HomeMy WebLinkAboutDrain Layers Permits 240 Beelzebub Road (2) 1600030 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 06/14/2016
GIS ID: 09000240 FEE: 60.00
MUNIS APPLICATION# 201600789 EXPIRATION DATE: 07/14/2016
APPLICANT LOCATION
NAME: TOTH CONSTRUCTION,, ADDRESS: 240 BEELZEBUB ROAD
ADDRESS: 63 GOTTIER ROAD OWNER: GRASSO SARA&KEVEN
TOLLAND, CT 06084 2-40 BEELZEBUB ROAD
SOUTH-WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: NEW SEWER CONNECTION
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.
YJ/OY , >s r4 jl
ISSUED BY DATE INSPECTED INSPECTED BY
6/14/2016 8:41 AM
- ------ -------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 16000Jo CONTRACTOR:
LOCATION: 0 )e®c
TYPE OF WORK: AA?6lL' eoh n
DATE INSP NEEDED: DATE INSP: Ar - r
INSPECTED BY: R n
WORK IN
PROGRESS:_ ('ram► �r c ;// 5 1JC 5 6 ,'z 3 5 fire
.$�,,�.6 'f� 2vy� �lorr'T(�� a� �►oz.�. S`�'re�-J�e�� l��''� }-v .�.,.
Cr^C LOU VL.1"�J �t'r y►CfJ (4 S�cO ld �a
c
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED YES D NO
AS-BUILT: 1�
INPUT: DATE: IV
2
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULLNAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,Cr
FEE$60.00
Location of proposed work: 'zqo J&'r l�ei 46-4 Lot#
Street No. Sbvd Name
'Premises owned by: teo'n S' rg
Name of firm:_ /O 0 -5 . Phone• 60) J7 z —Qa63
Address of Firm. SbA er J
TYPE OF WORK:
Lay House Drain .L-- - Repalr House Drain
Lay Main : Lay Lateral for Commerrdal/Industrial
Building of awes
CAnnection will'be made With t'Xt�� Le-le,-� ; g�, Z
Usting Water Supply: Public Water� Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACOORDANCE WITH.TOWN'OF SOUTH WINDSOR STANDARDS,
ALL.OSHA.REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued the holder of Dram
Layer's Uaense Na Only holders of P-1, P-7. or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OFISSUANCE. The undersigned Drain Layer hereby agrees tx)all the terms
and conditions set forth in the permit and attached thereto.. Applicant has reeeW
Town Street Excavation Permit No. and/or ConnDOT Permit No.
PLEASE NOTE:
( YD No. `�o a 3 �' TFA SANITARYSSWFR-LATERAL
IS 0MIN75FEE7 OFA WELL
ITMUST AIR TESTED
Signed: Print Name: r� CY4
Licensed Drain Layer
Date:_
Standard Forms\PerM ts\APPUCATION FOR WAIN LAYERS PERMIT.doc
Drabek, Bernard
From: callcenter@cbyd.com
Sent: Thursday, June 09, 2016 7:07 AM
To: CBYD
Subject: Locate Request-20162303596
Attachments: 20162303596.PDF
20162303596.PDF
(125 KB)
(CALL BEFORE YOU DIG - CT) 06/09/2016 07:05:46
-5G -Cl -CW -F5
-OT 2-SW SWINDS
--------------------------------------------------------------------------
***** ROUTINE *****
TIME. .07:05 DATE. .06/09/2016
REQUEST NO. . .20162303596
LATITUDE. .41.836024 LONGITUDE. .-72.523174
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .240
STREET. . . .BEELZEBUB ROAD
NEAREST
CROSS STREET. .NORTON LN
--------------------------------------------- ----------------------------
TYPE OF WORK. . . . .SEWER SVC INSTALL MACHINE EXC
AREA IS MARKED. . .YES
REMARKS:
INSTALLING SEWER, WORKING ON FRONT RIGHT SIDE OF PROP
--------------------------------------------------------------------------
START DATE. . . . . .06/14/2016 START TIME. .08:00
CALLER. . . . . . . . . .MR GREG TOTH
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-872-9063
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .TOTH CONSTRUCTION
ADDRESS. . . . . . . . . 63 GOTTIER RD
CITY. . . . . . . . . . . .TOLLAND
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06084
--------------------------------------------------------------------------
EXCAVATOR DOING WORK. .TOTH CONSTRUCTION
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
1
J
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 0///y���
/ BUILDING ADDRESS gee Ire 4.�
STREET
SUBDIVISION:
NORTH ARROW
!
I , 1
--- I I ? -I__.._..i ---_
( I ?
,
I
,
a
L4. T i
,
j
:
0'r7
CONTRACTOR (PRINT) NAME OF CO RAC OR'S SUPERVISOR (PRINT)
STREET ADDRESS / p SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
662)eR_ 3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER