HomeMy WebLinkAboutWater Street Cut Permits 555 Nutmeg Road Permit*No, 2526
Date 01/29/1999 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 01/29/2000
Descrip: REPAIR WATER MAIN
Applicant
Location
Name MDC 0 'S5 NUTME'6 ROAD
Add r. P.O. BOX 800 "
HARTFORD CT 06142
Phone (860)278-7850 Type -of- Work WATER
Applicant agrees to furnisfi the Mown of Sou�.h eWYndsor the amount of bond
required and to reimburse the "Town . of South ir►d or;. far any expenses
incurred by the Town for ma ntena ,epai W6 i'n connection with this
Permit and that applicant is � #ami,j a -,; w ;t and ► fT1_ a ide by the rules and
regulations for permits "as :�out lin� i Towhl� qth Windsor's Street
Cut Permit Manual .
* * PERMIT TO BE KEPT' ON,. JOB "SITt", At AL'L TIMES.
Issued by _ �, �CR�A
•T it L� — �S�T' �.N�>>.iF.�2
Date Completed
Inspected By
APPLICATION
OWON OF SOUTEXCAVATION
WINDSOR N PERMIT
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm f�, 1J� S Phone No. Q,_ ( .�
Address of Firm -
Location of proposed work �� L—t— ��� S n .- �� �� ��
Describe fully nature of pe mit requested c e
t
Starting date Approx.time for completion
Call before you dig no. i C? q c( �`��% CJ C7 C� Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt. of Deposit $ by
O Cash O Check#f
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee S
Amt. Due Town S
Applicant is responsible for contacting
the Police Dept. and C.S.Y.D. by date
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 AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: ! 1 "
Title: D.L.B
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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(CALL BEFORE YOU BIG - CT}
THE FOLLOWING MESSAGE NUMBERS WERE TRANSMITTED TO YOU TODAY.
01/08/1g99 17vl0^ 14 STATION; SW
�9990201787 1999{x201875
TOTAL 0002
OUR CENTER IS NOW SIGNING DFF, EVERYONE HAVE A GOOD EVENING.
SEE YOU IN THE MORNING. - ---- ~'-
GDDD
(CALL BEFORE YOU DIG - CT} 01/08/1999 23v56:20
-5E -564 -C4 -JA 00I-SWSWINDS
-T5 -T6 -UL -43
***** EMERGENCY ***-**
REQUEST NO. TIME. . 23:54 DATE.
T[}wmk. . . . . . . . . . . .SDUTH WINDSOg GRID CODE, . K04D6 /
;8}DRESS. . . . 111 , 1555 NUTMEG RD NORTH
/ l
NEAREST STREET. .GOVERNORS HWY /
TYPE OF WORK REPAIRNG A WATER MAIN
�» '
. . . ~ �
- �
REMARi-e,S. . LOCATE IN THE ROAD
CREW 13 IN ROUTE
AREA IS NOT MAR}<ED | y
A/24 CALL TAKEN BY TSW 1-8'~99AT 23;40PM \
CALLER. . . . . . GLEN MACPHERSQN
ALTER. . . . . . .
I TART DATE. . 01/{`8/1999 START TIME. . ASAP
PHONE #. . . . . 860-251-7274 FAX# 86(}-527-5158
CALL BACk<. . . ANY
CQNTRACTDR. . MET ROPOLITAN DISTRICT WATER
ADDRESS. . . . . P. O. BOX 80{l, HARTFDRD, CT 06106
EXCAVATOR DOING WORK— SAME
ISSUED TO; DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY;
| Cf)LL BACK: 1 } DATE: TIME.- BY: 2> DATE: TIMEz BYPERSOM CONTACTED.- PERSON C-ONTACTEDz
|
j'he Metropolitan District �I Water Supply
se�er�s�
968 Mein Street Frr,
Hydraglectric Power
Rgst�urG��ReCgvgry
Post Office Box 800
Hartford,Connecticut 06142.0600
860-278-7850
860-724-2679
FAX
COVER LETTER
F9xFORMB/ORe+r lions
PLEASE- DELIVER THE FOLLOWING PAGES TO:
NAME; Mr , Melvin Stead ,Jr . PHONE'NO; 644-253 f
COMPANY: Superintendent of Highways , Town of South Windsor
w. 1 wl!(111.
FAX NUMBER: 644-378 J
-I�• 1 11• I ••.II.J,•
FROM: MDC ' Operations
-w(�Irrrr�
COMPANY; THE METROPOLITAN DISTRICT COMMISSION
FAX NUMBER; (860) $27-5158
TOTAL NUMBER OF PAGES INCLUDING THIS COVER LETTER:
DATE: _ ,r n,.�„ r�'� �_�� 1 TIME: w..�M.
• I w�FMA...y
Comments:
]MrwaMJtiwJnJ."Jr.rh,
If you do no receive all the pages, please call (860) 278-7850, Ext. 3609
METROPOLITAN DISTRICT COMMISSION
125 MAXIM ROAD
HARTFORD, CT 06114-1605
Z'd SNO I UM 0dO 7QW WUO T:80 66, TT Nor
THE METROPOLITAN DISTRICT- PAVEMENT CUB" E)X YE� -
BILL JOB YES CI IS�t*..ff woo
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-----TOWN_ STATE rlle,I�,�,x�� i�ES o PI 3�FC3
I DRAW SKETCH WING LOCAT16H AND SIZE OF CUTS AND CUT MADE IN:
C SS SECTMN OF PAVEMENT �
tl7
STREET OIT.CONC. CONCRETE O PREMIX 0
SIDEWALK BIT.CONC.D CONCRETE 11 FLAG Q 07
Gicpf f�Q CC/fiB BM CoNc.13 CONCRETE 0 STONE 13 D
`d fff�'� L L pV�fj DRIVEWAY—_—BIT.CONC.0 CONCRETE 0 �
- f GRASS,
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IIEASt3Pl FOR CUT:
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NUMBER OF Cl.IT5:.` w
0-r DATE OF FIRST Clff:
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IS,DOB COMPLETED: YES NO O
fflEMahL ty
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f REPLA-r-1-- 'PAVEMENT CONTRACT NO.:
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11. OkTE COMPLETED: tj 1 D 0414- ACCOUNT NIAIBER:� / " ' 3A A,
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- � CALCULATIONS __..-__----
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OF CUT ITEM,l ITEM if ITEM# ITEM�
fV
dy- ORIGINALTO PAVING INSPECTOR
COPY TO MCC OPERATIONS
PRESS HARD, 3 COPIES COP'1 TO CONYRACTOA
COPY TO TOWN OR CITY: