HomeMy WebLinkAboutdrain layer permit 20 Stonehaven Circle 1000020 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
y, DRAIN LAYER PERMIT
DATE: 05/11/10 s 4 =
GIS ID: 86400020 y
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MUNIS APPLICATION# 201000533 FEE:
EXPIRATION DATE: 60.00
06/10/10
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APPLICAN � �-N �� �
NAME: JAMES THROWE DE r „ _ LOCATION
g � �RE� STOEHAVEN CIRCLE
ADDRESS: 97 RIVERSIDE DRIV� -=
VERNON ROCKVIL Ekt ,- NATARAJ&DEEPASHREE
A 0- HAVEN CIRCLE
PHONE 8 6 0-2 8 9 095; V -, y� l I IIVDSOR,CT 06074
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WORK DESCRIPTION: SANITAA I f
ILI-
THE DRAIN LAYER ASSIGNED TO THIS P&E w AS A V
THE TERMS AND CONDITIONS SET FOR _� �, I3S 'TATE AND HEREBY AGREES TO ALL
C I � RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARAQ' p ATTACHED CONDITIONS
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ISSUED BY DATE INSPECTED INSPECTED BY
5/11/2010 8:13 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:- Z 001()c4_0 CONTRACTOR: )w\r Lf�nOvU P
LOCATION: t? �4'ver"__
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: O b
INSPECTED BY: -
WORK IN
PROGRESS: �z► r �, (® `�
fro h____—n E'o u.v� 'o�•, >` ` S
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: v
INPUT; �/1/ _._ 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: 1
Lot#
Street No. Street Name
Premises owned by
Name of Firm ) j ,� yr ,� Phone: Y02 �(fl S
Address of.Firm: Iler✓'U`1
TYPE OF WORK:
Lay House Drain--------; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with nC�
Existing Water Supply:. Public Water � Well
Proposed Start Date Estimated time for completion S��h
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=,�,. v s4A,irow.— 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. Q01 d
Signed: Print Name: ;, ��--
Licensed Drain Layer
Date: /D MPY/C)
Standard Fomts\Pe"Wts\APPLICATION FOR DRAIN LAYERS PERMIT.doc
Molloy, Catherine
From: Ca11Center@CBYD2;com
Posted At: Saturday, May 08,2010 7:54 AM
Conversation: Locate Request-20102000014
Posted To: CBYD
Subject: Locate Request-20102000014
(CALL BEFORE YOU DIG - CT) 05/08/2010 07:54:21
-3W -5G -BB -C1
-GV -OT 1-SW SWINDS -T5 `
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**** EMERGENCY *****
TIME. .07:53 DATE. .05/08/2010
REQUEST NO. . .20102000014 .
LATITUDE. .41.8123370 LONGITUDE. .-72.5771259
TOWN. . . . SOUTH WINDSOR
ADDRESS. . .20
STREET. . . .STONEHAVEN CIR
NEAREST
CROSS STREET. .QUARRY BROOK DRIVE
---------------------------
TYPE OF WORK. . . . .EMER SEWER REPAIR
AREA IS MARKED. . .NO
REMARKS':
LOC IN FRONT OF THE HSE YARD ONLY
CREW ON SITE
A/24 DMM 050810 0750
------------------------------
START DATE. . . . . .05/08/2010 START TIME. .08:00
CALLER. . . . . . . .JAMES THROWS
CALL BACK. . . . . . .ANY
PHONE #. . . . . . . . .860-716-1067
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 NOTIFIED
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 LATERAL: FIELD LOCATION
DATE- OF CONSTRUCTION:
BUILDING ADDRESS b (',, ,
STREET ; y ox
SUBDIVISION:
NORTH ARROW
roi
4 5
h m
CONTRACTOR (PRINT) NAM OF CONTRA' SUPERVISOR (PRINT)
m
STREET ADDRESS SI TURE
TOVN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMOER
WHITE TOWN PINK - CONTRACTOR YELLOW - CONSULTING .ENGINEER / DEVELOPER