HomeMy WebLinkAboutDrain Layers Permit 190 Abbe Road (2) 800016 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
DRAIN LAYER PERMIT
DATE: 04/29/08
GIS ID: 00600190
MUNIS APPLICATION# 200800520i FEE: 60.00
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THE DRAIN LAYER ASSIG 1�A H END
ASSIGNED TO THIS RMI1'U`AS. AL't rs$ ':" , STATE AND HEREBY AGREES THE TERMS AND CONDITIONS SET FOR1 III HI< 1 Tt:F u� '!M 4-1 U+ SHALL BE IN ACCO ES TO ALL
THE TOWN OF SOUTH WINDSOR STANDAFS AFL OSHA R Z3�: DTACHED CONDITIONS.
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: !?DO/(Q CONTRACTOR:
LOCATION:_
TYPE OF WORK:_ Sc w Sc o n ec4
DATE INSP NEEDED: DATE INSP: f $
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W/2007 Town of South Windsor INPSECTION REPORT 07
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: /
Lot #
Street No. Street Name
Premises owned
Name of Firm:
Phone: 2- 6 13 r
Address of Firm: L7�4? II
TYPE OF WORK:
Lay House Drain - House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well v
Proposed Start Date 7a'P Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. r1-7 Only holders of P-1, P-7 or 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.
Signed -- Print Name://
Licensed Drain Layer
_ Date: -
StaM8rd:FormsTermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
Molloy, Catherine
From: CaliCenter@CBYD2.com
Posted At: Tuesday, April 22, 2008 2:59 PM
Conversation: Locate Request-20081701630
Posted To: CBYD
Subject: Locate Request-20081701630
(CALL BEFORE YOU DIG - CT) 04/22/2008 14:59:26
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***** ROUTINE *****
TIME. .14 :58 DATE. .04/22/2008
REQUEST NO. . .20081701630 Q
LATITUDE. .41.8577450 LONGITUDE. .-72.5408119
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .190
STREET. . . .ABBE RD
NEAREST
CROSS STREET. .GARNET LN
------------------------------ ________
TYPE OF WORK. . . . .EXC TO LOC & REPAIR SANITARY SWR
AREA IS MARKED. . .YES
REMARKS:
WORKING ON THE SOUTH SIDE OF THE HOUSE
---------------- ____________________
START DATE. . . . . .04/25/2008 START TIME. .07:00
CALLER. . . . . . . . . .HARVEY LEVACK
CALL BACK. . . . . . .7-5
PHONE #. . . . . . . . .860-528-0131
FAX #. . . . . . . . . . .860-528-4390
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .H.W. LEVACK
ADDRESS. . . . . . . . .49 MASCOLO RD
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
---------------------------------------------------------
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:
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