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HomeMy WebLinkAboutDrain Layers Permits 40 Parkview Drive (2) 1700008 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 04/I 1/2017 =D - GIS ID:69300040 FEE: 60.00 MUNIS APPLICATION# 201700353 EXPIRATION DATE: 05/11/2017 sir, e ,' a•1's. APPLICANTY `': LOCATION NAME: ROTO ROOTER 2 ADDRES .5 40 PAI VIEW DRIVE ADDRESS: 576 CHRISTIAN LANE r OWNER = SILVA NOE C&MARIA INES BERLIN,CT 06037 4(, `PARIVIEW DRIVE sf f UUTH WINDSOR,CT 06074 PHONE 860-883 1593 WORK DESCRIPTION: REPAIRy 4I7SE"DRAIN `y i y THE DRAIN LAYER ASSIGNED TO THIS 'ERMIT HAS A V11TdD LxC-ENSL ISSUi'D BY TIiE'STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORT,I,111V I :A TACHED`C'b1 DI7'IONS' SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,ELL OSHA RE�I IIItEME1TS,AND THE ATTACHED CONDITIONS. 7 ISSUED BY DATE INSPECTED INSPECTED BY 4/1 1/2017 8:25 AM -- - --------------------- -----. . ............. ------------ ----- C\ AT Fir Z f � t 4 y— ;, ra is z e,.; ` TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACrOR: •�� _ LOCATION; CJ + TYPE OF WORK: DATE INSP NEEDED: DATE INSP:. INSPECTED BY: ah WORK IN PROGRESS: w —,tA;. LAS .0 SEPTIC TANK PUMPED;SMASHOr FILLED WITNESSED ❑YES ❑NO A .8 S- UILT. INPUT: LYL/ DATE: s/malioyAtrms 2m Town or south Windsor INPSECTI wREPOttT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: �IDllaw "�t L" Lot # Street No. Street Name Premises owned by: St Name of Firm: L0? Phone: Address of Firm: 'Y 3 rJe TYPE OF WORK: Lay House Drain epair House Dpi� ; Lay Main ; Lay Later ercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date`4 f` Estimated time for completion ID ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to S CO '�* C,a u-t-e,iO the holder of Drain Layer's License No. P- ( - ©z r-7 Ic- S°8: Only holders of P-1, P-7 or W-9 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. `7 SAS � �� I PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTED Signe - _L Print Name:ai —l "ia w LicenseAi Dater f f Standard FormsNPermits�APPLICATION FOR DRAIN LAYERS PERMIT.doc PLUMBING&PIPING UPdI.gMI'I'BD CONTRACTOR SCOTT ID COUTAN 1' ii DICKINSON RD MARLBOROUGH,CT 06447-1451 LIC./REG NO. EFFECTIVE EXPIRE Z�PLM.027765$-1'1 11/01/2016 10/31/2017 • `_SIGNED. �dgnthapam ' � g�pp onaty;br��� L,, 4 dbt mom , gig f e g��appEcatfoi to�ein �� e d. � �del ag'ert'rthr�agents saber � �sabcontra r>or D#l.er, �t v g�� 0, d fetter on the r1censed. Cone"JefterTle ]13eeai letter is a-'a o d to �a °a aD�, �iSze bearer 0d�e � seams a C11p,ox a fame,but g'he �a I� �ages name Drop.� � � �e fie •����s� ° ' :ane'Ir ffio�.of�e ol; areaWo -ftPM1fdZm ei CZ)trhe10-h ' _ors vv Sevres GD)2ipany r ftv :Oft GD.0 - gn ire i's�. ' 1�ee"se •e and nulxffi Side Drabek, Bernard From: callcenter@cbyd.com Sent: Tuesday,April 11, 2017 6:15 AM To: CBYD Subject: Locate Request- 20171501421 Attachments: 20171501421.PDF Importance: High (CALL BEFORE YOU DIG-CT) 04/11/2017 06:13:39 -5G -C1 -F5 -OT 1-SW SWINDS -W3 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** EMERGENCY***** TIME..06:13 DATE..04/11/2017 REQUEST NO...20171501421 LATITUDE..41.812957 LONGITUDE..-72.596035 TOWN......SOUTH WINDSOR ADDRESS...40 STREET....PARKVIEW DRIVE NEAREST CROSS STREET..ELLINGTON ROAD -------------------------------------------------------------------------- TYPE OF WORK.....SEWER SVC REPAIR MACHINE EXC AREA IS MARKED...YES REMARKS: DIGGING IN THE REAR OF HOUSE AREA IS PRE-MARKED. ROAD IS MARKED AS WELL -------------------------------------------------------------------------- START DATE......04/11/2017 START TIM E..08:30 CALLER..........MR CHRIS COUTANT CALL BACK....... PHONE#.........860-818-9858 FAX#...........860-229-0859 ALT. PHONE#.... EMAIL ADDRESS...CHRISTOPHER.000TANT@RRSC.COM CONTRACTOR......ROTO ROOTER 1 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: _ l 7 BUILDING ADDRESS STREET : Perk yl e u-.) at iye . SUBDIVISION: all NORTH ARROW --i-- Tol I i CONTRACTOR (PRINT) NAME OF 0NT CT A'SJUPERVISOR (PRINT) }� STREET ADDRESS SIGNATURE 1 BATE TOWN STATE ZIP INSPECTED BY TOWN -,3 DATE TELEPHONE NUMBER - WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER