HomeMy WebLinkAboutFire Hydrant Street Cut Permits 151 Buck 700033 TOWN OF SOUTH WINDSOR CT
PERM"'TT NUMBER ,
STREET CUT PERMIT
DATE: 04/19/07
GIS ID: 15300151 %J
MUNIS J'V
APPLICATION# 200700482 FEE: .00
EXPIRATION DATE:
04/18/08
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:APPLNT . LOCATION
. . BC A
DNAME• METROAN DISTI 151ADDRESS 125 MAXIM ROAD HARTF ERGREN WALK LL ORD C C
T 0
:
611:
. .::. . . .. ..
::.
S<'M� AIN ST
PHONE HE..:YAC
' '': � ..... StE R,CT 06040
W
RK DESCRIPTION:
INSTA-I;`
APPLICANT AGREES TO FURNISH THE "„
THE TOWN OF OP=: ovTFf Vk f ``(( q :: >.O<:<;
SOUTH WINDSOR FOR AN ;.EPENS ;: 'V.
O ;I 0 ,1kANTEN�ANCE OR REPAIR D AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THL># 'Lk1a "IS ":` ".`' P�Ij WIT '2PBIDE BY THE RULESWORK IN
FOR PERMITS UTLINED IN THE TOWN 01�50U I ySilfi D IVIANU AND REGULATIONS
ISSUED BY
D 'E,. PE Ev �`v - INSPECTED BY
4/19/2007 2:03 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
.4
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 000 3k3 CONTRACTOR:_
LOCATION: ADDRESS:
TYPE OF WORK: 4- ii li-u�Irta y
DATE INSP NEEDED: DATE INSP:_ G 117
INSPECTED BY:
WORK IN
PROGRESS:_ Co����� ,o n�� c1
INPUT: DATE: & q e
"'APR 19 2007°11 :46AM YU 'MDC SYSTEMS R E P A I R":Ln'ls or Town Hall NO 576 P 2 Q002iooa
APPL.I.CATION FOR STREET EXCAVATION.PERMIT too b3
TOWN OF SOUTH WINDSOR pe No
PUBLIC WORKS DEPARTMENT
TOWN HALL,
1540 SULLIVAN AVENUE
,SOUTH WINDSOR,CT 06074
FEE $25.00
'Name of Firm C
Address of Firm Phone No.
Location of proposed wo
Descxibe fully nature of permit requested
Starting date t�=
Cali Before Ypu Dig No�QD�/��i' APprox,time for complefion
Traffic Services Controf No. C
Show Sketch of posed work or fumtsh
two copies o rop
f sep mte drawing Indicate Nord This Section to be filled out by
Town of Souftt-Wrndsor
Pavement Cut i
No.cuts
Est'Size of Penn_paws)
Est Pvt.Thickness-in.
h , Est Unit Puce$
�L Art of
Total Due$ by
)cam( )Check#
Permanent Patch -
c No. Cuts��
Size of P s
Final Hieing
Amt.Due Payee
cc $t.Due Town
enliA
lira is re onsible fnr co Una
the Police t!I C.B.Y.D,
I 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 PERMITAND THAT I AM FAMILIAR WITH AND WIL.LASIDE"YTHE RULES AND REGULATIONS FOR
pERMfi•S IN N THE TOWN OF SOUTH WINDSOR'S STREET CUT PERM MI�NUAL.
Qrivues License#
PERMrr HALL BE KEPT ON JOBSITE AT ALL TIMES
Bernard„Drabek- Locate Request- 20071602369 R Pa e 1
From: <CallCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Thu, Apr 19, 2007 11:24 AM
Subject: Locate Request-20071602369
(CALL BEFORE YOU DIG -CT) 04/19/2007 11:21:06
-5G -Cl -CW -GV
-OT 5-SW SWINDS -T5 -W3
--------------------------------------------------------------------------
***** ROUTINE*****
TIME..11:20 DATE..04/19/2007
REQUEST NO...20071602369
LATITUDE..41.8206105 LONGITUDE..-72.5517042
TOWN......SOUTH WINDSOR 1 "
STREET....DEMING ST
NEAREST
CROSS STREET..BUCKLAND RD r
------------------------------------------------------------------
TYPE OF WORK.....EXC TO INSTL NEW FIRE HYDRANT
AREA IS MARKED...YES
REMARKS:
WORKING APPROX 75FT SOUTHEAST OF THE INTER.
WORKING IN THE ROAD&OFF BOTH SIDES OF THE ROAD I
-------------------------------------------------------------------------- i
START DATE......04/24/2007 START TIME..08:30
CALLER..........JOHN PAGANETTI (
CALL BACK.......8-5
PHONE#.........860-278-7850X3615 }'
FAX#...........860-550-7961
EMAIL ADDRESS...
CONTRACTOR......METROPOLITAN DISTRICT WATER
ADDRESS.........125 MAXIM RD
CITY............HARTFORD ('
STATE...........CT
ZIP.............06114 Al
--------------------------------------------------------------------------
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:
t _e uest-20071602369 Page 1
From: <CallCenter@CBYD2.com> ✓'
To: <cbyd@southwindsor.org>
Date: Thu,Apr 19, 2007 11:24 AM �'`✓r /��� �J� ,��
Subject: Locate Request-20071602369 ,v
(CALL BEFORE YOU DIG -CT) 04/19/2007 11:21:0.6
-5G -Cl -CW -GV ,
-OT 5-SW SWINDS -T5 -W3
*'***ROUTINE*****
TIME..11:20 DATE..04/19/2007
i
REQUEST NO...20071602369 __ a
LATITUDE..41.8206105 LONG ITUDE..-72.5517042
TOWN......SOUTH WINDSOR
STREET....DEMING ST
NEAREST
CROSS STREET..BUCKLAND RD
--------------------------------------_________---------------- ---
TYPE OF WORK.....EXC TO INSTL NEW FIRE HYDRANT i-v ci
AREA IS MARKED...YES
REMARKS:
WORKING APPROX 75FT SOUTHEAST OF THE INTER.
WORKING IN THE ROAD&OFF BOTH SIDES OF THE ROAD (�
-------------------------—---------_-------------------- I
START DATE......04/24/2007 START TIME..08:30 i
CALLER..........JOHN PAGANETTI
CALL BACK.......8-5
PHONE#.........860-278-7850X3615 3
FAX#...........860-550- 61
ALT. PHONE#.... ILA
EMAIL ADDRESS...
CONTRACTOR......METROPOLITAN DISTRICT WATER
ADDRESS.........125 MAXIM RD K W
CITY............HARTFORD
STATE...........CT
ZIP.............06114
----------------------------- ----------- ---------------------------- >
EXCAVATOR DOING WORK..SAME j el 3110 7
ISSUED TO: DATE: TIME: BY: el( -C h
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: �' i tt -�rG r
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: / P p 41 r T l kl%
JAI, a1�
�?1 ere" el