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HomeMy WebLinkAboutDrain Layers Permit 1023 Avery Street 1100015 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 05/20/11 � ' GIS ID: 06301023 FEE: 60.00 MLINIS APPLICATION# 201100472 s & EXPIRATION DATE: 06/19/11 APPLICANT y1 LOCATION NAME: ROLOCUT CONSTRU TIONA&LC ' /% DREG � l2 W*RY STREET ADDRESS: 97 NORTH MAIN ST Fy EI BLIK1 R CHRISTOPHER ��� % WINDSOR LOCKS, T�05023 [�VRY STREET 1 JINDSOR,CT 06074 PHONE 860-916�970 il 7 " vlw WORK DESCRIPTION: NEW SA1 bI' �T M THE DRAIN LAYER ASSIGNED TO THIS ZR� AS A 'SUP0Ytw ETATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTk RT E SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDA%S "ATTACHED CONDITIONS. ISSUED BY DAT INSPECTED INSPECTED BY 5/20/2011 8:21 AM i / �i s00 0 IN " i mjw " �OR y 3 1Al _ �y 5 y i €i 0 s fX -w % OWE � s mm- s f TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: l f DDO is CONTRACTOR: ROI aGu L COOSI LOCATION: Z Dc" A U`eA L4 .S`f` TYPE OF WORK: yl ieW Gvr c-modr� DATE INSP NEEDED: DATE INSP: INSPECTED BY: grb WORK IN PROGRESS: G - 10 kr- P�ss� �� •t p�►'�"f'`' �,,,..d �a s 5�L� ��� r G��-H,f� 5� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 i APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR, CT FEE $60.00 Location of work: O A 3 v�r ���� Lot # proposed Street No. ttreet Name Premises owned by: e0e M a + 00 N Name of Firm: ecd-oc'J— Phone: 0'*'0 Address of Firm: 39- -A(-rn s1c-,`y 0 ZQ xle, (34 t7`ce�� �60 7� TYPE OF WORK: tje Lay House Drain , Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building C� not acres Connection will be made with Existing Water Supply: Pu lie Water Well Proposed Start Date 1 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 t �o �aN STRcG/ tC d a holder of Drain Layer's License No. ® 0 2 . 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 permi and attached thereto. Applicant has received Town Street Excavation Permit No. d and/or ConnDOT Permit No. NJ qq of ` ©d� I g O PLEASE NOTE: CBYD No. v� IF SANITARYSEWER LATERAL IS WITHIN 75 FEET OF WELL IT MUST BEAIR TESTED Signed:. Print Name: (SitelyeN 10CLC 1 Ligl5rised Drain Layer Date: / Z / Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc Molloy, Catherine From: CallCenter@CBYD.com Posted At: Thursday, May 12, 2011 10:54 AM Conversation: Locate Request-20112003180 Posted To: CBYD Subject: Locate Request-20112003180 (CALL BEFORE YOU DIG - CT) 05/12/2011 10:54:08 -5G -C1 -CW -GV -OT 1-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .10:54 DATE. .05/12/2011 REQUEST NO. . .20112003180 LATITUDE. .41.8441893 LONGITUDE. .-72.5111516 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .1023 STREET. . . .AVERY ST NEAREST CROSS STREET. .HITCHCOCK ST -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO INST SEWER LINE AREA IS MARKED. . .YES REMARKS: WORKING FROM STREET TO HOUSE OFF THE HITCHCOCK SIDE OF PROP -------------------------------------------------------------------------- START DATE. . . . . .05/17/2011 START TIME. .07:30 CALLER. . . . . . . . . .STEVE ROLOCUT CALL BACK. . . . . . .9-5 PHONE #. . . . . . . . .860-916-1970 FAX #. . . . . . . . . . .N/A ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .ROLOCUT CONSTRUCTION ADDRESS. . . . . . . . .32 FARMSTEAD LN CITY. . . . . . . . . . . .SUFFIELD STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06078 ---- --------------------------------------------------------------------- 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 • t• •t a � ffff '�r'_. t. •t. .. , t P• South Windsor Online Property Viewer 5/25/2011 1023 Avery Street t +F "`° t tea" r b 5�L t t� ik -, p•. � T ��� Vie] 4 f., i�. .7 ctg' : —�+ � P i+ t •L4+ JR )r A _ -1 0 40 � feet Property Information tow" se4� Property ID A Q Location J 333 ' ,`,tUSOR-C e - MAP FOR REFERENCE ONLY L NOT A LEGAL DOCUMENT y', This data settmap is for planning purposes only and should not be used for larger scale analysis.The Town of South Windsor shall not be held liable for any use of the data or images shown on this map,nor is any warranty of accuracy expressed.All uses of this data setlmap are subject to fielder verification.