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HomeMy WebLinkAboutNew fire hydrant Street Cut Permits 658 SOUTH WINDS 800128 OR, TOWN OF S NUMBER 0 R, CT F - STREET CUT PERMIT DATE: 08/01/08 `<v GIS ID: 72900658 Mf UNIS APPL ICATI ON# 2 20 0801167FEE: .00 XI'I RA TI O ND DAT E: 0 8/0 1/0 9 APPLICANT::: ;.... ::.: : NAME: ':` <: < ;; <:: <::: ..:.;'<;`. METROPOLITAN DID I RAC LOCATION ADDRESS: 125 MAXIM ROAD a f ��RSS 6S$PLEASANT VALLEY ROAD fi HARTFORD CT TA J4SEPH DA VID $ I✓ AN'� E'.A S + T <x V :<. AL L E Y PH ONE O NE C7 D S OR CT , 74 WO DE SCRIPTION: S C RI T I O N: PL E : > PLEASANT, t HYDRANT#658 APPLICANT AGREES TO FURNISH THE Tp Ol SOU XPTSESC � TQF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI CONNECTION WITH THIS PERMIT AND THE APPI ICAN7 T "F "` H VI;FOR>'1vIAINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN OF go .AM IAR WITH�TID�iLL ABIDE BY THE RULES AND REGULATIONS I? TEE BUT IT MANUAL. ISSUED BY DATE INSPECTED 8/1/20089:30AM INSPECTED BY *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: C d CONTRACTOR: LOCATION: TYPE OF WORK:_ I rI(.S1#1 - DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS:- ,4 n;e� r �� h�►,1� 1W rer".t, of v / F_ ✓ G AS-BUILT: INPUT:__ DATE:—ILI y (� W/2007 Town of South Windsor INPSECTION REPORT 07 JUL. 30. 2008 11 :29AM VDC OPERATIONS"' wxmasor TDwm Hall NO. 862 P, 2 9 003/D03 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permtt No. PUBLIC WORKS DEPARTMENT TOWN HALL . 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm M FTPO f°CMAW Ont !C T Phone No. go g So. _�C 362Q Address of Firm— /2-5 /iR ! rJ A14 tFt7 C7- 7rp Code Location of proposed work. l .fk a2 1>AvEW Describe fully nature of permit requester) NI rA L f NF IYv f Q N'r Vic goosc 4 65- T-', :Starting date Approx.dine for completion Cal!Before You Dig No. 200 00 12 0 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB 119PLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 19 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH ANb CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA CURB LENGTH,TRAFFIC CONTROL AND THE TOWMS CONTRACT COSTS. THE PERMANENT PATCH AREA, CQMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or fumish . iwn copies of separate drawfi�q �ltls section to be Tilled in out by indicate Nottit Towrn af,Soufi,Windsor .- --- - ---�" No.aits - 5 Est,Patch Sizes) 10 a � ., Gb/hr:,00 Est Pvt Thickness In. Est,Patch UNt Price / • � •!1 G .�Rc.•'ryb mud .�, ' Eat Patch Cost$ ,w e•,:, i Est Curb Replacwnent_ . . .�i//'Y.iC ct, J roc, Est.Gurb UNt Pdoe EM.Curb cost;b ' Est Traffic Unit Cost$ Ihr r sea <<w Est.Traffic Control 1 Amt:of Deposit$ Total Due$ ( )Gash ( )Check#_ _ Appl►cant Is responsible for contacting Paid B the Police De and C.B.Y.D. y AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND MQUIRED'AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR'ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN . CONNECTION WITH TRIS PERMIT AND THAT I AM FAMILIAR WITH TOWN OF SOUTH WINDSOR'S STR AND WILL ABIDE By THE RULES AND REGULA,7IONS FOR PMiTS AS OUTLINED IN THE EET CUT PERMIT MANUAL. Signed' _ II Dace• - Title: Drivees License# PERMIT SHALL.BE KEPT ON J613SITE AT ALL TIMES ° Street Fxcavatlon Permit 08.doc • f THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE: q "SILL.JOB YES© NO D WO# ti ADDRESS PQ ' — TOWN — ,TAT€1-11GiHIN�1Y 0 DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN d CROSS SECTION OF PAVEMENT STREET ^ BIT.CONC.- CONCRETE ❑ PREMLX O a' SIDEWALK ' BIT.CONC. ❑ CONCRETE ❑ FLAG ❑ j W�\ CURB 2' BIT.CONC.6 CONCRETE D STONE D E DRIVEWAY BIT.CONC. ❑ CONCRETE ❑ GRASS IV 0 10A-►•— ri REASON FOR GUT- - ' m 4 NUMBER OF CUTS: a DATE OF FIRST CUT: IS JOB COMPLETED: YES'tF NO❑ ! FOREMAN: /i © to - - -- - - -- -- - - - - - - - - - - - <�- - - _ - _ DATE w COMPLETED' _ -- --- -" - - - - - - "- s-----'-- - ��^r - CD - a, ti �ll �c►sq��T d��l ,l Al. • I c:u 3 PRESS HARD 3 COPIES �oRNGN 5P. OPERATIEO�NS UTILIJY SERVICES CONTRACTOR WHITE) (YELLOW) SEP, 22, 2008 11 :21 AM MDC SYSTEMS REPAIR N0, 261 P. 1 FAX -METROPOLITAN DISTRIC OPERATIONS I SYSTEM r, ` � ': ► TOr C D0 4 AatoW k6 FROM: FAX t 72,80 PAGES: PHONE# DATE: °• .,,,; i, ; ,y ` COMMENT is ;II i - i,�ll Ili I. 4I 111III I SYSTEMS REPAIR OFFICE 125 MAXIM D. HARTFORD CT 06114 PHONE-'(86 ) 278-7850/ ext. 3629 JOHN PAGANETTI OR ext. i FAX#(860) 50-7961 I 1i ,I 1 I