Loading...
HomeMy WebLinkAboutDrain Layers Permits 335 Felt Road (2) 1300025 TOWN OF SOUTH WINDSOR, CT PENT NUMBER DRAIN LAYER PERMIT DATE: 08/26/2013 Ac GIS ID: 32400335 ; MUNIS APPLICATION# 201301219 , " = FEE: 60.00 EXPIRATION DATE: 09/25/2013 APPLICANT LOCATION NAME: SCOTT FORAND CO1UTIQN ;jms 35 FELL ROAD ff ADDRESS: 17 CEDAR SWAMP Pq0 � R H. INvIICHAEL H& STEPHENI J STORRS,CT 06074 ,� FEL' ROAD PHONE ' -0O J €V INDSOR,CT 06074 wow WORK DESCRIPTION: REPAIR RAINX- THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A Y LT1I TSSUEI3 �' IHFTATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTIS-J&T-mE ATTACHF h IT ?I,S "qLL W es{SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARD,A OSI �QLRE ANTATTACHED CONDITIONS. 1/0 ISSUED BY DATE INSPECTED INSPECTED BY 8/26/2013 1:21 PM j i = i - /, TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: l :3 cc . CONTRACTOR:_-r7 Fofand eDY►ST(Z LOCATION: 3 3J Fel fi (�Oa,� TYPE OF WORK:_ 1 DATE INSP NEEDED: DATE INSP: ifl3t*hi3 INSPECTED BY: 8b WORK IN PROGRESS: Goy-,tl.-m-4r 2e I0c.4xJ clea"'t Oat B 4e, 0_1/oeA /UCj.wAL641go fo Mr C l 'a OVA— Alcw eZ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 �g-7/((o APPLhCATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,Cr FEE$60.00 .Location of proposed work.- 3 � �' Lot Street No Street Name Premises owned by: k4eM c� P 11J Name of Finn: 5n) A70(UAL co Phone: Address of TYPE OF WORK: Lay House Drain : Repalr House Drain : Lay Main Lay Lateral for Commercial/Industrial Building of aces Connection will be made with 'D n 3 Existing Water Supply: Public Water Well Proposed Start Date --Z -13 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 So-It- «v�l the holder of Drain Layer's License No. o :2&2 . Only holder,*f 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 perm and attached thereto.. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. PLEASE NOTE: CBYD No. IFA SA NI TARY SEWER.LATERAL IS WITHVV 75 FEET OF WELL ITM11STBEAIR TESTED Signed:-5A Print Name: --i���� Licensed Drain Layer Date: Standard`Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc Molloy, Catherine From: CallCenter@CBYD2.com Sent: Wednesday, August 21, 2013 10:37 AM To: CBYD Subject: Locate Request-20133402048 (CALL BEFORE YOU DIG - CT) 08/21/2013 10:36:41 -5G -C1 -CW -GV -OT 11-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .10:36 DATE. .08/21/2013 REQUEST NO. . .20133402048 LATITUDE. .41.8281928 LONGITUDE. .-72.5402074 TOWN. . . . . .SOUTH WINDSOR Q ADDRESS. . .335 �Qt►^^rJo - STREET. . . .FELT RD NEAREST CROSS STREET. .TALLWOOD DR -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO INST GARAGE FOUND AREA IS MARKED. . .YES REMARKS: WRKING THE RIGHT SIDE OF PROP -------------------------------------------------------------------------- START DATE. . . . . .08/24/2013 START TIME. .07:00 CALLER. . . . . . . . . .MIKE JOHANSSEN CALL BACK. . . . . . . PHONE #. . . . . . . . .860-428-3043 FAX #. ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .J & E BUILDING LLC ADDRESS. . . . . . . . . 13 LILAC ST CITY. . . . . . . . . . . .MANCHESTER STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06042 -------------------------------------------------------------------------- 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 ' `�Yr41;1�E'Axfl Wra ri© ITT F�Aq �rrs�rzo ct�r� 2�' [zo�r� �3 64Q498 0061., t4 PR©F �uT1�T W.ACE IFi�STALLE{; StGt4A'.C4rfiE �' s TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS _ 3 S Fe/f- STREET Fe/7- 4 SUBDIVISION: NORTH ARROW ,__ ! , Ice v- F el , �'��`�'�' r�►��C-��-.`ram_ CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT) 1 -7 6edav, 5 Qo d STREET CADDRESS ii SIGNATURE CT DATE TOWN STATE ZIP INSPECTED BY TOWN h o - efe -1 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SA N I TA RY S-E WER LATERAL TIRD LOCATION DATE. OF. CONSTRUCTION h o BUILDING ADDRESS. - STREET R SUBDIVISION: NORTH ARROW Al :_. _ f ; I i I t � i I f • �G t � f l � I i � i i I ! itno - 1 CONTRACTOR (PRINT) ,p NAME F CONTRACTOR'S SUPERVISOR-(PRINT) STREET ADDRESS SIG TURE �I 7 �YYI(i ,�' ./1 UJ t G3 ��PJ�'� �a ` c n DATE TOW STATE ZIP I PECTED BY TOWN �^ a DATE TELEPHONE NUMBER �J WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER