HomeMy WebLinkAboutStreet Cut Permits Street Cut Permits Be Permit No. 4146 Town of South Windsor, CT
Date 03/01/2006 Street Excavation Permit
. .......
Expiration Date 03/01/2007
Descrip: EMERGENCY WATER REPAIR DIG.: 015`09.010O`7::?`
Applicant 1{oc.aion
Name MDCE $T¢'465,-AND S3G ,BLDG
Addr. P.O. BOX 800
:
HARTFORD CT 0611Z x`yp:e qf. Work:W1T1Z:.-
Phone (860)278-7850 x
Applicant agree$ toi fur h the<'TQswn cif Stauth Winds the a#npunt of bond
required and to rejmbuts the. 'own of -ScJ th t4a d sor -Sr any expenses
incurred by the Town fps ma1ntenane.eaxne�tion with this
permit and that app3i�a.nt i _.'.fami =ar wi> h aid. Wil1 >ak# de<`by the rules and
»:.
regulations for erm.ids•Ias:::'_oua: 'a a a>> zs> <x. :: T.. na:::3 WYrt3 r PdySl. s Street
Cut Permit Manual.
* "*
PERMIT PTO BE:-KEPT ON
Issued b "7 3/(;' .. .Title
Date Completed t'ed By _
TOWN OF SOUTH WINDSOR INSPECTION REPORT :V
Permit No.Location 4146 ^z. .
BETWEEN 465 AND SBC BLDG Contx.abtor MDC
At3'd r es .i <``:: P.O. `::�Qy.;...80 0^>,.:>..
Type Work WATER
A.RT_FOR'D T 0.6T42
i'hono- ' 278 7&50
Date Insp Needed
------------- ,_ Dat? Txxsp
Time Insp Needed
Time II
Inspected By -- -----------
` 4
wr
Work in Progress �-rear`
At Ld®VC J�or Lcc h
- - ----- S.
sac �n�
MAR. 1, 2006 2: 19PM MDC SYSTEMS REPAIR N0. 598 P. 1
APPLICATION FOR STREET EXCAVATION PERMIT.
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN MALT..
1540 SULLIVAN AVENUE
SOUTH, JI�DSORo CT
Name of Firm L/• Phone
Address of Firm �fS
,\Location of proposed work
Describe fully nature of permit requested x
�" �'✓ L-
x Starting date Q Approx.time for completion ��rr\� -
XCall before you dig na. Traffic Services Corsird Ne.
Show sketch of proposed work or furnish To be f"kiled out by Town of So. Windsor
two copies of separate drawing Pavement Cu
Indicate North Prop-site of cut
No.cuts
Amt.of Deposit it by
() Cash() Check
' r
"size after Perm. Patch
No.Cuts
Fiinal Billing $
Amt.Dun Payee f
Amt. Due Town$
Applicant is responsible for contaoting
the Police Ocnt.and C.B.Y.D. by dote
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO Rg!MBURSE THE TOWN OF
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signcd• dZZ&V Date:
Title:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
S u�. FAk <fZYY- �02 g0
Bernard Drabek � Locate Request 20060901007 " g
Pa e 1
From: <CallCenter@CBYD.com> vJ a
To: <cbyd@southwindsor.org>
Date: Wed, Mar 1, 2006 8:23 AM
Subject: Locate Request-20060901007
(CALL BEFORE YOU DIG -CT) 03/01/2006 08:16:28 /
-5G -Cl -CW -GV
-OT 1-SW SW INDS T5-----------W3------
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*** REMOTE BATCH ENTRY
*****EMERGENCY*****
TIME..08:15 DATE..03/01/2006 `,�► s C�
REQUEST NO...20060901007
LATITUDE..41.8220233 LONGITUDE..-72.5527801
TOWN......SOUTH WINDSOR ,
ADDRESS...465
STREET....BUCKLAND RD
NEAREST '
CROSS STREET..DEMING ST. Cam'
--------------------------------------------------------------------------
TYPE OF WORK.....WATER SERVICE REPAIR
AREA IS MARKED...YES
REMARKS:
EXCAVATING IN THE STREET
--------------------------------------------------------------------------
START DATE......03/01/2006 START TIME..08:30
CALLER..........JEFF REA
CALL BACK.......8-5 ,.,p . , �'� �ze�
PHONE#.........860-278-7850X3615 dQ
FAX#...........860-550-7961 V)
ALT. PHONE#.... T l
EMAIL ADDRESS... S?�J-�
CONTRACTOR......METROPOLITAN DISTRICT WATER ST
ADDRESS.........125 MAXIM RD
CITY............HARTFORD � (��'
STATE...........CT "k
ZIP.............
------ 14 C �,
EXCAVATOR DOING WORK..MDC
ISSUED TO: DATE: TIME: BY:
r
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: