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PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT
P
DRAIN LAYER PERMIT
DATE: 08/10/10 N "
GIS ID: 52800064 Al
MUNIS APPLICATION# 201001019 FEE: 60.00
EXPIRATION DATE: 09/09/10
APPLICAN 4i j
LOCATION
NAME: JDC ENTERPRISES RES 6.
ADDRESS: 420 JOHN FITCH BL W NCE ROAD
SOUTH WINDSOR, 7 ATRICIA
�= NCE ROAD
PHONE 860-667.. 8b x INDSOR,CT 117 37
WORK DESCRIPTION: NEW SE
THE DRAIN LAYER ASSIGNED TO THISA
THE TERMS AND CONDITIONS SET FORT ` SU �4&1:_ 'ATE AND HEREBY AGREES TO ALL
THE TOWN OF SOUTH WINDSOR S . W SHALL BE IN ACCORDANCE WITH
TAND � � ,A � • •ATTACHED CONDITIONS.
ISSUED BY o
DATE INSPECTED INSPECTED BY
8/10/2010 3:25 PM
TOWN OF SOUTH WINDSOR INSPECTION:REPORT
PERMIT NO.: /'GOW q l
CONTRACTOR:_Z DC, .
LOCATION Cg Q WY �h 0
TYPE OF WORK:
DATE INSP NEEDED:
DATE INSP: 9`18I/0
INSPECTED BY: 6 D
WORK IN
PROGRESS:
►' Tc,� r ro,,z s to 1-0Pei-
Q rop
SEPTIC TANK P MPED, SMASHED, FILLED �-,�
WITNESSED 0 YES LINO
AS-BUILT:
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INPUT. C
DA TE.
W12007 Town of South Windsor INPSECION REPORT 07
. . Per ►�r,,-{ -# /OO O0 �f
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
a0/0 a/O l9 TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $50.00
Location of proposed work: zt4w26-lu C� , ofi #
Street No. Street Name
Premises owned by: A7 /Y/-.*/
Name of Firms - �3 . Phone !v -�IT02)
Address of Firm: ?(-�7 %c-'V Oe-c-,6
TYPE OF WORK:
Lay House Drain • Repair House Drain
Lay Main : Lay Lateral for Commeraal/Industrial ,
Building of acres
Connection will be made with ,5�2 -3 5'
Existing Water Supply: Public Water Well
Proposed Start Datej��- /o 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_9-0-Pc?0/'f- 2> 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,?el U 7 33 0 0
9_0_ 9�
Signed: Print Name: _7^13� . c
Licensed Drain r
Date:
Standard F0rms\Pexmits\*WCA-n0N FOR DRAIN LAYERS PERMIT doc
TOWN OF SOUTH WINDSOR
SANITARY - SEWER: LATERAL .FIELD LOCATION
DATE OF 'CONSTRUCTION: C> 2;�n
BUILDING ADDRESS
STREET ,L'1ase�c
SUBDIVISION:
NORTH ARROW'
berA
- -- tj
_ I
7���� r��
CONTRACTOR (PRINT) NAME-OF CONTRACTOR'S SUPERVISO INT)
STREET ADDRESS SIGNATURE s
. yL) yAz--Os Cy c c) ,R �o��,e 8�/s I i� DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
Drabek, Bernard
From: CallCenter@CBYD.com
Posted At: Monday, August 09, 2010 11:57 AM
Conversation: Locate Request-20103300529
Posted To: CBYD
Subject: Locate Request-20103300529
(CALL BEFORE YOU DIG - CT) 08/09/2010 11:57:03
-5G -Cl -CW -GV
-OT 6-SW SWINDS -T5
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***** ROUTINE *****
TIME. .11:56 DATE. .08/09/2010
REQUEST NO. . .20103300529
LATITUDE. .41.8508943 LONGITUDE. .-72.5091300
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . . 64
STREET. . . .LAWRENCE RD
NEAREST
CROSS STREET. .LEAH LN
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TYPE OF WORK. . . . .EXC TO INSTALL SEWER LINE
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM STREET TO REAR OF PROP
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START DATE. . . . . .08/12/2010 START TIME. .08:00
CALLER. . . . . . . . . .CHARLIE CAREY
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-528-0009
FAX #. . . . . . . . . . .860-667-4164
ALT. PHONE #. . . .
EMAIL ADDRESS. . .JDCENTERPRISES@AOL.COM
CONTRACTOR. . . . . .J D C ENTERPRISES
ADDRESS. . . . . . . . .P. 0. BOX 905
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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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