HomeMy WebLinkAboutDrain Layers Permit 090 Carriage Drive 1000014 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER 0�,,,a�a,�v"„��v� ,�v�anvaa ���vwv DRAIN LAYER PERMIT
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DATE: 04/29/10
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GIS ID: 17100090
FEE: 60.00
MUNIS APPLICATION# 201000480 �v
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�XPIRATION D
ATE:
OS/29/10
APPLICAN C' OCATIONNAME: LANDIE CONSTRUC o�„S GE DRIVE
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ADDRESS: 21 CLARK ROAD
ti aq� \�v ON CHRISTOPHER&MARGO J
BOLTON,CT 06043 a ` � �� ,h���v` �V, l
w N, GE DRIVE
PHONE ,�'�� v�v� �� ` v,a THa SOR,CT 06074
WORK DESCRIPTION: SANITAR
CO CT
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THE DRAIN LAYER ASSIGNED TO THIS PE V �I „
STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH ND " �'1' S'."'""'" L�
THE TOWN OF SOUTH WINDSOR STANDARD 3ORK SHALL BE IN ACCORDANCE WITH
S; �°E ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
4/29/2010 1:52 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: y l / CONTRACTOR: I r
LOCATION: Ca Y,`CI a a p Q-4E�_.
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TYPE OF WORK S�' ,�ll cS�e;�p,� Cp u► yu�� DV�
DATE INSP NEEDED: DATE INSP: 4/11
INSPECTED BY: /�D
WORK IN
PROGRESS: a a
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: I
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W/2007 Town of South Windsor INPSEMON REPORT 07
AQ91id;tea ,i o4ec .W
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 412- Lot#
Street No. Street Name
Premises owned by:
Name of Firm: Phone: Gd 7Yr1Vd0
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main : Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date y-2- -/� Estimated time for completion . ,j4- Z?-j o
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Pen-nit is to be issued to C. r ( v5-rpv-v�-no� the holder of Drain
Layer's License No. Only holders of P-1, P-7 or W-9 licenses
will be Issued a permit PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT.Permit No.
CBYD No. 2-D l Q IV d U 710
Signed: Print Name:_yUi`c oW
Licensed Drain Layer
Date: - Z ` - y Z_ C_ '
Standard Forms\PffrnbWPUCATION FOR DRAIN LAYERS PERMIr doc
Drabek, Bernard
From: CallCenter@CBYD2.com
Posted At: Monday, April 26, 2010 1:37 PM
Conversation: Locate Request-20101800710
Posted To: CBYD
Subject: Locate Request-20101800710
(CALL BEFORE YOU DIG - CT) 04/26/2010 13:36:43
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-GV -OT 10-SW, SWINDS -T5
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**** ROUTINE *****
TIME. .13:36 DATE. 04/26/2010
REQUEST NO. . .201,01800710
LATITUDE. .41.8388410 LONGITUDE. .-72.541'450$
TOWN. . . . . .SOUTH WINDSOR
ADDRESS . 90
STREET. . . .CARRIAGE DR
NEAREST
CROSS STREET. .PALMER
TYPE OF WORK. . . . .EXC TO COLAPSE SEPTIC AND FILLING
AREA IS MARKED. . .YES
REMARKS:
WORKING ON THE RIGHT SIDE OF THE HOUSE
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START DATE. . . . . .04/29/2010 START TIME. .07:00
CALLER. . . . . . . . . .BILL PHILLIPS
CALL BACK. . . . . . .7-5
PHONE #. . . . . . . . 860-798-1400CELL
FAX #. . . . . . . . . . .860-646-1347
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .LANDIE CONSTRUCTION, INC.
ADDRESS. . . . .21 CLARK RD
CITY. . . . . . . . . . . .BOLTON
STATE. . . . . . . . .CT
ZIP. . . . . . . .06043
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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
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATE RAL: MELD LOCATION
DATE. OF CONSTRUCTION: :l o
BUILDING ADDRESS 9_. _ l�rz
STREEC
SUBDIVISION:
NORTH ARROW oP
.T
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR-(PRINT)_
eu- A ,eD
STREET ADDRESS SIGNATURE
ATE
TOWN o g STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING .ENGINEER / DEVELOPER