HomeMy WebLinkAboutDrain Layers Permit 10 Balsam Fir Road (2) 900002 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 02/23/09
GIS ID: 07150010 �Yf FEE: 60.00
MUNIS APPLICATION# 200900124 ,/`„s � . ; "r`'`` rs ;< : <, k":°EXPIRATION DATE: 03/25/09
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APPLICANT ''' `' ... LOCATION
NAME: MANNARINO BUII �� $` : y. `: '.. R S y°1` $AL"FIR ROAD
ADDRESS: 400 CHAPEL ROAI �� y' .. N''; O • NAZINO BUILDERS INC
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SOUTH WINDSORIG (�674� 5UTI� INDSOR CT 06074
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PHONE 860-289-7055
WORK DESCRIPTION: NE -'
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APPLICANT AGREES TO FURNISH THE 1 $-O ICI . TI >{1F FOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANV,,E O .FOR MAINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND TH P-AI I I`Y3'1?:( IIvIAit TRANDy VILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF Siv-s S
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T $ T LTT PERT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
2/23/200911:42AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9 CONTRACTOR: 1
LOCATION: OFi r 1
TYPE OF WORK: "�,� ( � Y) V1
--= :-DATE INSP NEEDED
---------.__.. DATE INSP:
INSPECTED BY:
WORK IN
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W/2007 Town of South Windsor INPSEMON 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: ® i Q M rcr- F , Lot # �T_
Street No. Street Name
Premises owned by:_ A*1/7ar,`no jgyl/aka
Name of Firm: cD>� r�12 "aC— 1LPW`C45 Phone: %9 6Q3- "s7
Address of Firm:_/D/ Po 12k P D. I' h � C
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TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with i� Poe"
Existing Water Supply: Public Water_ Well
Proposed Start Date � � Estimated time for completion — O
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 L the holder of Drain
Layer's License No. 7 . Only holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER j
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.
f
Signed: & ` 4(611% Print Name:_ "C 01 C , LC
Licensed Drain Lay
Date: �L 3•-�t
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Monday, February 23, 2009 9:37 AM
Conversation: Locate Request-20090900118
Posted To: CBYD
Subject: Locate Request-20090900118
(CALL BEFORE YOU DIG - CT) 02/23/2009 09:36:57
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-OT 1-SW SWINDS -T5
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***** ROUTINE *****
TIME. .09:36 DATE. .02/23/2009
REQUEST NO. . .20090900118
LATITUDE. .41.8617581 LONGITUDE. .-72.5359792
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .MASKEL RD
NEAREST
CROSS STREET. .GARNET LN
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TYPE OF WORK. . . . .EXC TO INST SEWER,WATER,ELEC,TELE,CATV,
AREA IS MARKED. . .YES
REMARKS:
GAS. . . .WORKING AT A NEW SUB DIVISION CALLED DZEN TREE FARM LOC APPROX 1000FT NORTH OF THE
INTER. . .WORKING AT LOTS/PROPS 10 & 31 BALSAM FIR RD LOC W/IN THE SUB DIVISION. .WORKING
FROM STREET INTO LOTS
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START DATE. . . . . .02/26/2009 START TIME. .07:00
CALLER. . . . . . . . . .MATT WILCOX
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-693-2027
FAX #. . . . . . . . . . .NO FAX
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .EAGLE EARTH WORK
ADDRESS. . . . . . . . .101 NORTH MOUNTAIN RD
CITY. . . . . . . . . . . .CANTON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06019
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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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