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HomeMy WebLinkAboutStreet Cut Permit 23 Arnold Way 909003 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/09/09 ` GIS ID: 04500023 `:'> `..> 9f- FEE: 00 u '> :.,.> ¢Y :-'.: >.:: '. v.:. 1::RATION DATE: MUNIS APPLICATION# 200900075 `" x ` LOIN CATION APPLICANT °� l�� F, NAME: CONNECTICUT WA�IfCO1P `d 233 D WAY ADDRESS: 25 NORTH ROAD } : .( WN I z.;"'a .;", AFIA�WELCH HEATHER L& EAST WINDSOR CT, 68 } s'"�' ���, � AI HOLD WAY Ca C) JFH VINDSOR,CT 06074 x ..:• :rs < . y l" E PH ONE NE 8 60 623 3355 x4 . R e n:. t RIPTION: WAT` � �� < ,,.`' WORK DESC � �<t�'< = -.. APPLICANT AGREES TO FURNISH THE TQVf3 OF�SQUTH ( R H AMCI7NT flP$OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY�:EXF-P SES.-I NC,u, ITT �T Q;Vf =FO "MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE Pd-C-A ITT-I' �1"1 I T1 TI'ACID DILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF COI]I*H>W <S:!��STIR V T P IT MANUAL. ISSUED BY DA E IN PECTED INSPECTED BY 2/9/2009 11:48 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 0aZD CONTRACTOR: LOCATION: TYPE OF WORK: yl -DATE INSP NEEDED: DATE INSP: /6 INSPECTED BY:__ 7 WORK IN PROGRESS: A� /94z, v AS-BUILT: INPUT:._ . DATE: - ,- W/2007 Town of South Windsor INPSEMON REPORT 07 "Feb. 9. 2009 11 : 27AM" CT Water Northern Region'r 'i'own t[aii No. 0169 P. 3 �uuz�uuz APPLICATION FOR STREET EXCAVATION PERMIT 11100003 TOWN OF SOUTH WINDSOR Permit No. PU13L IC WORKS DEPARTMENT TOWN HALL, 1640 SULLIVAN AVENUE .SOUTH WINRSOR,CT 06074 e FEE $25.60 ' 'Name of Firm Address of Fir __Phone No.S -CZ , S m cs �% bc� Location of proposed work Mf c�a Describe fully nature of permit requestgd K Starting date-4 13 10 1 . 0211 Before You Dig No.a2cOgo 'Arax.time for compietio a s _Traft Services Control No. Show sketch of proposed work orfurnish two copies of Separate drawling Indicate Nottl] This section to be filled t b Town of sou Windsor ro L Pavement Cut NO.cuts EsL Size of Perm.Patch(s) Est.Pvt Thickness In Est Unit Price$ Ant of Depose$ Total Due Ai2C Qd by ed v/�-Ti6Y1 G r8 r ( )Cash( )Check# Permanent Patch 8 1'il.M No, Cud :. Size of Paws) F`mal ewies • ?a Z3 $ AmE Due Payee Amt.Due Town By ptic2pt is respmslyp for contact me Porgy Derd,and C.g—v r-. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND.REQUIRED A;ID TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY©(pENSES INCURRED BY THE TOWN FOR CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ASIDE By THE R�CAND REGPAIR WORK IN PERMITS INED IN OWN OF SOUTH WINDSOR'S STREET CUT-PERMIT MANUAL. Signed- ' Date: 11,1,40 Title: Driver's License M. PERMIT SHALL BE KEPT ON JOSSrM AT ALL TIMES M . Molloy, Catherine From: CallCenter@CBYD2.com Posted At: Tuesday, February 03, 2009 9:08 AM Conversation: Locate Request-20090600395 Posted To: CBYD Subject: Locate Request-20090600395 (CALL BEFORE YOU DIG - CT) 02/03/2009 09:07:41 -5G -C1 -CW -GV -OT 2-SW SWINDS -T5 -------------------------------------------------------------------------- ***** EMERGENCY ***** TIME. .09:07 DATE. .02/03/2009 REQUEST NO. . .20090600395 LATITUDE. .41.8293055 LONGITUDE. .-72.5239164 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .23 STREET. . . .ARNOLD WAY NEAREST CROSS STREET. .GRAY RD -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO REPAIR WATER MAIN AREA IS MARKED. . .YES REMARKS: f WORKING IN THE STREET IN FRONT OF PROP ,��{t•3 -------------------------------------------------------------------------- START DATE. . . . . .02/03/2009 START TIME. .09:07 r(� CALLER. . . . �+. . . . . .KEITH WATERHOUSE CALL BACK. . . . .. . .8-4:30 PHONE #. . . . . . . . .860-623-3355 ff FAX #. . . . . . . . . . . j ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .CONNECTICUT WATER CO ADDRESS. . . . . . . . .25 NORTH RD fi CITY. . . . . . . . . . . .EAST WINDSOR STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06088 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .SAME 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 1 air iAl r x of 1 pe.:' a+ -..+.fir ��,'.gtnl •Lpy�',� a.Y<.e'i ,j t �'i f ... t EV r _"rt 'L Y a +' f,�,3 �, •&� t' ,,• �, .r q � _�,3y t Tt .'r� �4 4?�.�r� '4"jv°fgs" r �.��J++•�s �'� er+ � ., J r-.i���. 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