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HomeMy WebLinkAboutRepair water main leak Street Cut Permit (4) 700206 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER r STREET CUT PERMIT DATE: 12/06/07 GIS ID: 72900804 FEE: MUNIS APPLICATION# 200701980 00` f ' >3 f�,: EXPIRATION D .. ATE: 12/05/08 f APPLICANT' LOCATION NAME: METROPOLITAN "' ATION DISRI'CT , ::: :;;: ::4 `<<._.:< .a "` x':_ :. ADDRESS: 5 " < 4<PLEAINT VALLEY ROAD 125 MAXIM ROAD ;' >»<:." ;,: .:<: • - ,.�'., %>` f HILL.FRICK R&BA RBARA HHARTFORD CT 06114 I?LEA.SANT VALLEY PHONE R.' VIITDSOR NE ,CT 06074 WORK DESCRIPTION: REPAIR TIIV` 'AICR"TY t. APPLICANT A >•.�...:� :>%: : :': ,:::><:'t„ GREES TO FURNISH THE TO?VN; iTH;VFt > " Q1y :j ,B SQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY> I 5; g � Ep F© ::: TENANCE OR REPAIR WORK .. ..::. IN CONNECTION WITH THIS PERMIT AND THE APP TC �T t I A vIII 1R',FW eH AND"`iX f>I ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S Ij'T1T I 1 N SR�S"SIR QiI R elf MANUAL. I)U ISSUED BY DATEPECTED INSPECTED BY 12/6/200710:46AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 00 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 7 DOS(a CONTRACTOR: fil C LOCATION: CJ l0Ied(0 ,-)-7" TYPE OF WORK:_ VR0 t DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: uc AS-BUILT: INPUT: �'� DATE: - I`��U�le W12007 Town of South Windsor INPSECTION REPORT 07 DEC. 5, 2007.11 ; 33AM • — MDC SYSTEMS R E P A I Rnivabor town ball N0, 169 P. 2 U002/002 r APPLICATION FOR STREET EXCAVATION.PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENTPerrot€No TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm C_ Address of Fran Phone Location of proposedwo 00, Pesccibe fully nature of permit requested - Starting date Call Before You Dig No: _ AAprox time for compledon Traffic Services Control Na - Show sketch of proposed worts or famish . 600e3 of BeParafe drawing Indicate Norlh D1 ion 10 t e �Ifed out h_v -Thwno Soup€ dsor Pavement CUE No.cufs EsCSlze of Perm.Pafc[t(s) Est Pvt Thldmess-,in. U / Est Unit Poise$ • - A"L of Deposit$ - /D / Total Due$ 6 6 Y ( )Cash( )Check#` /C�t.tarr� ! - /1 I/l PersnahentPatch . No, cuts ' Size of P"S) Final 811ring A Due Payee _ AmL Due Tom APPmantis re nsIIsle foroonta the Polipe L and C,S.Y•D• I AGREE TO FURNISH TO THE TOWN OF SOUTF{WINDSOR THE AMOUNT OF TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED �Y THE TOWN FOR MAINTENANCE CONNECTION VI("THIS PERMIT AND 80ND REQUIRED AiVD TO lZEIMBURSE THE PERMf7s as o IN THAT t AM t=AMILr,4�WITH WILL ABIDE BCE RUCp OR REPAIR oR N THE TOWN OF SOUTH WNDSOR'S STREET CUT PERMIT MANUAL,Si . A 11T Date: PERHA��BE KEPT ON JOBSITE AT priver's License#_ - ALL TIMES i ) MOROY, &atherine From: CallCenter@CBYD2.com Posted At: Wednesday, December 05, 2007 11:30 AM Conversation: Locate Request-20074901485 Posted To: CBYD Subject: Locate Request-20074901485 (CALL BEFORE YOU DIG - CT) 12/05/2007 11:30:19 -5G -Cl -GV -OT 1-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** EMERGENCY ***** TIME. .11:31 DATE. .12/05/2007 REQUEST NO. . .20074901485 LATITUDE. .41.8114948 LONGITUDE. .-72.5864105 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .804 STREET. . . .PLEASANT VALLEY RD NEAREST CROSS STREET. .TUDAR HILL RD. -------------------------------------------------------------------------- TYPE OF WORK. . . . .RREPAIR WATER MAIN LEAK AREA IS MARKED. . .YES REMARKS: WORKING ST TO HOUSE CREW IS IN ROUTE -------------------------------------------------------------------------- START DATE. . . . . .12/05/2007 START TIME. . 12:30 CALLER. . . . . . . . . .JOHN L. PAGANETTI CALL BACK. . . . . . . PHONE #. . . . . . . . .860-278-7850X3629 FAX #. . . . . . . . . . . ALT. PHONE #. . . .X 3615 EMAIL ADDRESS. . . CONTRACTOR. . . . . .M.D.0 SYSTEM REPAIR DEPT. 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: CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: PERSON CONTACTED: PERSON CONTACTED: 1