HomeMy WebLinkAboutDrain Layers Permit 26 Thomas Street 800006 TOWN OF SOUTH WINDSOR, CT
P,ERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/11/08
GI S ID: 89400026 0 6
M UNI S
00
APPL I CA TI ON# 20
0800229
080 022 9
FEE
: 60.
``>EXPIRATION-. D DA
TE:
04/10/08
APPLICANL OCATION
NAME
JAMS S THROWE DBA RE 26THQMAS STREET
ADDRESS: 97 RIVER
Xf�sl` TIO OUS&FRANCES S
SIDE DRIVE
VERNO
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HOIv1A""S STREET
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PHONE 860-2 — :::'::;:::«''; `<:`;;;r<°;;'`
89C�095
LI ND SOR CT 06074
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IGNED ',GNED T OT THI
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;;;,,�:�� l�I� T�SUEA;13'Y.l`1'Hk 5..:.1'ATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTHIi T,:ffiF,A'I'�`A F�E�1`: � j �Tt( P*I '•:"ALL ORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARD'S,AL,.. OSHt4:<I3 F LJ &E. TS ,AI�1??'_��T�:>'ATTACHED CONDITIONS.
ISSUED BY
DATE INSPECTED INSPECTED BY
3/11/2008 10:29 AM
Y � .
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED:
DATE INSP: '3 I3 ;
INSPECTED BY:_ �;,�
WORK IN
PROGRESS:
51)f7 t�
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AS-BUILT:
INPUT;
DATE:
W/2007 Town of South Windsor-INPSEMON REPORT 07
i
APPLICATION FOR DRAIN LAYER PERMIT V tv✓�2 l 9$1 S 4-
TOWN' OF SOUTH WINDSOR (n�Mv�?�
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, Cr
FEE $60.00
Location of proposed work:
Lot #
Street No. Street Name
Premises owned by: %'r/J �,,, ,,� < v.s XA�rI
- ✓ �>
Name of Frm:_
Phone:
Address of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main -
' Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with P, . SJ
Existing Water Supply: Public Water
- Well .
Proposed Start Date. Estimated time for completion
ALL WORK TO BE IN ACCORDANCE VVITH TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit-is to be issued to
Layer's License No. 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. Applicant has received
Town Street Excavation Permit No.
. and/or ConnDOT Permit No.
CBYD No. - /rr 1
Signed: ,.-
--- Print Name:_
Licensed Drain Layer
Date: / /1 r,, i,n (
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Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Monday, March 10, 2008 10:41 AM
Conversation: Locate Request-20081100243
Posted To: CBYD
Subject: Locate Request-20081100243
(CALL BEFORE YOU DIG - CT) 03/10/2008 10:41:27
-5G -C1 -CW -EW
-GV -OT 7-SW SWINDS -T5
--------------------------------------------------------------------------
***** ROUTINE *****
TIME. . 10:41 DATE. .03/10/2008
REQUEST NO. . .20081100243
LATITUDE. .41.8682338 LONGITUDE. .-72.5439397
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .26
STREET. . . .THOMAS ST
NEAREST
CROSS STREET. .LEWIS DR
--------------------------------------------------------------------------
TYPE OF WORK. . . . .EXC FOR SWR CONNECTION
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM THE STREET AND GNG TO THE HSE.
AREA IS STAKED.
--------------------------------------------------------------------------
START DATE. . . . . .03/13/2008 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
ZIP. . . . . . . . . . . . .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:
PERSON CONTACTED: PERSON CONTACTED:
10
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS � y
STREET
..�. SUBDIVISION:
NORTH ARROW
T-t
Q c"
CONTRACTOR (PRINT) NAME F CONTRACTO 'S SUPERVISOR (PRINT)
STREET ADDRESS _ G TIRE �f
�✓'!n,G �J `=�� �'s .��t�` 'i �/ DATE
TOWN STATE ZIP INSPECTED BY TOWN
2- F: �`' DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER