HomeMy WebLinkAboutdrain layer permit 192 Scantic Meadow Ro 900069 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
5
DATE: 11/30/09
GIS ID:81000192
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XPIR
UNIS APPLICATION# 200901441 _ FEE: 60.00
;EATION DATE: 12/30/09
APPLICAN ��OCATION
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NAME: JAMES THROWE DBE
F Sg12 IC MEADOW ROAD
ADDRESS: 97 RIVERSIDE DRIV RTGO RULE N&KATHRYN S
VERNON ROCK_VIL
2qlSQATjTIC MEADOW ROAD
;. OD SOR,CT 06074
PHONE 860-289-t r,
WORK DESCRIPTION: NEW SE tLA
THE DRAIN LAYER ASSIGNED TO THIS PE T �' A1 B� °' STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH D` RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS, LI`' E ;E E ATTACHED CONDITIONS.
rWl e I l o fZ 09
ISSUED AY-1 DATE INSPECTED INSPECTED BY
11/30/2009 9:23 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: q OWCo 9 CONTRACTOR: 3'1 yr �_�rO w-e
LOCATION: q -S Ca.in t i c wectato L o 2
TYPE OF WORK: N e Se.a e e. co v�ri o
DATE INSP NEEDED: DATE INSP: /Z/ a9
INSPECTED BY:
WORK IN
PROGRESS: Pvc S e> rL 2 s
7-7,016
s-en� �'/�-N� o,�.p�.. ��►-��.�� �..� �cal
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [INO
AS-BUILT:
INPUT: DATE:_ "c3' 0
Wj2007 Town of south Windsor INPSECTION REPORT 07
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Molloy, Catherine
From: Cal[Center@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
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***** 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
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TYPE OF WORK. . . . .EXC TO CONNECT SWR LINE
AREA IS MARKED. . .YES
REMARKS:
WORKING ST TO HSE
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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
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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:
1
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE.
SOUTH WINDSOR, CT
FEE $60.00 � '` o N y
Location of proposed work:- � � � ��r�„ Lot #
Street No. Street Name
Premises owned by: fi�L.I,
Name of Firm:_ A-S ScA e v- n i 5co„i otv— Phone:,��G�I S
Address of Firm: 7 1L dr- V��h
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 3S
Existing Water Supply: Public Water Well
Proposed Start Date Id- a - 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 Zr W.'S JMvv��. the holder of Drain
Layer's License No. ao i -&3 jr . 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. _ aDOq �f�1O 1
Signed: Print Name: v
Licensed Drain Layer
Date:--a;S Aich �3
Standard F0rn1S\Perrnb APPLICA-n0N FOR DRAIN LAYERS PERMrr doc