HomeMy WebLinkAboutInstall new fire hydrant Street Cut Perm 700020 TOWN OF SOUTH WINDSOR CT
PERMIT,WMBER
:.: STREET CUT PERMIT
DATE: 04/03/07
GIS ID:44100079
MUNIS APPLICATION# 2007 ""' FEE:00389 .00
T�
:, IRA N DA
TE:
/08
APPLICANT,"
NAME:
METROPOLITAN DIS: :.. LOCATION
DRESS: 125 MAXIM ROAD A`mAD
S `- 9IILTOIDRIVE
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HARTFO <:: ::`.' ROB RT
DID DR
IVE VE
PHONE
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7y 7�S 6�. R, 0 074
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SCRIPTION:
S C RIP TION
. IN STAL' x�
f.
APPL :.: ...:
�p
ANT AGREES TO FURNISH THE T7 W� p :..
THE TOWN OF SOUTH WINDSOR FOR AN�`<:E•:; .E' i'•` ... '" a '. ` 0 QF`BOIL REQUIRED AND TO REIMBURSE NS `Ir ,'" (} ( IINTENANCE OR REPAIR WORK SE
CONNECTION WITH THIS PERMIT AND THE';, IN
AI 'ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF` pf'.WINI 'S` E` CUT" MANUAL.
ISSUED BY
DA "
IE ED INSPECTED BY
4/3/20073:39PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: '7 CONTRACTOR:
LOCATION: ADDRESS:
TYPE OF WORK:- l ens tl�)l a'
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:_fit� 'D
WORK IN
PROGRESS'- .5 X
INPUT: DATE: / ✓�
APR, 3. 2007. 12; 28PM __ MDC SYSTEMS REPAIRR'LL%QbQr TOWn Hall N0, 524 P. 2 ID002/002
_ APPLICATION FOR STREET EXCAVATION-PE
TOWN OF SOUTH WINDSOR PERMIT
PU13LIC WORKS t),EPARTMENT Per�mi N
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT o6074
'Na m o a f Firm
FEE $25,00
_
Address of Firm Phone No,
Location of proposed wo �`�
Describe fully nature of permit requested '
Starting date
Oal1 Before You Dig No; APProx, lime for completion
TrafFc Services Control No.
Show sketch of pro1111
posed worts or iumish
two copies of aeparafe drawing
fndcafe Notch man to be tilted out by
Tower of Serif W1 dsor
Pavement Cut
No,cuts-
Est.-Slze of Perm.patofi(s)
• • 719 Est'PvL 711ld cress
�! Est.Unit Price$
• G4J y'��` Amt of Deposit -
jd j.�7z✓G /F�i'l� Total Due$
by -.
( )Cash( )Check
Pernrranenf patch
No. Cuts
Size of P"_9)
Final Sifting
. cif/mod Qi A'"t Due Payee
Amt.Due Town
'7O ,s� �Y ffi
liaant i5 re nnmue for contacti By
the olice De t and C.B.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT of
TOWN OF SDUTH WINDSOR FOR ANY EXPENSES INCURREDSOT6Y OU of:BOND
OR MAINTENANCE AND TO Romaup, THE '
CONNECTION WrTN THIS ERMITAND THATI AM FAMILIAR WITH AND WILL ABIDE BYTHE RULES AN[)REG J
PF-RMiITS vuTLINED E TOWN OF SO NCE oR REPAIR SE
IN
SOUTH WtNDSOR S STREET CUT PERMIT MANUAL. REGULATIONS FOR
Si _
r Date• � —�D'
PERMIT SHALL B KEp ON JOBSITE AT ALL TIMES Driver's License
I
Bernard Drabek-Locate equest-26-d�-J'�644�--
From: <CaliCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Tue, Mar 27, 2007 2:14 PM
Subject: Locate Request-20071301443
(CALL BEFORE YOU DIG-CT) 03/27/2007 14:11:03
-5G -Cl -GV -ii
-OT 3-SW SWINDS J5 -W3
--------------------------------------------------------------------------
REMOTE BATCH ENTRY
*****ROUTINE*****
TIME..14:11 DATE..03/27/2007
REQUEST NO...20071301443
LATITUDE..41.8190917 LONG ITUDE..-72.5972785
TOWN......SOUTH WINDSOR
ADDRESS...79
STREET....HILTON DR
NEAR
CROSS STREET..ALLEN DR.
--------------------------------------------------------------------------
TYPE OF WORK.....INSTALL NEW FIRE HYDRANT
AREA IS MARKED...YES
REMARKS:
HYDRANT IS NEW INSTALLATION, WEST SIDE OF PROPERTY.
--------------------------------------------------------------------------
START DATE......03/30/2007 START TIME..08:30
CALLER..........MARK LAPENTA
CALL BACK.......8-5
PHONE#.........860-278-785OX3615
FAX#...........860-550-7961
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......METROPOLITAN DISTRICT WATER
ADDRESS.........125 MAXIM RD
CITY............HARTFORD
STATE...........CT
ZIP.............06114
--------------------------------------------------------------------------
EXCAVATOR DOING WORK..MDC
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: to
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: "g- -
IYV4
THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE: q--$-- 01
fg BILL JOB YESX NO O Wo#
G-=,)DRESS 7q Hit-TUN b(L TOWN 50014 WINO SQa STATE HIGHWAY YES Ci NO f�
DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND C�,iTMADE IN
CROSS SECTION OF PAVEMENT
STREET BIT Colqc. k3 CONCRETE D PREMIX CJ
SIDEWALK_ BIT.CONC. ❑ CONCRETE ❑ FI..R.G ❑
CI1RI3 BIT,CONC, k CONCRETE C STOME Cl
Fv
`7 DRIVEWAY SIT.GONG. ❑ CONCRETE rl
do tAlm- /Yf E-"--t-
x REASON FOR CUT.„—_.
INSIAt-L 1U+EV,r nl Ad i
C
NUMBER OF Ct1T&'—
1 I DATE OF FIRST CUT;
PZ- - ` IS JOB COMPLETED: YEA NO r -}--
44 �•0 FOREMAN, �__._��. mIfr -- -----
a
Lo
H ..a —FLM'•C,9 MENI PAY EAhE RACT N0:
m c�
Q ON BIT CONCi l7 CONCRETE ❑ PREMIX ❑
W a DATE COMPLETED:, C
ACCOUNT NUMBER.co
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