HomeMy WebLinkAboutInstall 4 pipe from house window well to 800179 TOWN OF SOUTH WINDSOR, CT
PERMIT,NUMBER STREET CUT PERMIT
DATE: 10/08/08 '
GIS ID:44100271 '`
FEE: 25.00
MUNIS APPLICATION# 200801579
X;T'IRATION DATE: 10/08/09
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N AME: PROi7LX&LAROCII BUII1TC,,,....::,:«;:,'.> .DRESS:-� : +2 7:1 HILTON DRIVE
ADDRESS: 41 CONVERSE STR ETTIM- ER DIANE E
STAFFORD SPRING,"CT 06076 I303 ,} ? 271 FTILT6N DRIVE
NDSOR,CT 06074
PHONE ;
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CRIPTION: INS 4°Ili .I''E FI I `.,v :^
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APPLICANT AGREES TO FURNISH THE tOWN. ibUTa UC X-, AMOUNT oik:BbAm REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'tPEN ; .III£`t� nF; N.,Ft 'IIAINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND THf.,API LIQANT IS F? II AI D.WILD ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 6P;id II 'WIN s1' 'S C' > I?ER fIT MANUAL.
ISSUED BY DATEINSCTED INSPECTED BY
10/8/20088:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: fc o
INSPECTED BY: f'S�
WORK IN
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Andrew LaRoche CGeiCnas CT NHR No.906
Builder/Owner CT HIC541367
PrBu1x & Roche BuiYders' Iric.
Our Reputation is Building...'
41 Converse St.
Stafford Springs,CT o6076
Phone:860-684-6965
Cell#:860-729-2841
Fax:860,-851-9427
W/2007 Town of South Windsor INPSECTION REPORT 07 andrew@proulxandlarochebuilders.com
Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Tuesday, October 07, 2008 10:24 AM
Conversation: Locate Request-20084101414
Posted To: CBYD
Subject: Locate Request-20084101414
(CALL BEFORE YOU DIG - CT) 10/07/2008 10:24:27
-5G -C1 -GV -OT
3-SW SWINDS -T5 -W3
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .10:24 DATE. .10/07/2008
REQUEST NO. . .20084101414 PREVIOUS REQUEST NO. .20083700212
LATITUDE. .41.8221286 LONGITUDE. .-72.5919010
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .271
STREET. . . .HILTON DR
NEAREST
CROSS STREET. .PLEASANT VALLEY
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TYPE OF WORK. . . . .EXC TO INST WINDOW WELL,DRAINAGE
AREA IS MARKED. . .YES
REMARKS:
WORKING ALONG THE RIGHT SIDE OF DRIVEWAY & THE LEFT SIDE OF THE HOUSE
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START DATE. . . . . .10/10/2008 START TIME. .07:00
CALLER. . . . . . . . . .ANDREW LAROCHE
CALL BACK. . . . . . .7-5
PHONE #. . . . . . . . .860-684-6965
FAX #. . . . . . . . . . .860-851-9427
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .PROULX & LAROCHE BUILDERS INC
ADDRESS. . . . . . . . .41 CONVERSE ST
CITY. . . . . . . . . . . .STAFFORD SPRINGS
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06076
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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:
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. ' 09/10/2008 WED 9:50 FAX 860 644 7280 South Windsor Town Hall fj002/006
J APPLICATION FOR STREET EXCAVATION.PERMIT �O
q /- j �d j�j q TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT permit No.
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
6 92 FEE $25.00
Name of Firrn I 1-wiv i 4A 4CA,e /gur"/4,e-n mac. .
Address of Firm �F/ G�� Phone No. 6 Y_6 T 0
sr S+a
Location of proposed work /,/fvr�
Describe fully nature of permit requested
Starting date Approx.time for completion /O to v
Call Before You Dig No ��®,F3 Traffic Services Control No.
Show sketch of ised work a famish
two copies of separate drawft Indicate North Itti section a tllecl opt by
r 1,e 4G /r y ow South' ndso
d r 4, If) Jh A S l Pavement Cut
/{V o� CQ �r� No.cuts- (2 �
Est'Size of Perm.PatdXs)
Est.PvL Thickness ✓ In.
Est.Unit Price$ :�
Amt.of Deposit$
(t11'°?�al Cue�L Total Due$ . • by
( )Cash( )Check# .
Permanent Patch
No. Cuts
Cl �r Size of Patch(s)
yFinal Billing
c Amt.Due Payee
$
Arat Due Town "e
By oy x<- - rw _,�17
Applicant is Donsible for contacting / ►
the Pdice De t and C.B.Y.D. Date—
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLINED IN THE TOWN' SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Sign Dat-
e: /o JU y
Title: f1 o'de4t
Driver's License#: 0S/46,3582o'f
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
TOWN OF SOUTH WINDSOR
SANITARY SEWER : LATERAL FIELD LOCATION
DATE OF. CONSTRUCTION:
BUILDING ADDRESS
STREET .
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT NAME OF CONTRA S SUPERVISOR (PRINT)
STREET ADDRESS SIG RE ,
_1��ar►�b� C l -Z�i�s �$� DATE
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TOWN STATE ZIP INSPECTED BY TOWN
.; DATE
TELEPHONE NUMBER
WHITE - TOWN' PINK CONTRACTOR YELLOW - 'CONSULTING ENGINEER / DEVELOPER