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HomeMy WebLinkAboutdrain layer permit 244 Lawrence Road 900027 PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CTDRAIN LAYER PERMIT DATE: 05/20/09 � GIS ID: 52800244 MUNIS APPLICATION# ao 200900525f� u FEE: 60.00 EXPIRATION k' >•� � ,� ' � r' - �& � DATE: 06/19/09 APPLICA .:,r..F:... .. .. LOCATION NAME: JDC ENTERPRISES INC. „": : " ADDRESS: 420 JOHN FITCH B ", ROAD SOUTH WINDSO :,R� 1I ORF ROBERT G I,-A R, �:. PHONE s; J. ` WENCE ROAD 860-6674�0b SOR,CT 06074 WORK DESCRIPTION: NEW SEE NNED THE DRAIN LAYER ASSIGNED TO THIS''JM T r THE TERMS AND CONDITIONS SET FOR AR AiJ�3 I ''`1 f TATE AND HEREBY AGREES TO ALL THE TOWN OF SOUTH WINDSOR STASET I r SHALL BE IN ACCORDANCE WITH ND A ATTACHED CONDITIONS. 10 ISSUED BY 5/20/2009 8:48 AM DATE IN PECTED INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: �- 'Z CONTRACTOR: LOCATION: (All Ld ca) —e cC TYPE OF WORK:_ --DATE-INSP NEEDED: DATE INSP: 2©/09 t INSPECTED BY: ED WORK IN PROGRESS: Co AS-BUILT: INPUT. DATE: S.CANNED 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:_a� G� �'99.ye� 4) Lot # Street No. Street Name Premises owned. by: 4A �� 06 CFc ,,e)n 10 2 Uj- Name of Firm: Q� e-- ice' �—t°/'�-/sc3 '"Phone: 7f� Address of Firm: AdV TYPE OF WORK: / Lay House Drain y ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with s - Existing Water Supply: Public Water Well 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�r�-'�N-� r -,2�'� the holder of Drain Layer's License No.p-'oa0� 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,2va 9--- goo CA Signed: Print Name: Licensed Drain Layer Date:— ' OGr Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc Molloy, Catherine From: CaliCenter@CBYD.com Posted At: Thursday, May 14, 2009 4:30 PM Conversation: Locate Request-20092003152 Posted To: CBYD Subject: Locate Request-20092003152 (CALL BEFORE YOU DIG - CT) 05/14/2009 16:29:38 -5G -C1 -CW -EG -GV -OT 8-SW SWINDS -T5 -UN -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .16:29 DATE. .05/14/2009 REQUEST NO. . .20092003152 LATITUDE. .41.8560357 LONGITUDE. .-72.5094753 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .244 STREET. . . .LAWRENCE RD NEAREST CROSS STREET. .CLIFFWOOD -------------------------------------------------------------------------- _ 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 -------------------------------------------------------------------------- START DATE. . . . . .05/19/2009 START TIME. .07:00 CALLER. . . . . . . . . .DAWN OUELLETTE CALL BACK. . . . . . .8-5 PHONE ##. . . . . . . . .860-667-4800 FAX #. . . . . . . . . . .860-667-4164 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .J D C ENTERPRISES ADDRESS. . . . . . . . .2640 BERLIN TPKE CITY. . . . . . . . . . . .NEWINGTON STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06111 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 r � ' ■ � 4R _ fir■ �_ ■I��_d� ?_�____---��_ �■ �■■■� '. � _ I WPM. •� �_ 11. I