HomeMy WebLinkAboutHaystack Ln Emergency call for CLP cable fault power 700010 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/16/07
GIS ID:4 :.>'
0509999
FEE: 25.00
MUNIS APPLICATION# 200700266 'rsn':'"''.
A-RA DATE: 03/15/08
APP
LICANT: :.:
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NAME: HENKELS&MCC `•"`�`O I INCITC r,..
ADDRESS: 985 JOLLY ROAD
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WINDSOR
BLUEBELL
f3�4Q S..IJI,LiV AV AN E
�``� :°�:v»<:��,..,,:>' >"_� INDSOR,CT 06074
PHONE 1-508-987-3977 <'
WORK DE
SCRIPTION:
CRI
PTI ON:
EME
CIt
BET AB A""NI3>H
APPLICANT AGREES TO FURNISH THE TQWN%10 ; UT ` t p "p > � D � D Q AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Tp P INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE<:APAfF :ISF �E °' VPF"A tII�I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP:;S.OUi Hs INISSR'A T I:CT 'A 1 I`I MANUAL.
ISSUED Y DAIL`Il SPECTED INSPECTED BY
3/16/200711:40AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: '7000 /D CONTRACTOR: i7�°n
LOCATION: ADDRESS:
TYPE OF WORK:_ �. L q'P -y/e F7 Auer ®u.7-tcL-Z
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:-
WORK IN
PROGRESS: atl 74
INPUT: C-7k DATE:-3 "
..03/13/2007 TUE 14:28 FAX 860 644 7280 South Windsor Town Hall IM002/002
• M
• APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR -`�-o.
PUBLIC WORKS DEPARTMENT PermittN No.
TOWN HALL
1540 SULLIVAN AVENUE
:SOUTH WINDSOR;CT 06074
FEE $25.00
-Name of Firm LO ,�C
Address of Firm - rCt -I Phone No9E�2�Ecj_
�OX
.
Location of proposed work �- {- D
Describe ftAly nature of permit requested i
n - r1 _ 'uJ I U h+ +
Starting date -
Call Before You Dig No., O - 1 1 (� p a APPrax.time for completion
�- Traffic Services Control No.
Show sketch of proposed work or furnish
two owes of separate drawing This section
Indreate North �2 tied out bV
Town°f Sout#!Windsor
Pavement Cut
No.cuts
Est.'Size of Penn.PaWs)
----------------
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ b
Y
Cash( )Check#
Permanent Patch
{ ear Q v No. Cuts
We of PaWs)
(� 1C Final Billing
Atnt.Due Payee
Atilt.Due Town
By
plicant is re nsible for contacti
the Police De t.and C.RY r)
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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS.? OUTLINED IN -TOWN OF SOUTH WiNDSOR'S STREET CUT PERMIT MANUAL.
Signed: __ 1 —6 T
Date:
Title:
Drivers License#: lla,q3
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
From: <CallCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: 3/11/07 3:16AM
Subject: Locate Request - 20071100027
(CALL BEFORE YOU DIG - CT) 03/11/2007 03:13:20
-5G -Cl -CW -GV
-OT 1-SW SWINDS -T5
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***** EMERGENCY *****
TIME. .03:13 DATE. .03/11/2007
REQUEST NO. . .20071100027
LATITUDE. .41.8551902 LONGITUDE. .-72.5406417
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .ABBE RD / HAYSTACK LN
NEAREST
CROSS STREET. .AT INTERSECTION
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TYPE OF WORK. . . . .REPAIRING UG ELECTRICAL CABLE
AREA IS MARKED. . .YES
REMARKS:
LOC SOUTH CORNER OF ABBE RD
CREW ON SITE
A/24 DDS 03-11-07 0312
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START DATE. . . . . .03/11/2007 START TIME. .04 :15
CALLER. . . . . . . . . .TERRI FICKETT
CALL BACK. . . . . . .ANYTIME
PHONE #. . . . . . . . .508-987-3977
FAX #. . . . . . . . . . .508-987-7926
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .HENKLES & MCCOY INC.
ADDRESS. . . . . . . . .PO BOX 600 40 FEDERAL HILL RD
CITY. . . . . . . . . . . .OXFORD
STATE. . . . . . . . . . .MA
ZIP. . . . . . . . . . . . .01540
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EXCAVATOR DOING WORK. .SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: