HomeMy WebLinkAboutDrain Layers Permit 08 Aroda Drive 750039 TOWN OF SOUTH WINDSOR CT
PERMIT NUMBER ,
DRAIN LAYER PERMIT
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DATE: 08/09/07 '10
GIS ID:04800008 `'a
MUNIS APPLICATION# 200701263 °r ^ "' �� r FEE: 60.00
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h. EXPIRATION DATE: 09/08/07
APPLICANTS ` = ; f
WE "` CA NAME: JAMES THRO DB .. :';'`. �. `�_. <:.. < : `."": a = 0 CATION
ADDRESS: 97 RIVERSIDE DRIV ?y s `r' :: RES , bDARIVE
` ` H KEVIN
VERNON ROCK ' y' &KHEUAV NH
VIL DRIVE
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WORK DESCRIPEa
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TION:
NEW SE R�W.IP �
THE DRAIN LAYER ASSIGNED TO THIS As RM�.,
THE TERMS AND CONDITIONS SET FORT�II .•n f4 Y S �y<B 'TI�E,ST TE AND HEREBY AGREES TO ALL
THE TOWN OF SOUTH WINDSOR STAND S'" fT ": :`` CIS°t''
I �� 1 SHALL BE IN ACCORDANCE WITH
TACHED CONDITIONS.
ISSUED BY ri
8/9/2007 11:01 AM ATE P TED INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:_Z20_0fq CONTRACTOR:
LOCATION:_
TYPE OF WORK: w 1� e /or+
DATE INSP NEEDED: � DATE INSP: p
INSPECTED BY:
WORK IN
PROGRESS: .S®� S p J����C J 12
AS-BUILT:
INPUT: - DATE: 9 '/`j-p
7
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:-_ t`Uc .. Lot #
Street No. Street Name
Premises owned by: ' ucancl
Name of Firm: (- ) Phone: J-T%CV5I -
Address of Firm: �7 i`, ► ��� /�,z,,U�
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 50P
Existing Water Supply: Public Water �o Well
Proposed Start Date /��0�G7 Estimated time for completion 10kLe
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 s the holder of Drain
Layer's License No. 4� 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. Zoo7-3o�0
Signed: �^— Print Name: �✓
Licensed Drain Layer
Date: �&q 5 o-7
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY - SEWER LATERAL. FIELD LOCATION
DATE. OF CONSTRUCTION: /0 u� 6-7
BUILDING ADDRESS
STREET : cl
SUBDIVISION:
:,ORRTH ARROW
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yc,v, s 11
CONTRACTOR (PRINT) �,t NAME OF ONTRACT✓ UPERVISOR (PRINT)
S1014
TREET ADDRESS SIGNA E
V ✓Y G� G G 2 � I DATE
TOWN STATE ZIP INSPECTED BY TOW
co DATE
PHONE NUMBER
ITE - TOWN PINK CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
Pa e 1
3ernard Drabek-`Locate Re uest-20073201255 - -
From: <CaiiCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Tue, Aug 7, 2007 9:54 AM
Subject: Locate Request-20073201255
(CALL BEFORE YOU DIG-CT) 08/07/2007 09:50:49
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-OT 2-SW SW INDS -T5
-------------------------------------
*****ROUTINE*****
TIME..09:50 DATE..08/07/2007
REQUEST NO...20073201255
LATITUDE..41.8509279 LONGITUDE..-72.5594825 J
TOWN......SOUTH WINDSOR <
ADDRESS.
STREET....
NEAREST
CROSS STREET-.STEEP RD
-------------------------------------------------------------
TYPE OF WORK.....EXC TO INST SWR CONNECTION
AREA IS MARKED...YES
REMARKS:
WORKING FROM ST TO HSE
--------------------------------- ----------------------------------------
START DATE......08/10/2007 START TIME..07:00
CALLER..........JAMES THROE
CALL BACK.......ANS MACHINE
PHONE#.........860-871-7968
FAX#...........
NIA
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: