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HomeMy WebLinkAboutDrain Layers Permits 1505 John Fitch Blv 1600026 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 06/06/2016 GIS ID:47701505 FEE: 60.00 MUNIS APPLICATION# 201600731 EXPIRATION DATE: 07/06/2016 APPLICANT LOCATION NAME: K&H CONSTRUCTION LLC . - ADDRESS: 1565 JOHN FITCH BLVD O OH IADDRESS: 25 ROODE ROAD T> NTCH 1505 LLC 063PLAINFIELD, CT 50 VOLPI RD I30LTON, CT 06043 PHONE 1-860-464 Y4dO " WORK DESCRIPTION: NEW CONNECTI©N FOR COMMRRCIAL BI,IJC, CONNECT'TZ3N EI3 OF$3;81 FOB_:Ii4CRE IS D JE AT'-=TfME OF HOOKUP THE DRAIN LAYER ASSIGNED TO THIS PER-MIT HAS A VALIIS LICENSI ISSUEII"BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FOREH"IN THE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARzDS,ALI OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS. i& P6 ISSUED BY D TE INSPECTED INSPECTED BY 6/6/2016 10:05 AM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: /6 006o2 CONTRACTOR: LOCATION: "7�_,A )6lVd TYPE OF WORK: ✓I.MC n 16 2 DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: &n��i � e_-wl•.-alee &n4eJe A A-o r� S�w� !►4�'1 9 a G 140 tl .t'Lt. La ­w. Aci An. SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: Vim` DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 APPIXCATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR 1540 SULLIVAMAVENUE PUBLIC WORKS DEPARTMENT TOWN HALL SOUTH WINDSOR,Cr FEE$60.00 - Location of proposed Sheet No. Street Name Premises owned by: 4=r AM i k(D / i Sos -,TdA(-\ F;iCAn bk vc , U—c- Name of Hann: Kam.t A C.c>N ,1yi0ti, LLC Phone: 96Q)-50"-1400 Address of R m: a s Z�od� Qr�ad`�Iai K30 e\C+ C_T �y TYPE OF WORK: Lay House Drain • Repair House Drain Lay Main,; Lay Lateral for Commerdai/Industrial Building- of P acres Connection will'be made with Existing Water Supply: Public Water✓ Well Proposed Start Date e I-7 l 1 (o Estimated time for completion l4 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 the holder of Drain Layer's License Na Only holders of P i, 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. ao\co asQ t \L-IS. rPA SANIT4RIrSAWR-LATERAL • IS WlTHIN75FELT OFA WELL JTMUSTBEArR TESTED Signed: [—Print Name:_ 10tuier+ Licensed Drpin L.aye Date: standard Forms\PWnftVffLIf;ATION FOR DRAIN LAYERS M MIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: _ 6/ / 4 BUILDING ADDRESS /6- STREET : J ol%^ F'Y4c-k $t vb SUBDIVISION: NORTH ARROW .�( N �-�-G�J t, Vb _ A* _ I& tt� _ _..71_. ' s tr LI { f i CONTRACTOR (PRINT) o AME OF CONTRA K5JSUPERVISOR (PRINT) STREET ADDRESS SIG TURE DATE � ►� C12D 4 TOWN STATE IP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER S O'NN Sfq C 7-0 01Psoum V&U&ot w� 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 OR-CO TELEPHONE TELEPHONE (860) 644-2511 April 12,2016 Mark Peterson Gardner&Peterson Assoc.,LLC. 178 Hartford Tpke. Tolland,CT 06084 RE: 1505 John Fitch,LLC. WPCA Approval Dear Mr.Peterson: The South Windsor Water Pollution Control Authority, at its regular meeting on April 5, 2016, gave approval for connection to the Town's sewerage system for a proposed commercial building located at 1505 John Fitch Boulevard, South Windsor, CT and as more specifically shown on plans entitled "Improvement Location Survey, Proposed Site Plan"; Prepared for John Fitch 1505, LLC, 1505 John Fitch Blvd. (AKA) Conn. Route 5, South Windsor, CT. Prepared by Gardner & Peterson Associates, LLC, Tolland, CT. Map No. 10600, Sheet No. 2 of 3, Dated: 01/25121016; Revisions: 02/22/2016 and 02/23/2016. This approval is subject to the following conditions: 1. Installation of a grit separator, meeting the requirements of the State of CT Department of Energy and Environmental Protection for vehicle maintenance operations; 2. A connection charge will be due in the amount of$3,811 at the time of connection, the rates for which will be in effect until June 30,2016; 3. This lot is subject to sewer assessment at the time of connection; 4. Technical approval of the Town of South Windsor Department; and 5. Final Authority approval and acceptance of the sanitary sewerage connection will be conditional upon the installed sewer line having been inspected by the Town staff, and upon the written verification of the Town staff that said sanitary sewer line was installed in substantial conformance with the design plans approved by the Authority; and meeting all regulations and appropriate technical specifications relating to sanitary sewer construction. This approval letter must be superimposed on the final approval plans. Ve truly yours, c and Aries, Chairman Water Pollution Control Authority RECEIVED cc: Michael J. Gantick,Director of Public Works APR 1 8 Z016 ✓Jeff Doolittle,Town Engineer Michele Lipe,Town Planner SOUTH WINDSOR Chris Dougan,Chief Building Inspector ENGINEERING DEPT.