HomeMy WebLinkAboutDrain Layers Permits 174 Graham Road (3) 1400023 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 07/07/2014 /
GIS ID: 37500174 FEE: 60.00
MUNIS APPLICATION# 201400889 EXPIRATION DATE: 08/06/2014
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APPLICANT = LOCATION
NAME: JAMES THROWE DIjr
D ADDRESS 174 GI�HAM ROAD
ADDRESS: 97 RIVERSIDE DRIVE OWNERIRQU CONSTRUCTION LLC
VERNON ROCKVII LE�C Qb066 �4 WfVIEW DRIVE
a ROOK,CT 06016
PHONE 860-28 0055 AN
WORK DESCRIPTION: NEW S WI COI�JNECTION
THE DRAIN LAYER ASSIGNED TO THI9-'EX_MIIT,HAS A VALID LICIii*ISE_SSUIID lBY TIC/STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTI=Ti�T THEATTACHED G4NDPILON ;, L CORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDA 118 ALL OSHA REQUIREMENIATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
7/7/2014 9:38 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION: )ed
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Bp
WORK IN
PROGRESS: 3,JkU Ca„ 10VC SbP- -3s .dam
AA. A 2 C/ems, o
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SUU IVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,CT
FEE$60.0)0
.Location of proposed work:---
Street No. Street Name
'Premises owned by: A e c i C 2 (; ovy
Name of Firm:. Ugh cm6a, r �Tr �i�tAft f,,k „Qhone:5:/-e).Z?W5
Address of Firm: 71� iuw�1 �r te1111)r-)
"TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main— Lay Lateral for Commerdai/Industriai
Building of acres
Connection will be made with SA1e 3S
Existing Water Supply: Public Water x Well
Proposed Start Date J 4J / Estimated time for completion gJ 1
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 nnC-,3 rU A, the holder of Drain
Layer's License No. Only holders of P-1, P-7. or W 9 licenses
Will be issued a permit. PERMIT Iloi'ILL 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. _ a flI{1e2&t)S IFA SANITARYSOWER-LATERAL
IS MVJTHIN75 FEE T OF WELL
IT MUST SEAIR TESTED
Signed: Print Name: "K �
Licensed Drain Layer
Date: 7J u l`�
Standard r-arms\Psrmits�APPLICATION FOR QRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS 7 `�
STREET Ro A
SUBDIVISION: K uiochunos 2ecko
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NORTH ARROW M a
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CONTRACTOR (PRINT) NAME OF CONTRACTOR' SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
&1wi &y� z::::� &K
G,d A —. - —� t 7.. BhV DATE
TOWN STATE ZIP INSPECTED BY TOWN
e(0 + �'� 3 cl/ �l DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
Drabek, Bernard
From: CallCenter@CBYD2.com
Sent: Monday, July 07, 2014 9:07 AM
To: CBYD
Subject: Locate Request-20142800319
(CALL BEFORE YOU DIG - CT) 07/07/2014 09:07:14
-5G -C1 -CW -GV
-OT 7-SW SWINDS -T5
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***** ROUTINE *****
TIME. .09:07 DATE. .07/07/2014
REQUEST NO. . .20142800319
LATITUDE. .41. 8491021 LONGITUDE. .-72.5575401
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .168 - 178
STREET. . . .GRAHAM RD
NEAREST
CROSS STREET. .MARK DR
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TYPE OF WORK. . . . .EXC TO INST SEWER
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM THE REAR OF THE PROPS, GNG INTO THE NEW FOUND
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START DATE. . . . . .07/10/2014 START TIME. .07:00
CALLER. . . . . . . . . .MARIO JIROUX
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-623-0143
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .PROP OWNER
ADDRESS. . . . . . . . .84 WESTVIEW DR
CITY. . . . . . . . . . . .BROADBROOK
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06016
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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