HomeMy WebLinkAboutDrain Layers Permit 250 Beelzebub 800052 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 09/29/08
GIS ID: 09000250
FEE: 6 0.00
MUNIS APPLICATION# 20080150 ' >•.:.,... "�, '
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EXPIRATION RATION D
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NAME: CORREIA EXCAVA R 25 'BEEL<ZEBUB ROAD
ADDRESS: 47 SMITHBROOK TEAO,E r.r. c 16B N KERRY S
C33
GLASTONBURY, s::. BOA 02
PHONE ND OR,CT 06074
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WORK DESCRIPTION: INSTALL 5 �1TT ' EW LTERAI
CONNECT SON MADE
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THE DRAIN LAYER ASSIGNED TO THIS PERIT`IiAS A; LL1 ISSU,,ED 6Y,I ,STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH,II�'T'H:E t -TA:C 'II(3Ifi < AI L'>';:WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAIrDS'A44. OSHA RE RF vI I S,t�ND : ATTACHED CONDITIONS.
ISSUED BY DA
TE INSPECTED INSPECTED BY
9/29/2008 9:16 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 6 M)s CONTRACTOR: G
LOCATION:_ -_�,5-0 �h 4
TYPE OF WORK:
-DATE INSP NEEDED: f
DATE INSP:
INSPECTED BY: Btj
WORK IN
PROGRESS: (juc SDI3� n New
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AS-BUILT:
INPUT: v \ DATE: ' D
W/2007 Town of South Windsor INPSECIION REPORT 07
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL 'FIELD LOCATION
DATE OF CONSTRUCTION: 9 30
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
01
.10
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CON7TOR (PRINT) , NAME po
CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS /� SI RE
d1 9.e �to 44 ^ 1-3 a g DATE
TOWN STATE ZIP INSPECTED-BY TOWN
J, P,4 DATE
TELEPHONE NUMBER q t ® 3
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
. 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:_1 SD 6 .,ILA o/ Lot # 9-
Street No. Street Name
Premises owned by:
Name of Firm:_ 4-h/7A4 (x c Am a Phone: S 3- 1 l 0 3
Address of Firm: R 13..2 fi r,,o 0,�, iyv� � �.�i t-C." c 1- .0 day �
TYPE OF WORK:
Lay.House Drain G ; Repair House Drain
Lay Main ; 4.y Lateral for'Commercial/Industrial
Building - of acres
Connection will be made with _ sroL ' ,l1 MAAJAo6td
Existing Water Supply: Public Water Well
Proposed Start Date 3 s d g 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
6
Permit is to be issued to c the holder of Drain
Layer's License No. � o 8,S' 0 0 Only holders of P-1,0or 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. _ ® 6 6 3 '1 0 2_o 3 '1
Signed: Print Name:_go s 1f
Licensed Drain Layer
Date: p
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standard:Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Wednesday, September 24, 2008 12:41 PM
Conversation: Locate Request-20083902037
Posted To: CBYD
Subject: Locate Request-20083902037
(CALL BEFORE YOU DIG - CT) 09/24/2008 12:41:09
-5G -C1 -CW -GV
-OT 4-SW SWINDS -T5
--------------------------------------------------------------------------
***** ROUTINE *****
TIME. .12:40 DATE. .09/24/2008
REQUEST NO. . .20083902037
LATITUDE. .41.8337622 LONGITUDE. .-72.5203053
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .250
STREET. . . .BEELZEBUB RD
NEAREST
CROSS STREET. .AVERY
--------------------------------------------------------------------------
TYPE OF WORK. . . . .EXC TO INST WATER & SEWER
AREA IS MARKED. . .YES
REMARKS:
WORKING AT NEW PROP LOT2/PROP 250 LOC APPROX 1/2 MILE NORTHWEST OF THE INTER. . .WORKING
FROM THE STREET TO THE NEW HOUSE
--------------------------------------------------------------------------
START DATE. . . . . .09/27/2008 START TIME. .07:30
CALLER. . . . . . . . . .JOE CORREIA
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-983-1103CELL
FAX #. . . . . . . . . . .860-643-5791
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .CORREIA EXCAVATORS INC
ADDRESS. . . . . . . . .92 BETTY DR
CITY. . . . . . . . . . . .MANCHESTER
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06040
--------------------------------------------------------------------------
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
s y TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUB/DIVISION t�
GENERAL: Maplo (9,( vvo c
CHANGE ORDER CONTACT PE SON 6�' `�'` �" Phone No.
Address �f Q dt ve Gir ,
Site Name 71�/00-0 Ae Ca /c P&Z No.
A
Owner rov-4 Phone No.
Contractor o oe (' �
Signature of Owner -i/ DL" & Date:
Signature of Design Engr. Date:
CHANGE: (Describe location and nature of change. Include
Four (4) copies of plan/profile of Change. )
a.
Reason for Change: (Why is change required)
(,•�G i � ,zAPB! c�rc ►a WN4 AAXI .DEPi41 PF- rC-+,JtQ
APPROVALS: (As Required)
Dir. Of Planning ` �f/1���` �,,, Date: ' luj—h r'
--rv-
Town Engineer Date: /r)
Dir. of Public W rks Date: J
Other: —C�< < /�� �reP�✓��,..�,�,/( Date: 9�2 5`/?. g
STAFF COMMENTS:
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department
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TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON MA YZi O G�✓��'� Phone No. 5 59-g 3 S-1
Address_ 7-50 f3r:L-zG6ye) 20A
Site Name P&Z No.
Owner M A P-10 ( i i ja ooy Phone No. �� l
Contractor
Signature of Owner ✓' Date:
Signature of Design Engr. Date: 6
CHANGE: (Describe locati a) nature o€ change. Include
Four (4 ) copies of plan/profile of Change. )
ofz%CJWA�-- P%-AQ CDOWDAT101-A pt?A►►,t Cas..1r.►Q-e-TCD -ro A
PR6P65cD DQywEct- 1rA FQ-0Wc % 'AQI>, Canu,St- tg to at-ImislAiv
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Z._o- r-'f oFF oor 1&1:!-r CA4,T Off'
GeQuEf�-
Reason for Change: (Why is change required)
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APPROVALS: (As Required)
Dir. Of Planning' Date: 11 L(,
Town Engineer Date: 9X21r t1d
Dir. of Public Works Date:
Other: Date:
STAFF
COMMENTS:
s P^-t o, C —J�tia�if%r7 a
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department