HomeMy WebLinkAboutDrain Layers Permit 72 Beelzebub Road 800005 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/10/08
GIS ID: 09000072
MUNI S APPL ICAT ION# 200800224FEE: 60.00
'>::. EXPIRATION
DATE:
04/09/0 8
APPLICANT LOCATION
NAME: NAI LLC DRESS '2 BEELZ-EBUB ROAD
ADDRESS: 599 FOSTER STREET
:
,. •:"', ,: <. ; :: "ZZARC).,VINCENT J&DEBORAH D
SOUTH WINDSOR,CT 05742 .BEELBUB ROAD
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: NEW SEVER LATBRAL
THE DRAIN LAYER ASSIGNED TO THIS 1�ERMIT I3z1 A VALTfl IIISSF3Ei Y THE STATE AND HEREBY AGREES TO ALL
i.. J
THE TERMS AND CONDITIONS SET FORTL,INIETTAIfb!IT (QNS'.;:> L„V01tK'SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAR#aS AT.L O%H 1ZEE EM I ,AND THE=A F"I ACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
3/10/2008 2:59 PM
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.... OR. ...
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:_ / a�
LOCATION:
TYPE OF WORK:_ 1' tA-)
DATE INSP NEEDED:
DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: 7 i
�� � - ` - Z—✓� _ L is _ t-��� �-.._.�
N
AS—BUILT: ��•
DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL ' FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW }
c v
F 1
--44C
x
CONTRACTOR (PRINT) NAME 6F(0TRACTOR'S SUPERVISOR (PRINT)
�J
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
03/10/2008 IRON 9:16 FAX 860 644 7280 South Windsor Town Hall 4 001/001
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$50.00
Location of proposed wort �z` ��� J_ Lot
Street No. #
. _ Street Name
Premises owned by; i1
Name of -Firm. �-/,I-_77,
Phone:9W 5Q u-7pj-�,
Address.of Firm: Is Ilr
TYPE OF WORK: 6 Yf?6°C,
Lay House Drain/7' , Repair House Drain
Lay Mal=---� Lay:Laterar for Commercial/Industrial
Building- —�of
acres
Connection will be made with --_?s
Existing Water Su V/-
- Supply.. Public Water
Proposed Start DateL ,. 1131o1f. Estimated time for com
pletion
ALL WORK TO BE IN ACCORDANCE WIT_TOWN OF I
ALL OSHA.REQUIREMENTS.AND CONDITIONS ATTACHED p THE ERMIT WINDSOR DSO
Permit-is to be'issued to c
Layers License No. ipL �C � ° the holder of Drain
°n.?al�,f,'G�`�I Only.holders of P-i, P-7.or W 9!ice
will be issued-a permit PERMIT WILL EXPIRE THIRTY(3,)MAYS AFTER
DATE OF ISSUANCE. The undersigned Dran Layer-and conditions-set forth in the permit and hereby agrees a erns
Town Street Excavation Permit No. ththereto. Applicant to a!!the t has received
and/or ConnDOT Permit No.
:CBYD No..
Signed:
Print Name:_ x�4�� - ,�Co � ,
Licensed Drain Layer
Dater b�6
S'tara*d fbr=ftM1tsWPUCAT10N FOR DMM IAYERS PERMtT.doc
t�N ruK STREET EXCAVATION PERMIT
,TOWN OF SOUTH_SAftNbSOR Permit No, .
PUBLI WORK PARTMENT
HALL.
1640 i.l. .AVENUE
SO W{NOSO ,. T 06074
.FEE $25.0 _
Name of Firth
Phone No. c9&0
Address of M! �. - s7`�i^ XTj'e e r r ✓ :nrf�fr C� ���-7_
i ocation of proposed work- 7'a ���/����� ` � ' `
De-scribe fully nature of permit requested
i
�?` - C_.. /,a� L",
Starting date Approx.timeforoom - I
ptev q Z ��T_. GIP. z
Call Before You Dig No.�%a.x& !f o a %S�" _Traffic Services control No: 3,Or
Strow sWM of proposed work or famish
two copies of separate drawing indicate North Thts section I<o he fitted out by
Town of South Windsc,►�
Pavement Cut
VA
No:arts
Est Sqe of Perm.PatWs)
N �vwr y o� F-st PvL jWdcness �,
r
{fit ,J 11 i Est.-Ura Price a
tom^ _ Z,•^ (�---.�_� -
j� Amt of DepOSft$
W r
fi \ ` Totai Due by
' t }Cash( )Check#
•Permanent Patch .
j No.•Cuts -
Size of PatcXs)
- - - =-- . Fklal Buffing .
Amt.Due Payee
Anti Due.Town
S
-
ApPIkantts responsible for w0fac&V
the POI Do Dept,and'C.B.Y.D, Date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AM TOWN OF SOUTH WINDSOR FOR ANY ExPENSES INCURRED BY T UNTOWN OF FOR 11FAiQU ANENANCE T REIMBURSE
RSE E
t;ONNECi70N WITH THIS PERMIT AND THAT I AM WINDS AR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIND.SOWS STREET CUT PERMIT MANUAL.
Signed: r`
-•--_� Date: c�
-
::. :. Driver`s.LicenSe#;�
.:.PERMIT SHALL BE KEPT ON JOBStrE AT ALL TIMES
Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Monday, March 10, 2008 9:15 AM
Conversation: Locate Request-20081100155
Posted To: CBYD
Subject: Locate Request-20081100155
(CALL BEFORE YOU DIG - CT) 03/10/2008 09:14 :52
-5G -C1 -CW -GV
-OT 6-SW SWINDS -T5
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***** ROUTINE *****
TIME. .09:14 DATE. .03/10/2008
REQUEST NO. . .20081100155
LATITUDE. .41.8373489 LONGITUDE. .-72.5286874
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .72
STREET. . . .BEELZEBUB RD
NEAREST
CROSS STREET. .FOSTER ST
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TYPE OF WORK. . . . .EXC TO INSTALL SANITARY SWR
AREA IS MARKED. . .NO
REMARKS:
WORKING ON THE LEFT SIDE OF THE HSE
CLLR IS CONCERNED WITH ELEC CABLE U/G IN THE AREA OF SWR LATERAL PER CLLR AREA WILL BE
MARKED
------------------------------------------------------------------=-------
START DATE. . . . . .03/13/2008 START TIME. .08:00
CALLER. . . . . . . . . .RONALD IACOBUCCI
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-424-7854
FAX #. . . . . . . . . . .860-644-2308
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .N.A.I. LLC
ADDRESS. . . . . . . . .599 FOSTER ST
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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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:
PERSON CONTACTED: PERSON CONTACTED:
1