HomeMy WebLinkAboutDrain Layers Permit 670 Rye Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7720 Ccn,,,trxadtor COTA CONS,'TRUCTION, LLC
Location 0670 RYE STREET Address
P O '$O 242'
Type Work NEW SAN LAT
SRAQD BROCIIC CT ""0,6016
Phon: No 292 61.:04
Date Insp Needed _3e�o / _ bates''firtap
Time Insp Needed "7 `1'_c'G Time
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TOWN OF SOUTH WINDSOR .
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Z2�)Z'c� ?0d
BUILDING ADDRESS
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TELEPHONE NUMBER
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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
Location of proposed work:_ �76) y Lof#
Street No. Street Name
Premises owned by:— 4�c n e_l e JDo n 0-
Name of Firm:__ Co't ���� �c�Gn Phone: 29a- 61c�
Address.of Firm: R o, t3ox 2-y2-
TYPE OF WORK:
Lay House Drain 2< Repair House Drain
Lay Main ; Lay.Lateran for Commercial/Industrial
Building of acres
Connection will be made with _ t RV C-1
Existing Water Supply: Public Water Well=
Proposed Start Date 3 -3L-o y Estimated time for completion y/-
ALL WOWID BE IN ACCORDANCE WITH*TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit-is to be issued to th older of Drain
Layer's License No. Only holders of P-1 P-7 r 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. Z ooy/ 3o z/ yZ.
Signed: y Print Name: Sce, H- (2 Eck
Licensed Drain Layer
Date: 3- z s--
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doe
L
_Bernard Drabek ,=Locate Request- 20041;302142 Pa e 1
From: <Cal ICenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: 3/25/04 7:27AM
Subject: Locate Request- 20041302142
(CALL BEFORE YOU DIG -CT) 03/25/2004 07:27:43
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*****ROUTINE *****
TIME..07:24 DATEJW/26/2W
J lj
REQUEST NO...20041302142
LATITUDE..41.8676757 LONGITUDE..-72.5722274 <
TOWN......SOUTH WINDSOR
ADDRESS.1B
STREET...MY-15
NEAREST
CROSS STREET.1GRIFFENA10
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TYPE OF WORK.....EXC. TO INST NEW SWR LINE
AREA IS MARKED...YES
REMARKS:
1V T 43T TO,T'
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START DATE....WS7 200J START TIME..07:00
CALLER..........JOE SAUERHOEFER
CALL BACK.......8-5
PHONE#.........860-292-6104
FAX#...........
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR.....tOTA'CONSTRUCTIOM
ADDRESS.........PO BOX 242
CITY............BROADBROOK
STATE...........CT
ZIP.............06016
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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:
Bernard Drabek Locate Re uest 20041302142 Pane 2
PERSON CONTACTED: PERSON CONTACTED: