HomeMy WebLinkAboutRepair broken water main Street Cut Perm 700201 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/29/07 ``Y
GIS ID: 01800066
FEE: 00
.
MUNIS APPLICATION# 200701940 fir. xIRATION DATE:
11/28/08
tr
APPLICANT::, '
LOCATION
NAME: CONNECTICUT WAT CO ' Iz<<,,..
DRIVE
ADDRESS:ADDRESS: 25 NORTH ROAD ;.:a' <;
f;. ': ': : "HRH'O JdSEPH R&ROBIN J
EAST WINDSOR,CT 0l'60. $ '
ISOIVIDRIVE
WINDSOR CT 06074
s:
PHONE - .:
N 860 623-33 55
R ssl"F`%G. v `}
f F+rZ,
WORK .
DESCRIPTION:
REPAY` `O, ^.
APPLICANT AGREES TO FURNISH THE TWN.< SQi7TH { 1MOiIT 0:'.:13
N 'RE REQUIRED AND
Q TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEI�ISL INTt 'f� IE„? O0.
j.FO1.
It'IVIF �NTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP �;T P1NT IANIIT;AR kfi :I `AI�ID' T3 L"ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S 3 JTF IsRt Tim-u Ryl MANUAL.
ISSUED BY DATE INS ECTED INSPECTED BY
11/29/20071:58PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
leo,V
f
0.
y' .,€s'„;.fix
`c s' :. : t
^ors
5 s.T
4+
�u:Ss:
.s}
..
C�..A
'y
t�
)irk' :
3 't,
Nov. 26. 2007 10: 51AM - -�— No. 6186 P. 2/2""
APPLICATION FOR STREET EXCAVATION. PERMIT Z2�do(
TOWN OF SOUTH MNDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINO SON PT 06074
PEE $25.00
'Name of Firm (112
Address of F Phone No �1'�• , . tk�� _
Location of
proposed vm
Describe fully nature of permit requsste
,tZs�
Starting da Z'0
Call Before You pig No '� APPrOx.time for completlo '
Trafflo Services I COntroi No
Show sketch of futoFORM warts or furilm
two copies of spperato drawftto Indicate NoM +Se ed out 6v
Town 0( d
Pa"Ment Cut
No.cuts
E&L'Size of Perm.Patch(s)
• Est.PvL Thiess in,
Eat.Unit Prtca f$
Amt of Deposit
Told due$
Z 4paa 2k by
)Gish(
r 44 Pir1ngn6nt Patch
� a.4l6vIN11� ••
a No. Cute
IW4.107
Sire of Pat*$).
' Final BIIIf V
r • '
r Aft Due payee
Arnt.Due Town
sands re an fbr
a a ce De .and c
.B.Y.
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
OF BO
AMOUNT' I�3.REQUIRED AND TO REfM9URSE THE
TOWN OF SOUTH WINDSOR FOR ANY OPENSES INCURRED BY THISCONNECTI THIS PER AND THAT I AM FAMILIAR WITH AND WILL A81DE
N BY THE RULES AND F�EQUL ATIONS FOR
PERM O INED IN OF SOUTH WINDSOR'S STRar;g CUT PERMIT MANUAL.
Signed
Tide•
Ddvees License#;
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMSS
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 700ad I CONTRACTOR:--- C_ UJ 0,
LOCATION:_ tab tfli,_50A _..
TYPE OF WORK: Yt e i C D o n �-�,
DATE INSP NEEDED: DATE INSP: 2
INSPECTED BY: D
WORK IN
PROGRESS:
AS-BUILT:
INPUT: - l/
- DATE:__
W/2007 Town of South Windsor INPSEMON REPORT 07
Molloy, Catherine
From. CallCenter@CBYD2.com
Posted At: Thursday, November 22, 2007 3:04 PM
Conversation: Locate Request-20074800012
Posted To: CBYD
Subject: Locate Request-20074800012
(CALL BEFORE YOU DIG - CT) 11/22/2007 15:03:31
-5G -C1 -CW -GV
-J1 -OT 1-SW SWINDS -T5
--------------------------------------------------------------------------
***** EMERGENCY *****
TIME. . 15:02 DATE. .11/22/2007
REQUEST NO. . .20074800012
LATITUDE. .41.8649120 LONGITUDE. .-72.5785484
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .66
STREET. . . .ALISON DR
NEAREST
CROSS STREET. .MERYL RD
--------------------------------------------------------------------------
TYPE OF WORK. . . . .REPAIR BROKEN WATER MAIN
AREA IS MARKED. . .YES
REMARKS:
LOC IN ROADWAY
CREW EN RTE
A24 RAH 11/22/07 1500
--------------------------------------------------------------------------
START DATE. . . . . .11/22/2007 START TIME. .15:30
CALLER. . . . . . . . . .ART PLANTZ
CALL BACK. . . . . . .ANY
PHONE #. . . . . . . . .860-989-5264
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .CONNECTICUT WATER CO
ADDRESS. . . . . . . . .25 NORTH RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
--------------------------------------------------------------------------
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