HomeMy WebLinkAboutDrain Layers Permit 89 Alison Drive 1000017 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 05105/10 1JA
GIS ID: 01800089 -
MUNIS APPLICATION# 201000509 FEE: 60.00
EXPIRATION DATE: 06/04/10
APPLICAN LOCATION
NAME: JAMES THROWE DB � ALIS DRIVE
ADDRESS: 97 RIVERSIDE DRIV BERT C&SHARON L
VERNON ROCKVIL - 16 g DRIVE
. .. SOR,CT 06074
PHONE 860-289- 4 � ,
WORK DESCRIPTION: NEW SE A
THE DRAIN LAYER ASSIGNED TO THIS P ` mod{ S - TATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT E111C T RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF 9(5tlYH WINDSOR STANISARD '_-C ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED I&SPECTED BY
5/5/2010 10:51 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 10 000 ►1 CONTRACTOR: ��MP_� I I l4vw
LOCATION:_- ,\s e) a la
TYPE OF WORK: Uo401h� CO n Yx'-:�cA 0yN
DATE INSP NEEDED: DATE INSP: .5 7 f 0
INSPECTED BY:
WORK IN
PROGRESS: Con Lchu, Z rr J/ eyc �m
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES aNO
AS-BUILT: ✓
INPUT: DATE:
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:_ �`S�� Lot #
Street No.
Street Name
Premises owned by:
Name of Firm: srr'a�)C- lsa-PV) z A. ),1, Phone: Q&)- 'il�
Address of Firm:
TYPE OF WORK:
Lay House Drain : Repair House Drain
Lay Main ; Lay Lateral for Commerclal/Industrial
Building of acres
Connection will be made with S l
Existing Water Supply: Public Water k Well
Proposed Start Date ✓q Estimated time for completion_)/'YI,'Y /b
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 -1iVUS the holder of Drain
Layer's License No. 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.
�rilvoSyl�S'
CBYD No.
LSigned: Print Name: r�, -,-�
Licensed Drain Layer
Date: SM e7Y 7 b
standard Fom vermit wPLICATION FOR DRAIN LAYERS PERMrr doc
Drabek, Bernard
From: CallCenter@CBYD2.com
Posted At: Wednesday, May 05, 2010 7:18 AM
Conversation: Locate'Request-20101901853
Posted To CBYD
Subject: Locate Request-20101901853
(CALL BEFORE YOU DIG - CT) 05/05/2010 07:17:35
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-J1 -OT 2-SW SWINDS -T5
---------------------------------------------------------------------------
**** EMERGENCY
TIME. .07:17 DATE. 05/0.5/2010
REQUEST NO. . .20101901853
LATITUDE. .41.8649370 LONGITUDE: .-72.5785755
TOWN. . . . ..SOUTH WINDSOR
ADDRESS. . .89 -
STREET. . ALISON DR
NEAREST
CROSS STREET. .MERYL RD
-------------------------
TYPE OF WORK. . . . .EXC TO CONNECT SWR -EMERGENCY
AREA IS MARKED. . .YES
REMARKS
WORKING FROM THE STREET TO THE REAR OF THE HOUSE
----------------------------
START DATE. . . . . .05/06/2010 START TIME.'.07:30
CALLER.". . . . . .JAMES THROWS
CALL BACK. . . . . .ANS MACHINE
PHONE #. . . . . . . . .8-60-871-7968
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:
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