HomeMy WebLinkAboutInstall new fire hydrant Street Cut Perm (2) 700021 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE:' 04/03/07 w:...:.
GIS ID:44100232
MUNIS APPLICATION# 200700390 FEE: 00
ATION DATE:
04/02/08
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NAME.
METROPOLITAN DIST�2ICT� ',. ..w..:..:.<.;;..,::..;..>'....;': : ...
DDSA:<;." 3 ILT NODRIVE
CATION
ADDRESS: 125 MAXIM ROAD
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HARTFORD CT 0 611:
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WORK SCRIPTION:
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APPLICANT AGREES TO FURNISH THE TOWN O1*:Sb :::.'`':;. .;.:. :.,:.. :; `, : ..:.: ..: <'
NTH� `T�tfl�'I`>fJF I30ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN*EX-P TO�,FOR.1k�AINTENANCE OR REPAIR WORK IN
THE; �;w- T$,`:F,'
t Nb WILL' IDE BY THE RULES AND REGULATIONS
CONNECTION WITH THIS PERMIT AND
FOR PERMIIT�S AS OUTLINED IN THE TOWN O SC LJ >W13 ';, %'.S.RB'- P<CTjT.•PE T:IvIANUAL.
ISSUED BY 0 Di >: ..t". ?EC.>F }` INSPECTED BY
4/3/20073:50PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I DDD—,) ) CONTRACTOR: L
LOCATION: ADDRESS:
TYPE OF WORK:_ 14uUfan``t
DATE INSP NEEDED: DATE INSP: �07
INSPECTED BY:
WORK IN
PROGRESS: a f� ►�`� a
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INPUT: DATE:
APR. 1 2007- 12: 28PM 'MDC SYSTEMS REPAIR't"„" 1""u n��t NO. 524 P. 3-
APPLICATION FOR STREET EXCAVATION,PERMIT
TOWN OF 5OUTH WINDSOR -'�
PUBLIC WORKS DEPARTMENT permit No.
TOWN HALL
1$40 SULLIVAN AV1=NUP
SOUTH VhNDSOR,CT 0607.4
FEE $25.00
'Name of Firm C_
Address of Firm Phone No.
Location of proposed wo. T
Describe fully nature of permit request{
Starting date — '_a
ARpro
Call Before You Dig No; x. time for completion
Traffic Services Control No.
Showsketctt of proposed work or furnish
iwro capi®s of separate drawing Ind"�cato NoM !s section to 6e fi(ted ouE 6
Town of Sotifh{IyQntl$or
Pavemenf Cut
No.cuts
Est•Size of Perm.Patch(s)
Est.PvLThickness_tn.
Est Unit Pace$
e AMt of Depostt$
Total Due$ by
( )Cash( )'Check#
Permanent Patch _
No. Cuts _
Size of Parws)
Final Bing
Amt Due Payee
AmL Due Town
- ,
A Ikant is rss onsfble for contactin Q' BY
the Police D L and CA.Y.D, ' f
I AGREE TO FURNISH TO THE TOWN or 50UTH SI DSOR THE AMOUNT'OF BOND REQUIRED AND TO REIMBURSE THE
' TOWN OF SOUTE{ WINDSOR FOR ANY GXpENSEg INCURRED 13Y THe TOWN FOR MAINTENANCE OR RSPA R WORK IN
CONN[~CTIOf�W[TI-(THIS ERMIT AND THAT I AM FAMILIAR WITH AND WILL ASIDE BLITHE RULES AND FtEGt11.ATIONS FOR
PERMITS OUTLINED HE TOWN OF SOUTH WINI�SOR'S STREET CUT PERMIT MANUAT..
•i
Date, i
Driver's Llcense#�
PERMIT SHALL SE KEPT ON JOSSITE ATAI-t,TIMES
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Bernard Drabek Locate Request 20071301463 Pa e 1
From: <CaliCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Tue, Mar 27, 2007 2:25 PM
Subject: Locate Request-20071301463
(CALL BEFORE YOU DIG -CT) 03/27/2007 14:23:05
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4-SW SWINDS -T5 -W3
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*** REMOTE BATCH ENTRY***
***** ROUTINE***** `•�� L�
TIME..14:23 DATE..03/27/2007 C `�
REQUEST NO...20071301463
LATITUDE..41.8221282 LONGITUDE..-72.5918769
TOWN......SOUTH WINDSOR
ADDRESS...232
STREET....HILTON DR
NEAREST
CROSS STREET..SHARON DR.
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TYPE OF WORK.....INSTALL NEW FIRE HYDRANT
AREA IS MARKED...YES
'
REMARKS:
HYDRANT IS NEW INSTALLATION OPP.#232, N. SIDE OF ROAD
N/E CORNER HILTON @ SHARON DR.
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START DATE......03130/2007 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
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EXCAVATOR DOING WORK..MDC
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
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p � W�
N THE METR4P4LCPAN DISTRICTPAVEMENT CUT DATE:
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BILL JAB YES o o wo# e-140)c-1/co ,3
�a,��vr TowN LL�JJs�rz Ica srAT� H,ot1wAY Yes® wsrr'
DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MM& IN t/i
CROSS SECTION OF PAVEMENT 3
�. Qr STREET '� SIT.CONC. W"'CONCR'ETE CJ PREMIX ❑
Q SIDEWALK BIT.99N�44C. ❑ CONCRETE ❑ FLAG
a CURB I/ BIT:CjA70. L-CONCRETE 0 .STONE
DRIVEWAY -BIB:CONC. D CONCRETE 13
EH
t REASON FOR CUr ✓�' iS/�&d f
_I_l�7I ✓ol'3"�
. NUMBER OF CUTS: -----_-__.-
43 VaE OF FIRST CUT-
c° lik, IS JOB COMPLETED: YES Er I'JO❑
a FOREMAN:
s •
H ' REr C TpAVEMEPJT Q® TRACT NO..
fr W
BPf.CONC. ❑ CONCRETE ❑ PREMIx El
DATE COMPLETED:
ACCOUNT NUMBER'
a CALCULA'"ONS
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