HomeMy WebLinkAboutDrain Layers Permits 57 Bourbon Street (2) 110-0019 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/13/11
GIS ID: 12300057 FEE: 60.00
MUNIS APPLICATION# 201100589 = EXPIRATION DATE: 07/13/11
APPLICANT = ,,- LOCATION
NAME: VIOLETTE SILVESTER&SONS,.: ADDRESS.- 57 BOURBON STREET
ADDRESS: 65 CHERRY STREET t4t **IER IM01DI DAVID M&
EAST HARTFORD, CT 0_610_8 57 BOURBON STREET
- = SOUTI WINDSOR,CT 06074
PHONE 860-289-3466
WORK DESCRIPTION: REPAIR S,AN- ARY SEWV
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH TIIE ATTACFTEIZ`CONDITION --. ALL WERK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS AI Z OSHA REQUIREMENTS,AND THE`ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
6/13/2011 3:47 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 11000 t q CONTRACTOR: V I y le4c
LOCATION: y d V-\ �_s
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: /Af4l
INSPECTED BY: Rb
WORK IN
PROGRESS: V 0 c,,5+ s ro k-er1 6D nL►..a Rep(e, r
l-�. •' rVt cc.N Y O 4 lee +v
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: Cam- DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
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: 57 He u t 6 8 ei s � Lot #
Street No. Street Name
Premises owned by: Sv e o h i
V
.Name of Firm: /o�� �. S-/ -,
V, ce - Jos 714c phone: -;2609-TY6i
Address of Firm: �l�Yr �'(f' - /� � C7—
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 4 s PR 35- !°Uc
Existing Water Supply: Public Water Well
Proposed Start Date / 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 - ✓� �� ` - the holder of Drain
Layer's License No. 7 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.
PLEASE NOTE:
CBYD No. aOZZ IFA SANITARYSEWER LATERAL
IS WITHIN 75 FEET OFA WELL
IT MUST BEAIR TESTED
Signed: Print Name: -7,-sc
tensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
Molloy, Catherine
From: CallCenter@CBYD.com
Posted At: Tuesday, June 14, 2011 7:14 AM
Conversation: Locate Request-20112501138
Posted To: CBYD
Subject: Locate Request-20112501138
(CALL BEFORE YOU DIG - CT) 06/14/2011 07:13:48
-1B -5G -BB -C1
-CW -GV -OT 2-SW SWINDS
-T5
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***** EMERGENCY *****
TIME. .07:13 DATE. .06/14/2011
REQUEST NO. . .20112501138
LATITUDE. .41.8434731 LONGITUDE. .-72.5348933
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .57
STREET. . . .BOURBON ST
NEAREST
CROSS STREET. .FOSTER STREET EXT
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TYPE OF WORK. . . . .EXC TO REPAIR SWR LINE -EMEGRNECY
AREA IS MARKED. . .YES
REMARKS:
CREW ENROUTE
WORKING FROM. THE STREET & GOING OVER THE ENTIRE FRONT OF PROP
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START DATE. . . . . .06/14/2011 START TIME. .07:13
CALLER. . . . . . . . . .ANGELA CASSASANTA
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-289-3466
FAX #. . . . . . . . . . .860-528-9694
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .VIOLETTI SYLVESTER & SONS
ADDRESS. . . . . . . . . 65 CHERRY ST
CITY. . . . . . . . . . . .EAST HARTFORD
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06102
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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
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF. CONSTRUCTION: y—
BUILDING ADDRESS
-5, 7
STREET
SUBDIVISION:
NORTH ARROW
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00
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V/�/C/Yc :57/;/,v e-j7t,,- Sif--,�S Z-m
CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDR SS SUOURE
Yv✓G� C'� ®gl®� `i�`�i DATE
TOWN STATE ZIP INSPECTED BY TO
J k I—3�10146 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING .ENGINEER / DEVELOPER