HomeMy WebLinkAboutdrain layer permit 10 Balsam Fir Road900002 TOWN OF SOUTH WINDSOR, CT
PExn`IT NUMBER DRAIN LAYER PERMIT
DATE: 02/23/09 ov
GIS ID:07150010 FEE:60.00ft ; :h.MUNIS APPLICATION# 200900124y.'.' .: v IRATION DATE: 03/25/09s.....;a..5.`o> Y x 3 s„ .
APPLICA T LOCATION
NAME: MANNARINO BUI &Rf . •. S;S µ;
f $AL$AM FIR ROAD
ADDRESS: 400 CHAPEL RO AINO BUILDERS INC
UNIT 3F GTON RD
SOUTH WINDSOR, ;._6 SOR,CT 06074
PHONE 860-289-7055
WORK DESCRIPTION: NElk
APPLICANT AGREES TO FURNISH TH 1410 • OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR E INC, K O.F MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH I IS • Tdi AND LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFS ST `ETJTRMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
2/23/200911:42AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
4T w AIN
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9O___020 2 CONTRACTOR:
LOCATION:- O jQ wx i r
TYPE OF WORK:_ 1/',J t i b V-1 V)
INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: ac ..f. s P oM f
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INPUT: G DATE:
SCANME
W/2007 Town of South Windsor INPSEMON REPORT 07
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:
of
Lot # , J~
Street No. Street Name
Premises owned by: A1117a it 1'/Vo g y I/ak
Name of Firm: 0 l ' r QUO Ic rCC5 Phone: ?6/99-G?3 - "z7
Address of Firm:J/2,e O, C sI
TYPE OF WORK:
Lay House Drain_______; Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water_ Well
Proposed Start Date O Estimated time for completion —P y'O r
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 DrainLayer's License No. Only
the
of P-1, P-7 or W-9 licenseswillbeissuedapermit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTERDATEOFISSUANCE. The undersigned Drain Layer hereby agrees to all the termsandconditionssetforthinthepermitandattachedthereto. Applicant has receivedTownStreetExcavationPermitNo. and/or ConnDOT Permit No.
CBYD No.
ANNEL
ASigned: Print Name:_ Il Ole"(
Licensed Drain Lay
Date:_
Standard:Forrris\Permits\APPLICAT10N FOR DRAIN LAYERS PERMIT.doc
Molloy, Catherine
From: CaliCenter@CBYD2.com
Posted At: Monday, February 23, 2009 9:37 AM
Conversation:Locate Request-20090900118
Posted To: CBYD
Subject:Locate Request-20090900118
CALL BEFORE YOU DIG - CT) 02/23/2009 09:36:57
5G C1 CW GV
OT 1=SW SWINDS T5
ROUTINE *****
TIME. .09:36 DATE. .02/23/2009
REQUEST NO. . .20090900118
LATITUDE. .41.8617581 LONGITUDE. .-72.5359792
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .MASKEL RD
NEAREST
CROSS STREET. .GARNET LN
TYPE OF WORK. . . . .EXC TO INST SEWER,WATER,ELEC,TELE,CATV,
AREA IS MARKED. . .YES
REMARKS:
GAS, . . .WORKING AT A NEW SUB DIVISION CALLED DZEN TREE FARM LOC APPROX 1000FT NORTH OF THE
INTER. . .WORKING AT LOTS/PROPS 10 & 31 BALSAM FIR RD LOC W/IN THE SUB DIVISION. .WORKING
FROM STREET INTO LOTS
START DATE. . . . . .02/26/2009 START TIME. .07:00
CALLER. . . . . . . . . .MATT WILCOX
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-693-2027
FAX #. . . . . . . . . . .NO FAX
ALT. PHONE #. . . .
EMAIL ADDRESS. . . S AN DCONTRACTOR. . . . . .EAGLE EARTH WORK
ADDRESS. . . . . . . . .101 NORTH MOUNTAIN RD
CITY. . . . . . . . . . . .CANTON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06019
EXCAVATOR DOING WORK. .SAME
ISSUED TO:DATE: TIME: BY:
DATE/TIME ARRIVED:TIME LEFT:COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
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