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HomeMy WebLinkAboutDrain Layers Permits 949 Foster Street 1700071 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 12/07/2017 RV GIS ID: 33600949 FEE: 80.00 MUNIS APPLICATION# 201701754 { EXPIRATION DATE: 01/06/2018 'k, .. ile APPLICANT�l< c LOCATION NAME: ROLOCUT CONSTRI"TC SON LLC ADDRESS "949 FOpiTER STREET ADDRESS: 32 FARMSTEAD LA1�I SEA-SUSANNE SUFFIELD,CT 060';$ 949 FOSTER STREET as S{�UlH,WINDSOR, CT 06074 PHONE 860-91 1970 ' WORK DESCRIPTION: NEW SIW$ G011ECTI0I�T 5 0 THE DRAIN LAYER ASSIGNED TO THIkERMIT HAS A W4IsID 1 iFE ISSUEp BY TI41 STATE AND HEREBY AGREES TO ALL 71 THE TERMS AND CONDITIONS SET FORi1: I'IN THE AT I ACHED`G0DITIONS Ait WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,.&L OSHA RE UIREMI;N `S TI=I;Al 17 E ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED INSPECTED BY 12/7/2017 8:15 AM Y 3 T t-y 44 S1 S2.16 } 7r F yl k 02 u' At 91 .vYY S` f t f- h•. fY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1- QCO'7 I CONTRACTOR:_O 106 K-T LOCATION: ©l y _ ��l'^f n -f' � TYPE OF WORK: Or w DATE INSP NEEDED: DATE INSP: 1 z-A?.1.7 INSPECTED BY: 6b WORK IN PROGRESS: sJ a 2-5- fir'.,.":n,........... SEPTIC TANK PUMPED, SMASHED, FILLED ITNESSED [I,YES ❑ NO .err' AS-BUILT: ' INPUT: DATE: S/mol{oy/forms 2014 Town of South Windsor INPSEMON REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $80.00 Location of proposed work: /,_Lot # Street No. Street Name Premises owned by: S J�4 �A Name of Firm: T I.CJ,US rK C,ko/U Phone: O�� ��l�_J q 7 Address of Firm: TYPE OF WORK:. Lay House Drain ; Repair House Drain ; Lay Lateral for building with connection V ; or no connection ; Lay Main Lay Lateral for Commercial/Industrial Building number of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date 1 ' A 7 Estimated time for completion &fC� ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT ff Permit is to be issued to ffAjT l�10 c-t F the holder of Drain Layer's License No.©'A -P 7 . 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 q U 17 7 PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTEED, Signed: A�/A�7Print Name: Lice d Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 2017.doc Molloy, Catherine From: callcenter@cbyd.com Sent: Wednesday, December 06, 2017 9:59 AM To: CBYD Subject: Locate Request - 20174901787 Attachments: 20174901787.PD F Importance: High (CALL BEFORE YOU DIG -CT) 12/06/2017 09:56:08 -5G -Cl -CW -F5 -GV 1-SW SWINDS -------------------------------------------------------------------------- ***** EMERGENCY***** TI M E..09:56 DATE.,12/06/2017 REQUEST NO...20174901787 LATITUDE..41.846602 LONGITUDE..-72.531911 TOWN......SOUTH WINDSOR ADDRESS...949 STREET....FOSTER STREET EXT NEAREST CROSS STREET..ELLINGTON RD -------------------------------------------------------------------------- TYPE OF WORK.....SEWER SVC INSTALL MACHINE EXC AREA IS MARKED...YES REMARKS: SEPTIC SYSTEM TO SEWER LATERAL-WORKING TO LEFT SIDE OF HOUSE& GNG TO REAR -------------------------------------------------------------------------- START DATE......12/07/2017 START TIME..08:30 CALLER..........MR STEVEN ROLOCUT CALLBACK....... PHONE#.........860-916-1970 FAX#...........860-668-2570 ALT. PHONE#.... EMAIL ADDRESS...ROLOCUTCONSTRUCTION@GMAIL.COM CONTRACTOR......ROLOCUT CONSTRUCTION ADDRESS.........32 FARMSTEAD LN 1 Call Before You Dig CT Ticket # 20174901787 '""'W'°""d'c°Gam+ Call 811 ca®bxa.,roueq. ,� www.ebyd.eom Utility Details Station Code SW Ticket Date: 12/06/2017 Utility Name: TOWN OF SOUTH WINDSOR Ticket Medium: Phone Email: cbyd@southwindsor.org Excavator Details Excavator ID: 35523 Phone: 860-916-1970 Contact: Mr Steven Rolocut Mobile: Not Supplied Company: Rolocut Construction Fax: 860-668-2570 Address: 32 Farmstead Ln Email: rolocutconstruction@gmail.com Suffield Dig Site and Ticket Details WARNING: The adjacent map displays the extent of the gg"f", proposed dig site as specified and confirmed by the CBYD customer. Ticket Type Emergency ,r e' kY User Reference Not Supplied t.h` Ticket Date 12/06/2017 09:56 SuDA Work Start Date 12/07/2017 Work Start Time 08:30 t p Work End Date 12/07/2017 949 Foster street ext SOUTH WINDSOR Address Latitude 41.846602 Longitude -72.531911 Nearest Cross eilington rd Street N r %6-ram Type of work Sewer Customer Remarks Svc Install septic system to sewer lateral-Working to left side of house Method of &gng to rear excavation Machine Exc Workplace Private Property Location Location in Road Not Supplied Is Area Pre- YES Marked Excavator Doing Rolocut Construction Stations Affected List: Work -5G -C1 -CW -F5 -GV 1-SW SWINDS --- END OF TRANSMISSION — V4.6.1 20174901767 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: f�l 2 BUILDING ADDRESS : F-joLTe,(-(,,J' EXf _ STREET SUBDIVISION: NORTH ARROW ► i ffJJ To C l�T-J._I f7 �..._......1,_-��..�- 'J -_..J-. ��4_-� I ' .-{........_.j____..}....----t-•^_F .,._.�....., - ^� - �-�.._TT .T� r , 1 I E CONTRACTOR (PRINT) N OF CO P CTO 'S SUPERVISOR (PRINT) L- La .,)nacre STREET ADDRESS SIGWURE Wit)jSdc S CT' � DATE TOWN STATE ZIP INSPECTED BY TOWN 916-} DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER