HomeMy WebLinkAboutDrain Layers Permits 120 Scott Drive 1200010 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/28/12
GIS ID: 81600120 FEE: 60.00
MUNIS APPLICATION# 201200318 EXPIRATION DATE: 04/27/12
APPLICANT, „ LOCATION
NAME: COTA CONSTRUCTION,LLG" ADDRESS: 12 3C6 T DRIVE
ADDRESS: P O BOX 242 - WER KURTZIAN MERLE S L/U&
BROAD BROOK, CT 06 16 12000TT DRIVE
SflVTH-WINDSOR,CT 06074
PHONE 860-292-6104- 2 "
WORK DESCRIPTION: NEW SEWER CONNDCTICrT
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID T.I 64 ISSUED.BY THE S ATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IN UI ATTACHED`CON- IONS ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAPbS AEI,OSHA REQUIREMENTS AND THE ATTACHED CONDITIONS.
C' i�►lo ="
ISSUED BY DATE PECTED INSPECTED BY
3/28/2012 3:41 PM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1,� noc I o CONTRACTOR: C G l�9 �',ols-7�-. ` Z_c
LOCATION:
TYPE OF WORK: N Ica „ C'ynr,p ti..
DATE INSP NEEDED: DATE INSP: /,2
INSPECTED BY: 3�
WORK IN
PROGRESS: G�a4n,dm r i,ssj �4 G
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AS-BUILT: l/
INPUT: 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: I Zo sco fF- D(-,Z Lot #
Street No. Street Name
Premises owned by: 7�-,(,r,v k W4� PrNc.n
Name of Frm: C'_al-r+ Phone: 9i�o -tc e 3 -I 2-
Address of Firm:_ P,o. &yx z yz 130( � ter- ar��6
TYPE OF WORK:
Lay House Drain • Repair House Drain ;
Lay Main ; Lay lateral for Commercial/Industdai
Building of acres
r
Connection will be made with 44/G
Existing Water Supply: Public Water ✓ Well
Proposed Start Date - 3 z —c -1 .Estimated time for completion q-1-/- 2-
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 -Cc the holder of Drain
Layer's License No. PI-A, .d z 7 9 q_z z 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. _ IFA SANITARYSEWER LATERAL
IS WITHIN75 FEE T OF WELL
IT MUST BEAIR TESTED
Signed: P.6&� Print Name:
Licensed Drain ayer
Date: 3 2 t 2-
Standard Forms\Permits\APPLICAlION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL . FIELD LOCATION
DATE OF CONSTRUCTION: q 61a--
BUILDING ADDRESS : a
STREET
SUBDIVISION:
NORTH ARROW
a � �
oor
— IZ �.
v
.100
CONTRACTOR (PRINT) NAME OF CONTRACTO S SUPERVISOR,(PR
STREET ADDRESS IGNATURE
TOWNff ,t STATE ZIP INSPECTED BY TOWN
(y o ?®3 /ci cJ 1 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
Molloy, Catherine
From: Calicenter@CBYD.com
Sent: Monday, March 19, 2012 1:31 PM
To: CBYD
Subject: Locate Request-20121200642
(CALL BEFORE YOU DIG - CT) 03/19/2012 13:31:16
-5G -C1 -CW -OT
10-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .13:30 DATE. .03/19/2012
REQUEST NO. . .20121200642
LATITUDE. .41.8307586 LONGITUDE. .-72.5438914
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .120
STREET. . . .SCOTT DRIVE
NEAREST
CROSS STREET. .BREEZY HILL ROAD
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TYPE OF WORK. . . . .EXCAVATION
AREA IS MARKED. . .YES
REMARKS:
EXCAVATING FOR NEW SEWER HOOK-UP
STARTING INFRONT GOING UP THE LEFT SIDE OF THE HOUSE TO THE BACKYARD
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START DATE. . . . . .03/23/2012 START TIME. .07:00
CALLER. . . . . . . . . .SCOTT COTA �E'd
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-883-1902
FAX #. . . . . . . . . . .860-292-6103
ALT. PHONE #. . . .
EMAIL ADDRESS. . .CONSTRUCTIONCOTM COX.NET
CONTRACTOR. . . . . .COTA CONSTRUCTION
ADDRESS. . . . . . . . .162 RYE ST
CITY. . . . . . . . . . . .BROADBROOK
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06016
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EXCAVATOR DOING WORK. .COTA CONSTRUCTION
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:
I