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HomeMy WebLinkAboutTest pits to locate water main for culve w ;'700138 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/29/07 GIS ID:37509999 f.` FEE:MINIS APPLICATION# 200701390 "F 00 k " .;. � ITION DATE: RA 08/28/08 .t.� APPLICANT .`" i.' .' I GOOCAADT IONNAME: CONNECTICUT WATBR. .:CO ADDRESS 2 ROAD ..> 4F BOUT E y.#A^' ... H WINDSOR AST WINDSOR,CT f�6""8`8 '` 5 SiJ L I"V II<: AN AVE P BIND S OR H CT PH ONE 06 0 860 - 74 62 - �.3 33 55 WO RK RK DES CRIPTION: RI PT IO N: TES T�I /y TL A`I E AlT I ND , , RT.,PROJECT APPL ICANT NT AG REES E ST O F "� FURNISH THE TC�:• OU <DF7NI RE E TOWN OF SOUTH WINDSOR FOR ANY"EX�*�N,SVL'`;am. ; :< ';• REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND THE PTC NT IS,F4�FOR MtiNTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN OF J TFiNDS�EWmj C ABIDE BY THE RULES AND REGULATIONS St ., T MANUAL. ISSUED BY DATE `V " "`CTED INSPECTED BY 8/29/20072:10PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 0013 :? CONTRACTOR:_ G We LOCATION: hO --feSt P,'t 7GG 1 ,ma r TYPE OF WORK:_ t P1Y UZ ct44ek mc(0h DATE INSP NEEDED: DATE INSP: 03 D b T INSPECTED BY: WORK IN PROGRESS: �.b.. -�..�1 / �I TL-=® 1/LD C)(V AS-BUILT: INPUT: - DATE: r W/2007 Town of South Windsor INPSECTION REPORT 07 4-'Ost-it"E~ax Note Date No. 4h71 N, 14'• V V GI V V 6 7677 $ �et0? pages► E To E'"4YPt /ha/f© From A+C/ /�awR ZEST . Co./Dept. Co. e-w e soc,�E No oR TIOI PERMIT ----` Phone# Phone# 33eq SOUTH DEPARTMENT Permit No. c.�s- x FaX# �,YS�-1a6D 33ss F # OWN HALL ILLIVAN Avr=NUE nNbSOR, CT 06074 FEE $25.60 - 'Name of Firm �e�rcas 6rJ,5rr�,� C , Addmss of F1 OF S Phone No &EL 33.s-S x 3�aq Location of Proposed wor 7r' a viz Desrxibe fully 17ature of permit requestgd «r i /rs Starting date r`� �"g/ '� �' aii's o/✓�. T Call Before You Dig No. .?oo73so ja 6 Approx.time for completlor� Tr-li c Ser k-- C ntrol No. Shaw sketch of Proposed work or fumish t&0 copies of separa drawling In4mts No n to be irllad Qut by Soczfh` Pavement cut W`. No.cuts b l Est"Sire of Perm_Patch(s� ESL PVL Thickness�_�, Est Unit Price • _ -� AmL of Depost f Total Due by � )Cash c )Oneckti~ Pe' nuanent Patch No. Cuts r Size of Pats) IN b' • ��• -I ��►Biiffi�g I j&' Amt,Due Payee jAmt.Due. Totem► th cant is re nslhl for(Rgntacun �Rl✓EtrlA BY the ce De t and C.B.Y.D. !/a I AGREE TO FURNISH TO THE TOWN OF SO TOWN OF SOUTH WINDSOR FOR ANY EXPENSES UTH WINDSOR THE AMOUNT DF BOND-REQUIRED CONNECTION WITH THIS P INCURRED BY THE TOWN17 FOR AND TO REIMBURSE THE ER6T AND THAT I- M FAMILIAR WtTH AND WILL ASIDE By THE RUEILESC,gND R>=GU[AT10NS FOR PERMTS AS OUTLINED IN THE TOWN OF SO REPaR WORK w U7�i WINDSOR'S STR�7-CUT PERMIT MANUAL, Signed: � _ True• Date• 8 �9_ 6 PERMIT SHALL Be KEPT ON JOBSITE AT ALL TIMES DriYet's Lic Ertse#; Bernard Drabek- Locate Request-20073501265„ _ _ _ ,„, a,,_ .r__ ,_ _ Page 1 Y , From: <CalICenter@CBYD.com> To: <cbyd@southwindsor.org> Date: Tue, Aug 28, 2007 11:21 AM Subject: Locate Request-20073501265 (CALL BEFORE YOU DIG -CT) 08/28/2007 11:17:45 -5G -C1 -CW -GV -OT 5-SW SWINDS -T5 -------------------------------------------------------------------------- ***** EMERGENCY***** TIME..11:17 DATE..08/28/2007 REQUEST NO...20073501265 LATITUDE..41.8467294 LONGITUDE..-72.5578856 TOWN......SOUTH WINDSOR ADDRESS...110 STREET....GRAHAM RD NEAREST CROSS STREET..AYERS RD -------------------------------------------------------------------------- TYPE OF WORK.....EXC.TO FOR TEST PITS AREA IS MARKED...YES REMARKS: WORKING ON THE NORTH SIDE OF THE PROP AT THE CULVERT TO THE EAST SIDE OF THE RD... -------------------------------------------------------------------------- START DATE......08/30/2007 START TIME..07:00 CALLER..........PAUL LOWRY CALL BACK.......8-4:30 PHONE#.........860-623-3355X3309 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: