HomeMy WebLinkAboutDrain Layers Permit 112 Pine Knob Drive (2) A TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3625 Con. xaaat`or CON&kCT>I:CUT WATER COMPANY
Location 0112 PINE KNOB DRIVE Address 'i;::: 25 1p.RT:H ROAD
Type Work WATER BAST WTNDSOR:CI::..06088
Phone':No9 2 "S:S.S 2
Date Insp Needed Date lrsp
Time Insp Needed ____—___--- Time Tsasp
Inspected By
Work in Progress _ i 11L.
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t In Date VOY
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Permit No. 3625 Town of South Windsor, CT
Date 10/31/2003 Street Excavation Permit
Expiration Date 10/30/2004
Descrip: REPLACE HYDANT
Applicant Locato.n
Name CONNECTICUT WATER COMPANY ;SINE KNfl$•DRIVE
Addr. 25 NORTH ROAD
EAST WINDSOR CT Ob0a8" Tape of Work faATER
Phone (860)292-5552
Applicant agrees to funilsh the £b a h Winl* the. am..
punt of bond
required and to reimburse the :Town oa .l�`$ i �or for any"expenses
y - ;
incurred by the Tows fpr ma latl:pance or repair work in epnne.ct�on with this
permit and that applicant is fa:milia ` „<� will abide by the rules and
regulations for permits a outlfined ix1 kze_.�saWi .of South kindsor s Street
Cut Permit Manual.
* * PERMIT TO $E KEPT- ON`"90 SITE AT. AD TIpF$S.
Issued b
-------------- ----
Date Completed _ 3 Inspected y
rOCT. 29. 2003 1 :39PM CONNECTICUT WATER CO N0, 057 P. 2 � 2
APPLICATZON IFOR STREET EXCAVATION PERM"
`SOWN OF 86UTH WINQSOR -
PUELIG WORD D9PARTMENT
'OWN HALL
1540 SULLIVAN',AVENUE
SOUTH v NDSOR.-Cr '
_ FEE $25.00•
Nance of Firm �1:;Af c 7171ao ,,, Phonp ;_,No'o J 33
.t�'• -•.� "
Locatl'on of proposed iHe kttdb A-'-i'e-
Describe fully nature of per>i'iit regUefted t face
Starting date APPrmC•time for compledo
Cal[Before You Dig No. 02 y0 Traffic SeMteS COn rai No.
Show skes*of separate drawing To of proposed work or Putnisdl
twa caples To he fil.1 Out by"hewn of Souflt Windsor
Indicate-North ds� Pav '
,1 p prop,size Of*
cut
►1 No.,cuts
Aria.of l3eposit _....�,,.._�OY - -
t)CaS+O Check#
D X Cut size after,Perm. Patch
No. Cuts
Final Biking.$
Amt.Due Payee�
Arnt. Due Town$
Applicant is respoRsiole far contracting by dates_
the Police De t.and C.B.Y,D, .
I AGREE TO FURMH 10 THE TOWN OF SOUTH WINDSOP,THE AlgOuNT OF BOND-REQUIRED ANR'TO AMMBURSE THE TOWN OF
SOUTH WINDSOR F R ANY EXPENSES INCURMO BY THE TOWN FOR MAINT5NANCE OR REPAIR WORK IN,C.ONNEC RON WM THIS
PE kMIT AND THAT I AM-FAMxI M WITH AND WI1L ABIDE BY THE,RULES ANt)REGUL4T.>EONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CJT PERW MANUAL.
Signed• t, Gabe• A0 — z'
Title: �E'�%oY` �isr�bv�1�o�r DDP6G�l�Y 'D.L,#:
R '
`OCT. 29. 2003 1 :39PM CONNECTICUT WATER CO N0, 057 P. 1
�U
aer
NORTHERN REGION
FACSIMILE TRANSMETTAL SHEET
To z4bolL.
Cathy Axt Plante
COMPANY. DATE;
'own of South'Windsor 10/26/03
FAX NtZWEk TOTAL NO.OF PAGES INC Mina OovER
644-7280 2
MOM Nuhmmu CWC FAX MASER
644-2511 es244 1-860-654-1903
.RIB MOM NUM OL
Permits 623--3355 exC. 3355
0 URGENT X FOR REVIEW CI PLEASE COMMENT X PLEASE REPLY d PLEILSE RECYCLE
NOTESJC09MONTS:
Cathy:
We need to replace a hydrant at WPine Snob Dr. We will be
working in the grass in front of the property. I don't think we will
have to cut the road, but I don't know how far the R.O.W goes back.