HomeMy WebLinkAboutDrain Layers Permits 4 Oakwood Drive 1100032 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 08/24/11 -
GIS ID: 66000004 FEE: 60.00
MUNIS APPLICATION# 201100957 - EXPIRATION DATE: 09/23/11
APPLICANT `7 - LOCATION
NAME: LATULIPPE BROTHERS,ING ADDRESS 4 OAKV�OOD DRIVE
ADDRESS: 780 VERNON STREET {7WNER: SHINDEJDAY R&
MANCHESTER,CT 0{04( 4 OAKWOOD DRIVE
SOUTH WINDSOR,CT 06074
PHONE -
WORK DESCRIPTION: NEW SEW,EI ONNHCTIO - /
THE DRAIN LAYER ASSIGNED TO THIS IERMIT HAS A VALII3LICEAI f�SUED BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTFINjTHl "ATTACHED`CQNIDT`fIONS'. AL-L WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS �;LL OSHA REE�U3R1;I4IENT ;ACID TH `ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED PECT D BY
8/24/2011 11:19 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION: LA o Q y w p®ca
TYPE OF WORK:_ n e-W L-'x� w,(=-?r L p Vey Y-vr h
DATE INSP NEEDED: DATE INSP: 3--S-
INSPECTED BY: ,D
WORK IN
PROGRESS: !.� sic bra Ft(icn� iKk�/c C���nJ�c�T(�� / AC-i- A
�a�r. c���.-Rv� SnN� !��Frdi ��" ����.��Pc.�cr✓.�a ��r�r� Qecg'�
I V50C.T0 C,oNNlC7y---,) r(940 a.A-) g-Za- . aL
F 4CD AN9 CQ.uvikD .
l nA/T9ACrN•-- Will ff=j..G. ►k) /llS-Qun�' `a�ru
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES VNO
AS-BUILT:
INPUT: DATE: �q
W/2007 Town of South Windsor INPSECTION REPORT 07
al )C WOO
N 176,800 N 176,600 E
�. I.I.. 5-r� a
V.5 V� CY\\MWeY
�25� oFM\1 2S� N caMN UPP`I�R �1�1/. 2�oQ,C�2
CD
ti N n UW
ti N >
7 _ N
LL
_f 0 C 12" D RCP CB 12
280 "' OAK
280
Q y SNE T
O 3749
cc) CD
7 �
W Q v l N
aC I-- LL -I O •t
w 1-
a N BITim BIT. N
m
1
a 11H w.o 0275�2� A1.3 9s ST
S N MT
2 83.7
D CURB w�.
CURB
270 NET
69.5 269.4 181'Rc 743\O
CURB• CURB
No 4 CQ
_ 3N DOGWOOD
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 proposed work: 4 0JJa '- V Lot #
Street No. Street Name
Ud
Premises owned by:
Name of Firm: /%y -
Z4rL-1P10'e- bij PARS JA� Phone: 61G Sl IV
>/
Address of Firm: 'ta
TYPE OF WORK:
Lay House Drain; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start DateV-/l_ Estimated time for completion J
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/1���" /801/ .� �p� 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 anp atached thereto. Applicant has received
Town Street Excavation Permit No. jalk C, and/or ConnDOT Permit No.
�� f, �� r-/I PLEASE NOTE:
CBYD No. �S IFA SANITARY SEWER LATERAL
IS WITHIN7S FEET OFA WELL
IT MUST BEAIR TESTED
Signed: rint Name:_�O�a'hA111 �4�1JL t�'�
Licensed Drain Laye
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
Molloy, Catherine
From: CaliCenter@CBYD.com
Posted At: Tuesday, August 23, 2011 1:54 PM
Conversation: Locate Request-20113501480
Posted To: CBYD
Subject: Locate Request-20113501480
(CALL BEFORE YOU DIG - CT) 08/23/2011 13:53:57
-5G -C1 -CW -GV
-OT 3-SW SWINDS -T5
--------------------------------------------------------------------------
***** EMERGENCY *****
TIME. .13:53 DATE. .08/23/2011
REQUEST NO. . .20113501480
LATITUDE. .41.8348066 LONGITUDE. .-72.5388497
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .4
STREET. . . .OAKWOOD DR
NEAREST
CROSS STREET. .NORMAN DR
--------------------------------------------------------------------------
TYPE OF WORK. . . . .EXC TO INSTALL SEWER LATERAL CONNECTION
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM THE EDGE OF CURB ON NORMAN DR AND GOING TO REAR OF HOUSE THIS IS A CORNER
PROP
--------------------------------------------------------------------------
START DATE. . . . . .08/24/2011 START TIME. .08:00
CALLER. . . . . . . . . .NORMAN LATULIPPE
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-646-5114
FAX #. . . . . . . . . . .860-646-5114
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .LA TULIPPE BROS
ADDRESS. . . . . . . . .780 VERNON ST
CITY. . . . . . . . . . . .MANCHESTER
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06040
--------------------------------------------------------------------------
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
TOWN OF SOUTH WINDSOR
SANITARY'"" SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: g + 2 2 Q
BUILDING ADDRESS _9 A 1Z 19 p
STREET P\/a olb 6 R
-f- SUBDIVISION:
NORTH ARROW
627
2 ° .b LAP
.0
L,47-y1. /PPS J3 f?&TAI gas J I,'�- A10 M;-I✓L�
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUP RVISOR PRINT)
7 8'O t&RA)Q k) 97"
STREET ADDRESS SIGNATURE
��R C'7- DATE
TOWN STATE ZIP INSPECTED BY TOWN
t?4 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING .ENGINEER / DEVELOPER