HomeMy WebLinkAboutdrain layer permit 715 Nevers Road 1100010 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE 03/28/11 �
GIS ID: 62400715
MUNIS APPLICATION# 201100212 �' FEE: 60.00
3 EXPIRATION DATE: 04/27/11
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APPLICAN P ,�'- - LOCATION
NAME: SKIPS SEPTIC g - RE 7S NE RS ROAD
ADDRESS: 6 NUTMEG DRIVE FRY ELIZABETH A
P O BOX 29 = IEVRS ROAD
ELLINGTON,CT 06 9 `� JVINDSOR,CT 06074
PHONE 860-875 �332.
WORK DESCRIPTION: NEW SE I ��
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THE DRAIN LAYER ASSIGNED TO THIS S A VU ' kFTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTE y � RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STAND -� ,AITIATTACHED CONDITIONS.
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ISSUED Iff DATE INSPECTED INSPECTED BY
3/28/2011 9:40 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: // 000 l0 CONTRACTOR: S K] 'S
LOCATION: 7 /U e Vet'S oa
TYPE OF WORK: Me u) 5e W e c Y, n sr�-c. n d Y)
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: �3D
WORK IN
PROGRESS: C'�•� -cz,�o ins, f(1cf G '�Fyc s ,2 3sr�., s �
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ['YES ❑ NO
AS-BUILT:
INPUT: DATE: "I - 7
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
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: 7/:r nl f v� ,e S #
Street No. Street Name
Premises owned by: E'L/2-A,6 F71-) /4c/< €xz-y
Name of Firm: r5 S f®-;?C- Phone: '?(O 0 -6 44-9/9�
Address of Firm:- P u, d d x 7-9 C L-i-- A16W N
TYPE OF WORK:
Lay House Drain X, ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with � PVC- S-D/Z 3
Existing Water Supply: Public Water Well
Proposed Start Date 1Z3D 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 Z71" the holder of Drain
Layer's License No. 7-0 '7?Z-f 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. Z c3 /!/ 3 O y
Signed4- -.- _ _ _ __ _ __ Print_Name: fdgS Gvrl, !�F
L' ensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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Molloy, Catherine
From: CaliCenter@CBYD.com
Posted At: Friday, March 25, 2011 8:23 AM
Conversation: Locate Request-20111302526
Posted To: CBYD
Subject: Locate Request-20111302526
(CALL BEFORE YOU DIG - CT) 03/25/2011 08:22:52
-5G -C1 -CW -GV
-OT 2-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .08:22 DATE. .03/25/2011
REQUEST NO. . .20111302526
LATITUDE. .41.8601238 LONGITUDE. .-72.5493904
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .715
STREET. . . .NEVERS RD
NEAREST
CROSS STREET. .LINDA LANE
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TYPE OF WORK. . . . .SEWER CONNECTION
AREA IS MARKED. . .YES
REMARKS:
RIGHT SIDE OF HOUSE, AREA IS MARKED, NO ROAD CUT
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START DATE. . . . . .03/30/2011 START TIME. .07:00
CALLER. . . . . . . . . .LW
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-875-2332
FAX #. . . . . . . . . . .860-875-0428
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .SKIP SEPTIC SERVICE
ADDRESS. . . . . . . . .27 MUDDY BROOK RD
CITY. . . . . . . . . . . .ELLINGTON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06029
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EXCAVATOR DOING WORK. .TOM WALKER
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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