HomeMy WebLinkAboutdrain layer permit 259 Lawrence Road 900015
PENT NUMBER
TOWN OF S
DATE: 04/24/09
O U T H w I N D S O R,GIS ID:52800259
C TDRAIN A�RPERMITM1NISAppLICATION# 200900386
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NAME: E P ICAN ... E FEE:
ADDRESS: G RBER CONSTRUE, _,'� `¢ :.` XPI TIONDATE: 60.00
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RAIN LAVE p r � ,zE �R r �� � s,
THE TER1�iS AND R ASSIGNED TO THIS
THE TO CONDITIONS SET FORT TTI A
WN OF SOUTH WINDSOR S1A t7Ty�A {
S'� O N Y TErTATE AND HEREBY AG
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ATTA L BE IN ACCORDANCE O ALL
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4/24/2009 11:06 AU x Y
DATE INSPECTED
INSPECTED By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: (�h_ p� CONTRACTOR: ev _
LOCATION:
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"(YPE OF WORK: Y1 S n i �ZiY v -fie�3
= ':DATE INSP NEEDED:
DATE INSP: 30/9
_ INSPECTED BY: 3 b
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SCANNED
W/2007 Town of South Windsor INPSEaTON REPORT 07
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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: 0759 ka-wre.n c,e _ Lot #
Street No. Street Name
Premises owned by: rn 5
Name of Firm: ( .'A,""t(na (tic- Phone
Address of Firm: 1 )J w� (l(�a CT p(9002 01
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building r of acres
Connection will be made with
issting Wa er Supply: Public aater W�
Proposed Start Date I-�`�V,0 7 Estimated time for completion � G
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 ��'— r'✓ the holder of Drain
Layer's License No. e2 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. .2oo 9 i 703-D 78
Signed: Print Name:
Licensed Drain Layer
Date: -</-aY.09
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc SCANNED
Molloy, Catherine
From: CallCenter@CBYD.com
Posted At: Friday, April 24, 2009 10:13 AM
Conversation: Locate Request-20091703278
Posted To: CBYD
Subject: Locate Request-20091703278
(CALL BEFORE YOU DIG - CT) 04/24/2009 10:12:46
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***** ROUTINE *****
TIME. .10:12 DATE. .04/24/2009
REQUEST NO. . .20091703278
LATITUDE. .41.8560357 LONGITUDE. .-72.5094753
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .259
STREET. . . .LAWRENCE RD
NEAREST
CROSS STREET. .CLIFFWOOD
TYPE OF WORK. . . . .EXC TO INST SEWER LATERAL
AREA IS MARKED. . .YES
REMARKS:
WORKINNG FROM THE ROAD TO THE HOUSE
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START DATE. . . . . .04/29/2009 START TIME. .07:00
CALLER. . . . . . . . . .CAROLINE RANSOM
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-875-6684
FAX #. . . . . . . . . . .860-870-9453
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .GERBER CONSTRUCTION INC. SC44JFO
ADDRESS. . . . . . . . .616 DART HILL RD
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:
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