HomeMy WebLinkAboutDrain Layers Permits 418 Pleasant Valley (2) 1200019 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 05/15/12
GIS ID: 72900418 FEE: 60.00
MUNIS APPLICATION# 201200592 EXPIRATION DATE: 06/14/12
APPLICANT"_ LOCATION
NAME: AUTUMN CONTRACTING LLC ADDRESS:., 41 9-PLEASANT VALLEY ROAD
ADDRESS: 99 SCOVILLE HILL Rat D Q ?NER- INLAND PROPERTIES LLC
HARWINTON,CT 0679I 57+C(JUNTRY CLUB DR
WINDSQR,CT 06095
PHONE
WORK DESCRIPTION: NEW SEWER GQNNECTI4T
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 FOR*&THI=ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
ISSUED BY DATE SPECTED INSPECTED BY
5/15/2012 12:25 PM
i
TOWN OF SOUTH WIMDSOR INSPEmou REPORT
. '_ ' PAtMTfNO.: • �0�0®�/� � OONTRACioR
—Ajk,���
, LOCATION:
. .TYPE OF WO A(✓
.DATE INSP NEEDED; OATS
MSPEICTED BY:�
WORK IN
PROGRES5: LAI-
SEPTIC TANK PUMPED,SMASHED,FILLED W ESSED 0 YES Q N4
DATE:-
W12007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SUUJVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR, CT
FEE $60.00
-Location of proposed work: yl� PI�,�,4Nr Lot #
Street No. Street Name
Premises owned by:__ ��A Yjo
Name of Firm: L.Au m'y Cow krOS C C Ph go Y B S_ 6 9 3 3
- ,�,am.// one:
Address of Firm: 9 9 Sao > >� R 2l J /c ; ,�/ `'`> > 610 C T 0 )
TYPE OF WORK:
Lay House Drain_x; Repair.House Drain
Lay Main— : Lay Lateral for Commercial/Industrial
Building of aces
Connection will be made with �p V
Existing Water Supply: Public Water_ Well
Proposed Start Date 5-t�-2- Estimated time for completion W -
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 _ Dom s the holder of Drain
Layer's License No. 9 F-3 3 60 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. 2 6 PLEASE NOTE:
IFA SANITARYSEWER LATERAL
IS WITffIN 7S FEET OF WELL
IT MUST BEAIR TESTED
Signed: Print Name: Dom
ed Drain Layer
Date: ->` ? /�Z
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
Molloy, Catherine
From: Cal[Center@CBYD.com
Sent: Monday, May 07, 2012 7:42 AM
To: CBYD
Subject: Locate Request-20121900098
(CALL BEFORE YOU DIG - CT) 05/07/2012 07:42:21
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-GV -J1 -OT -Si
3-SW SWINDS -T5 -W3
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .07:42 DATE. .05/07/2012
REQUEST NO. . .20121900098
LATITUDE. .41.8142783 LONGITUDE. .-72.5937148 '
TOWN. . . . . .SOUTH WINDSOR
i
STREET. . . .PLEASANT VALLEY RD
NEAREST
CROSS STREET. .HILTON DR
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TYPE OF WORK. . . . .SEWER & WATER CONNECTION, GRADING
AREA IS MARKED. . .YES
REMARKS:
SEWER AND WATER FROM IN STREET TO HOME, GRADING OVER ENTIRE LOT
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START DATE. . . . . .05/10/2012 START TIME. .07:00
CALLER. . . . . . . . . .DON TRUSKAUSKAS
CALL BACK. . . . . . .ANY TIME
PHONE #. . . . . . . . .860-485-6933
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .AUTUMNCONTRACTING@YAHOO.COM
CONTRACTOR. . . . . .AUTUMN CONTRACTING
ADDRESS. . . . . . . . . 99 SCOVILLE HILL RD
CITY. . . . . . . . . . . .HARWINTON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06791
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EXCAVATOR DOING WORK. .AUTUMN
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 WI N DSOR
SANITARY SEWER LATERAL 'FIELD LOCATION
DATE OF CONSTRUCTION: 5� - a d i.
BUILDING ADDRESS
STREET L 1� 1��L
SUBDIVISION:
TNOARROW
i
44-
a.
OF
CONTRACTOR (PRINT) NAME OF CONTMTOR:S SUPERVISOR (PRINT)
STREET ADDRESS SI
,/&z Lo 76 rJ CT 06
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER