HomeMy WebLinkAboutdrain layer permit 256 Lawrence Road 900023 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
r DRAIN LAYER PERMIT
DATE: 05/19/09
GIS ID: 52800256
FEE:MUNIS APPLICATION# 200900522 60.00
EXPIRATION
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ON DATE: -06/18/09
CANT ...^ a 3 4
�T LOCATION
NAME: JDC ENTERPRISES 1 �
LAWRENCE ROAD
ADDRESS: 48 EST DUDLEY T RA .
BLOOMFIELD,CT 6'
h . �OSEPH E&VERLA L L/U
0 :.a IAA NCE ROAD
PHONE T-NDSOR,CT 06074
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WORK DES-CRIP_TION: IN -T-AL- - - -
�,��TI`�
THE DRAIN LAYER ASSIGNED TO THIS VE TA A. ,' .
... SSUT1 T O LL
THE TERMS AND CONDITIONS SET FORTR�'1'IIE"��C': ``�� ` �. " �.�
THE TOWN OF SOUTH WINDSOR STAND A ' ' I; .;� 'W,' S AN TH
ARKS'. %OSg (, �3, IfI'H ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECT BY
5/19/2009 8:40 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CON
TRACTOR:
LOCATION: AAS
'TYPE OF WORK:
--DATE INSP NEEDED: DATE INSP: 15—
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INSPECTED BY: D `
WORK IN
PROGRESS: pvG Sp lz 'z -®mac
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INPUT:. DATE: `1
SCANNED
W/2007 Town of South Windsor INPSECTION REPORT 07
QPPI �vo9o®�Z� 9coo
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-';25'(7 Lot #
Street No. Street Name
Premises owned by: -TZ)
Name of Firm: Phone:
Address of Firm:�� _70 60�/ �! S•�r/i•�Sy,� .
TYPE OF WORK:
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S �2 • S
Existing Water Supply: Public Water Well 1/
Proposed Start Date^/- 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 J�5��'�� C"7 the holder of Drain
Layer's License No. Only holde s 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.P d 0J03z- nd/or ConnDOT Permit No.
CBYD Now����- �d v�/.37 . SCANNED
Signed, Print Name:
Licensed Drain Lay
Dater
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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From: CallCenter@CBYD.com
Posted At: Thursday, May 14, 2009 4:01 PM
Conversation: Locate Request-20092003137
Posted To: CBYD
Subject: Locate Request-20092003137
(CALL BEFORE YOU DIG - CT) 05/14/2009 16:00:48
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***** ROUTINE *****
TIME. .16:00 DATE. .05/14/2009
REQUEST NO. . .20092003137
LATITUDE. .41.8560357 LONGITUDE. .-72.5094753
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .256
STREET. . . .LAWRENCE RD
NEAREST
CROSS STREET. .CLIFFWOOD
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TYPE OF WORK. . . . .EXC TO" INSTALL SEWER CONNECTION
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM THE STREET AND GOING TO THE REAR OF THE HOUSE
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START DATE. . . . . .05/19/2009 START TIME. .07:00
CALLER. . . . . . . . . .DAWN OUELLETTE
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-667-4800 C A
FAX #. . . . . . . . . . .860-667-4164 N N El)
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .J D C ENTERPRISES
ADDRESS. . . . . . . . .2640 BERLIN TPKE
CITY. . . . . . . . . . . .NEWINGTON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06111
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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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