HomeMy WebLinkAboutDrain Layers Permits 198 Smith Street (2) 1900103 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 10/04/2019
� y
GIS ID: 83700198 FEE: 80.00
MUNIS APPLICATION# 201902235 1 f y EXPIRATION DATE: 11/03/2019
APPLICATO 4r` LOCATION
NAME: KF REALTY LLCADDRESS 19i; S11t�ITH STREET
ADDRESS: 972 PLEASANT VALLEY' tOAD'• r?1N1�(ER M ALTY LLC
115 WF7EELER ROAD
SOUTH WINDS04 IPT'006074
PHONE i
WORK DESCRIPTION: MAINXiYIO�T f
THE DRAIN LAYER ASSIGNED TO THIS PBJ:*- T HAS A VALID YC??NS ISS[?1r�7 Y TkIE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IN THi ATE ACiFD`CONDITIONS' tI LrWORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STAND"ARDSY'A1 L OSItI RE( UTItEM$3V'1 S,i4S`TD THE ATTACHED CONDITIONS.
O
ISSUED BY DATV TN PECTED INSPECTED BY
10/4/2019 8:51 AM
i
[[t
1 MFS
F
AP tlf
`
d!
1 3
t Z s
�r PS a
•i v
� ., ... .,z >• 1. .r..
sky
i
TOMOF SQUTN.WINPSOR-l"p,COON REPORT
PERMIT NO.: CpR�•
LOCATION: ? . : ,5.
TYPE OF WQRK:
DlkTE INSP NEF: ED: DATE INSP:. f'1 a '
i
INSPECTED BY:
WORK:IN.
PROGRESS: C o�4'14C. r
PEQ SMASHED; FILLED 1N1TA1ESSED YES 0 NO'
SEPTIC TANK PUM . .,.
AS BUILTT�
INPUT: DATE: {
$/otaffoVj*=Zd14TownOP Wit W"or• 1.4
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: sm Lot #
Street No. Street Name
Premises owned by: a
k-k)
CS K � c ,
Name of Firm: *)v.Ao Phone:
Address of Firm: /76 WV �
TYPE OF WORK:
Lay House Drain ; Repair House Drain ; Sanitary Disconnect
Lay Lateral fprkuilding with connection ; or no connection ;
Lay Main Pq '
Lay Lateral for Commercial/Industrial Building number of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date f�`" Estimated time for completion �l l
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 1 � al the holder of Drain
Layer's License No. 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. _ g` -7 6 O�U I PLEASE NOTE:
IF A SANITARY SEWER LATERAL
IS WITHIN 75 FEET OF A WELL
IT MUST BE AIR TESTED .
Signed: Print Name:
Licensed Drain Layer
Date: 1G-1/ 2-
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 3/2018.doc
Drabek, Bernard
From: callcenter@cbyd.com
Sent: Thursday, October 3, 2019 4:24 PM
To: C13YD
Subject: Locate Request - 20194005078
Attachments: 20194005078.PDF
F.
(CALL BEFORE YOU DIG -CT) 10/03/2019 16:23:38
-5G -Cl -CW -F5
-GS -GV 13-SW SWINDS
--------------------------------------------------------------------------
*** REMOTE BATCH ENTRY***
***** ROUTINE *****
TIME..16:23 DATE..10/03/2019
i
REQUEST NO...20194005078
h
LATITUDE..41.809811 LONG ITUDE..-72.564392
TOWN......SOUTH WINDSOR
STREET....SMITH ST/WHEELER ROAD
NEAREST
CROSS STREET..
--------------------------------------------------------------------------
TYPE OF WORK.....CONSTRUCTION FOUNDATION WORK MACHINE EXC
AREA IS MARKED...YES
REMARKS:
PREVIOUS JOB SUBMITTED: 20193504681 EXC TO INST 2 NEW HSE FOUNDS, ELEC,TELE, CATV,WTR,SWR, GAS,
DRAINAGE, INST SHARED DRIVEWAY&2 PRIVATE DRIVEWAYS, GRADE &STUMPING, WORKING ON PROP 190 & 198
LOC APPROX 300FT EAST INTR WORK ING FROM THE CENTER LINE OF STREET&GOING 3SOFT NORTH INTO PROP W
--------------------------------------------------------------------------
START DATE......10/08/2019 STARTTIME..00:01
CALLER..........MR ANDY KEBALO
CALL BACK.......
PHONE#.........860-883-1391
FAX#...........
ALT. PHONE#....860-644-5124
EMAIL ADDRESS...ASK@KEBALO.COM
CONTRACTOR......KEBALO ELECTRIC COMPANY
ADDRESS.........175 WHEELER RD
1