HomeMy WebLinkAboutDrain Layers Permits 5 Jeffrey Drive 1500059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
DRAIN LAYER PERMIT
DATE: 10/20/2015
GIS ID:46800005
MUNIS APPLICATION# 201501492 FEE: 60.00
EXPIRATION DATE: 11/19/2015
APPLICANT LOCATION
NAME: JDC ENTERPRISES INC ADDRESS: 5 JEFFItEY DRIVE
ADDRESS: 420 JOHN FITCH BIND J : H S&D REALTY CORP
SOUTH WINDSOR,C 06074 3 CRICKET LANE
PHONE EAST GRANBY, CT 06026
860-66' 4800
WORK DESCRIPTION: REPAIRIOIISE DRAIN
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 FORTH IN THE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
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ISSUED BY DATE IN PECTED INSPECTED BY
1 0/20/201 5 9:15 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO::�5'rL09 CONTRACTOR:_—TJJ e--
LOCATION: .� �P-�'-�i�1C c.1 ��► 1 h-2
TYPE OF WORK: - Lt!yD,::pt i .(' 14 il :5.-�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: CE. yr
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SEPTIC TANK PUMPED, S HED, FILLED WITNESSED El YES ❑ NO
AS-BUILT:
INPUT: DATE: l0
S/moiioy/forms 2014 Town of South Windsor WSEC=REPORT 14
i
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SUl1IYAUAVEN1JE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,Cr
FEE$60.00
: .Location of proposed waa'k: 5 r-
Street No. Name
'P.reinises owned
Name of Rnn: '�`Il�C En-de S,e Phone,&6 lob 7—
Address of Rrm: C-/Zo UD4 �• �� I C 4 Q�✓c.�
TYPE OF WORK:
. . Lay House Drainer Repair Haase Drain
Lay Main_; Lay Lateral fior Commerdalftndusbial
Building_ of aces
• Connection will be made with
Existing Water Supply: Public Water_✓ Well
Proposed Start Date ro z I(S— Estimated 0me for Completion
ALL WORK TO BE IN AcOORDANCE W1TH.TaOWiV OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND CONDTIIONS ATTACHED TO THE PERMIT
Permit is to be issued to 4 the holder of Drain
Layer's Uc ense No. . Only holders of P-1, P-7. or W-9 licenses
will be Lssued a permit PERMIT WILL EXPIRE THIRTY(30)DAYS AFTER
DATE aF ISSUANCE. The undersigned Drain Layer hereby agrees to all the t3enns
and conditions set forth in the permit and attached thero6o.. Applicant has received
Town Street 6ccavation Permit No. and/or ConnDOT Permit No.
PLEASE NOTE:
CBYD No. 6`ol 3 lFA'SANTrARYSSWER-LATERAL
tS KI MIN75FEE.TOFA WELL
lTMI/b'TBEAaTR TiESTED
Sign Print Name:
Licensed Drain Layer
Date:
SWWw.d For�itsWMCATION FOR MAIM LAYERS PERWr.doc
Drabek, Bernard
From: CallCenter@CBYD.com
Sent: Friday, October 16, 2015 8:16 AM
To: CBYD
Subject: Locate Request-20154203897
(CALL BEFORE YOU DIG - CT) 10/16/2015 08:16:04
-5G -Cl -F5 -Jl
-OT 2-SW SWINDS -W3
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .08:15 DATE. .10/16/2015
REQUEST NO. . .20154203897
LATITUDE. .41.8176553 LONGITUDE. .-72.6060113
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .5
STREET. . . .JEFFERY DR
NEAREST
CROSS STREET. .PLEASANT VALLEY ROAD
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TYPE OF WORK. . . . .ROUTINE SEWER
AREA IS MARKED. . .YES
REMARKS:
WORKING IN THE ENTIRE FRONT TARD TO THE STREET
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START DATE. . . . . .10/21/2015 START TIME. .08:00
CALLER. . . . . . . . . .LEZA CARBONI
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-667-4800
FAX #. . . . . . . . . . . r
ALT. PHONE #. . . . /
EMAIL ADDRESS. . .JDCENTERPRISES@AOL.COM v
CONTRACTOR. . . . . .J.D.C. ENTERPRISES, INC.
ADDRESS. . . . . . . . .420 JOHN FITCH BLVD.
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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EXCAVATOR DOING WORK. .J.D.C. ENTERPRISES, INC.
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: 16) _ , V "
BUILDING ADDRESS
STREET : �"e= �r�� �r
SUBDIVISION:
NORTH ARROW
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� i � , � � �c��e� j� \��� T!�C • NAME OF CONTRACTOR'S SUPERV OR RINT
CONTRACTOR (PRINT) )
STREET ADDRESS SIGNATURE
JAI
TOWN f STATE ZIP INSPECTED BY TOWN
21 C0 v 1 SCE® DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER