HomeMy WebLinkAboutDrain Layers Permit 806 Graham Road 700179 TOWN OF SOUTH WINDSOR, CT
PER1,IIT NUMBER STREET CUT PERMIT
DATE: 10/24/07
GIS ID: 37500806 y FEE: 25.00
MUNIS APPLICATION# 200701746
;BIRATION DATE: 10/23/08
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APPLICANT
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NAME: DEREK CONSTRUCTION tis:. `cr:<`%>><' ;: ::RES: ` ;'8.00"GRAI-TAM ROAD
ADDRESS: 22 H : ::;< :: ; ;::. : :. ' `;::,:,< :::;. >.`; `::.<ARRINGTON ROID '' :,,,:....;;j:f;;,0 ;:_ ,. CIAG IpNE ANTHONY P&JO—ANN
BROAD BROOK,CT 60
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°876 RAHAM ROAD
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n SOR D.. 'T' CT 06
074
PHONE 860 623-2248
WORK DESCRIPTION: REPLY(\,+ >j I ` W1 LK V--- P S
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APPLICANT AGREES TO FURNISH THE TQUVNNF 4STH:'; .:. tIMOTJN I"01?BCNT�REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY RISE SES NLT ,...< IE: S?VN FOT< YINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AI'P IAN`I-IB, IAR•VVI
TH'ANI - ILI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF Sf)fiTIV `ID.SI'y S TI2 fyl P1RIII I MANUAL.
ISSUED BY DATt INgRCTED INSPECTED BY
10/24/20073:51PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7 00 I ,? 9 CONTRACTOR:__k�)p f p
v LOCATION:_
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:__
INSPECTED BY:_a
WORK IN
PROGRESS:
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AS-BUILT:
INPUT:___L� DATE:
W12007 Town of South Windsor TNPSEMON REPORT 07
Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Wednesday, October 24, 2007 4:31 PM
Conversation: Locate Request-20074302439
Posted To: CBYD
Subject: Locate Request-20074302439
(CALL BEFORE YOU DIG - CT) 10/24/2007 16:30:30
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***** ROUTINE *****
TIME. .16:30 DATE. .10/24/2007
REQUEST NO. . .20074302439
LATITUDE. .41.8682294 LONGITUDE. .-72.5483175
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .806 - 814
STREET. . . .GRAHAM RD
NEAREST
CROSS STREET. .GRIFFIN RD
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TYPE OF WORK. . . . .EXC TO REMOVE & REPLACE TOWN SIDEWALKS
AREA IS MARKED. . .YES
REMARKS:
WORKING IN THE FRONT OF PROPS 806 & 814
ONLY 5FT SECTIONS
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START DATE. . . . . .10/29/2007 START TIME. .07:00
CALLER. . . . . . . . . .DEREK SMALL
CALL BACK. . . . . . .ANYTIME
PHONE #. . . . . . . . .860-916-6924
FAX #. . . . . . . . . . .860-623-2248
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .DEREK & SONS CONSTRUCTION
ADDRESS. . . . . . . . .22 HARRINGTON RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06016
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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:
1
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR Permit No.
a PUBLIC WORKS DERARTMENT
TOWN HALL,
1640 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25:00
Name of Firm CarADr T, I,LC ll 9a Phone No.— G- y
Address of Firm
Location of proposed work
pesaibe fully nature of permit requested Sc_
Starting date N
Approx.time forcompletian . / As�Z>C
Call Before You Dig No. Traffic Services Control No.
Show Pketch:of proposed work or wnvsh.
two copies of separate drawing _ inc ate North �i-- 5— ' onto be filled ouE by
'own of South'1Ntn� ifsor '
Pavement Cuf
No.cuts
Est.'Size of Perm.Patch(s)
Est.Pvt.Thickness in:
Est.Unit.Price
Arnt.of
Total Due a
by
(: }Cash( } "#'
Perniarent Patch
No.
o Cuts :
Size of Patch(s)
----------------------
Final BlAing
Amt.Due Payee
$'
.Arne,Due Town
--------
Applicant is re nsibie for contacts
the.Police De A.and C.B.Y D..
AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY:EXPENSES INCURRED By THE TOWN FOR MAINTENANCE OR REPAIR WORK IN;
CONNECTION WITH. S PEER IT AND THAT I AM FAMILIAR WITH ANDWiLL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT_ . OU IN N TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT : NUAL.
Sig"ned:. Date:
Title"
• Driver's License
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES