWN ! DATE TELEPHONE NUMBER WHITE TOWN `. PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER