HomeMy WebLinkAboutDrain Layers Permits 71 Steep Road (2) 1400004 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 03/13/2014
GIS ID: 85500071 FEE: 60.00
MUNIS APPLICATION# 201400233 >, EXPIRATION DATE: 04/12/2014
APPLICANT = LOCATION
NAME: K&S CONSTRUCTIPN A DRR Tt P ROAD
ADDRESS: 6 EA 'T
-� _-di v.aaiYual J WLY LLd1Y 1Vd
VERNON,CT 0606e �I STI P ROAD
JFI WINDSOR, CT 06074
PHONE
WORK DESCRIPTION: NEW SV� C01NCTION
THE DRAIN LAYER ASSIGNED TO THI§�'Tt1IT HAS A V. LID LECEISE-ISSUEb=B TIC STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IN TIC A LL- ORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDAI}S,R_L-L C1IIA REQUIREMENTS AID TIE ATTACHED CONDITIONS.
ISSUED BY DATE NSPECTED INSPECTED BY
3/13/2014 10:52 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 17 y D �� CONTRACTOR: _k 4,S' �'e�y1,s ruc S�iOrl
LOCATION: `��I .� �'� d
TYPE OF WORK: Co n inec j:::►
DATE INSP NEEDED: DATE INSP: 9 /
INSPECTED BY: 6J
WORK IN
PROGRESS:
�"c l'�.a-•� �'`� �.,0�-2 lni � �-���L�i,,. �rr,,�e:�-��v� �'l�e�t
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:__
INPUT: (�_ DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPUCATION FOR DRAIN LAYER PERMIT 60 00 J� j,crto�
C
TOWN OF SOUTH WINDSOR 0l r 1540 SULLIVAN AVENUE
O PUBLIC WORKS DEPARTMENT
46
I a j TOWN HALL
--- --- -- SOUTH WINDSOR,-CT-
FEE- --- - FEE$fO.OQ -- -
Location of proposed work: L * , 7 "r ,P d 4-b lot#
- Street No. Street Name
Premises owned by: �7`. ����t� r�
Name of Firm: cow—, L2 V1 c w L C Phone: 6 0 - S
Address of Firm: 3 -Luotj G 0 Gil
TYPE OF WORK: /
Lay House Drain_ l/ : Repair House Drain
Lay Main --; Lay Lateral for Commerdal/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water V1 Well
Proposed Start Date/IJA�cl� 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 Q ��re holder of Drain
Layer's License No. f O� I- Only holders.of P- .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 SA NITAR Y SEWER LATERAL
rS W1TwN?S FEET OFA WELL
IT MUST BEAIR TESTED
Signed: Print Name. I O-LALA S I
icensed Drain r
Date:- d;---�
Standard' -Orms\Permits�APPLICATION FOR DRAIN LAYERS PERMIT.doc
Drabek, Bernard
From: CallCenter@CBYD2.com
Sent: Monday, March 24, 2014 7:34 AM
To: CBYD
Subject: Locate Request-20141300079
-5G -Cl -CW -OT
1-SW SWINDS -T5
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***** ROUTINE *****
TIME. .07 :33 DATE. .03/24/2014
REQUEST NO. . .20141300079
LATITUDE. .41.8495997 LONGITUDE. .-72.5615044
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .71
STREET. . . .STEEP RD
NEAREST
CROSS STREET. .GRAHAM
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TYPE OF WORK. . . . .EXC TO INST HSE ADD FOUND,SWR
AREA IS MARKED. . .YES
REMARKS:
WORKING AT THE LEFT SIDE OF THE HOUSE
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START DATE. . . . . .03/27/2014 START TIME. .07:00
CALLER. . . . . . . . . .KEN SWEENEY
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-871-5959
FAX #. . . . . . . . . . .860-872-6324
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .K & S CONSTRUCTION
ADDRESS. . . . . . . . . 6 EASTVIEW DR
CITY. . . . . . . . . . . .VERNON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06066
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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:
BUILDING ADDRESS
STREET : ST
SUBDIVISION:
NORTH ARROW
eve
; ._
f I I
_
t
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CO CTOR (PRINT) r NAME OF CONT TOR'S SUPE V OR (PRINT)
t
STREET ADDRESS SIGNATURE
V V� i 0 � DATE
TOWN ( tfl STATE ZIP INSPECTED BY TOWN
6l ) 0-�
J10 i DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER