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HomeMy WebLinkAboutdrain layer permit 192 Scantic Meadow R 900069 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/30/09 GIS ID: 81000192 - FEE: 60.00 MUNIS APPLICATION# 200901441 EXPIRATION DATE: 12/30/09 APPLICANT - LOCATION NAME: JAMES THROWE DBA192 S ANTIC MEADOW ROAD ADDRESS: 97 RIVERSIDE DRIVE �WI�IER DELUGORUCE N&KATHRYN S VERNON ROCKVILLT D66` 2 SGANTIC MEADOW ROAD SOUTH1 WINDSOR,CT 06074 PHONE 860-289 6b§ j WORK DESCRIPTION: NEW SEWER LATIAL1��C � THE DRAIN LAYER ASSIGNED TO THIS PIT ERM HAS A VALII w]6-f�E Is�8UhD BY THI STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH 1,4ORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,2 I L OSI3 REQIJ11--MEI 1 AND ITIE ATTACHED CONDITIONS. ISSUED Y DA E INSPECTED INSPECTED BY 11/30/2009 9:23 AM t�r�1 x1v,7r 1v��v�.v. LJr11C 11IOU. INSPECTED BY: �Z— WORK IN PROGRESS: s �-- S" -Ko 2ea-- /� c/ems. SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES aNO AS-BUILT: INPUT: DATE: I � -3" 0 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:_ 1 2. � ,���4� A(jX1W Lot # Street No. Street Name Premises owned by:_- Bcw l- De-),-gd2 Name of Firm: 1/ 5cf)/, Phone:QZ9-7G01 S Address of Firm: 7 ��' � - d Irv► r, TYPE OF WORK: Lay House Drain k ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S p R 35 Existing Water Supply: Public Water Well Proposed Start Date Id- - o 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 yGvY�e,.S ` vv� the holder of Drain Layer's License No. - Zc),R-&2 Sf . 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. a©Oq q2o 1 Ll L/3-- Signed: 7 Print Name: Jav s-iA Mn-� Licensed Drain Layer Date:__oZ�� � �3 Standard Forms\PeM s\APPIICATION FOR DRAIN LAYERS PERMIT doc Molloy, Catherine From: CallCenter@CBYD2.com Posted At: Wednesday, November 25, 2009 11:39 AM Conversation: Locate Request-20094801445 Posted To: CBYD Subject: Locate Request-20094801445 (CALL BEFORE YOU DIG - CT) 11/25/2009 11:39:24 -5G -C1 -CW -GV -OT 3-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .11:35 DATE. .11/25/2009 REQUEST NO. . .20094801445 LATITUDE. .41.8676875 LONGITUDE. .-72.5835492 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .192 STREET. . . .SCANTIC MEADOW RD NEAREST CROSS STREET. .PLUM LN -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO CONNECT SWR LINE AREA IS MARKED. . .YES REMARKS: WORKING ST TO HSE -------------------------------------------------------------------------- START DATE. . . . . .12/02/2009 START TIME. .07:00 CALLER. . . . . . . . . .JAMES THROW CALL BACK. . . . . . .ANS MACHINE PHONE #. . . . . . . . .860-871-7968 FAX #. . . . . . . . . . .N/A ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .VANS SEWER & SEPTIC SERVICE ADDRESS. . . . . . . . . 97 RIVERSIDE DR CITY. . . . . . . . . . . .VERNON STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06066 -------------------------------------------------------------------------- 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 TOWN OF SOUTH ANDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS 9' STREET ; Sc A/u TiC 117 F4Do 41J lz 'ID SUBDIVISION: NORTH ARROW I 0�el y° Co a 57 _ _ h? ► o CONTRACTOR (PRINT) NAME OF CONTRACTOR SUPERVISOR (PRINT) A 71j STREET ADDRESS S TURE C'7- TOWN STATE ZIP INSPECTED BY TOWN (L 2 l 2 DATE TELEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER