HomeMy WebLinkAboutStreet Cut Permit 101 Gordon Drive 800212 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/22/09
GIS ID:36300101 .
.. n FEE: .00
MUNIS APPLICATION# 200900032IT
; } iRATION DATE:
APPLICA] T Y ' 3$
�� LOCATION
NAME: CONNECTICUT Wy (11ON DRIVE
ADDRESS: 25 NORTH ROAD r � • CULL£OCH VICTORIA S
EAST WINDSOR,CFXP ON DRIVE
r
Y TH: SOR CT 06074
PHONE 860-623-3355 r #yam, Y �,
WORK DESCRIPTION: REP IW V Xx
s d r
APPLICANT AGREES TO FURNISH THE TQ�O , F BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN1h, Q F MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE I' NTH '
D� N . ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF — 1 'CUT I ERMIT MANUAL
ISSUED BY, DAff NSPECTED INSPECTED BY
1/22/20099:06AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: L_a1,), CONTRACTOR: Lk}
LOCATION:_ i o nvl �V"1 .
TYPE OF WORK:_ e-A Main _211/ RCI, �
--DATE-INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: 7A P
AS-BUILT:
INPUT: G7 r1 DATE:_ "
W/2007 Town of South Windsor INPSECIJON REPORT 07
Jan. 22, 2009 7: 58AM - ----- No, 2782 P. 2� =
APPLICATION FOR STREET EXCAVATION, PERMITTOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
Permit No,
TOWN HALL.
1540 SULLIVAN AVENUE
SOUTH MNbSOR,CT 06074
FEE $26.60
'Name of Firrn Ir.
Address of Firm Z$7 Phone No._,
p i �"•
Location of proposed woti�
Desc rbe idly nature of permit requestQd
Starting da l '
Call Before You Dlg No—. ZeRg a nr �? Approx.time for completwi !�
9 Traffic Semm Contrd No,
show skakh of PmPosed work or famish
two soplam of separate dmwln8 Ir Norih This Faction�n Ih.tiller eu
• TQi >Q
Pavement Cent
I'I No,cuts
1 'Sbe of Perm.Patch(s)
Est,Pvt TI In.
EGL Unk Price S
Amt of Dspoak4-1
$
Total Due S by
dry t )cash{
s Penrtarnent patetr
No. Cuts
t P w$4 Size of Paws).
W
w ,
Amt.Due Payee
Amt Dw Town
• lay
Is reworAle for contmn
I.Mb Pofttie .and C.B,Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT pF BOND,REQ IRM AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THf*
CONNECTION WITH THIS PERMIT AND THAT I TOWN FOR MAINTENANCE OR REPAIR WOE IN
AM FAMILIAR WITH AND WILL.ABIDE BY THE RULES AND
PERMITS INEQ IN TOWN OF SOUTH WINDSOR'S STRICT CUT P RMIT MANUAL., REGULATIONS FOR
Signed• `
Date:-0, 2 Z
/09
Tltte•
Ddvet+e Limes ff:
PERMIT SHALL 138 KEPT ON J0Bwm AY ALL TIMES
Molloy, Catherine
From:. CaliCenter@CBYD2.com
Posted At: Friday, January 16, 2009 1:20 PM
Conversation: Locate Request-20090301479
Posted To: CBYD
Subject: Locate Request-20090301479
(CALL BEFORE YOU DIG - CT) 01/16/2009 13:20:05
-5G -C1 -CW -GV
-J1 �- -OT 2-SW SWINDS -T5
**** EMERGEN *****
TIME. . 9 DATE. .01/16/2009
REQUEST NO. . .20090301479
LATITUDE. .41.8656347 LONGITUDE. .-72.5653140
TOWN. . . . . .SOUTH WINDSOR *
ADDRESS. . .101 "
STREET. . . .GORDON DR
NEAREST
CROSS STREET. .JUNE DR
----------------------------------
------------------------------------
TYPE OF WORK. . . . .EXC TO REPAIR WTR MAIN BREAK-EMERGENCY
AREA IS MARKED. . .YES 1
REMARKS:
CREW ON SITE
WORKING CURB TO CURB ENTIRE STREET IN FRONT OF THE PROP
----------------
START DATE. . . . . .01/16/2009 START TIME. .13:17
CALLER. . . . . . . . . .CHARLIE PILKINGTON
CALL BACK. . . . . . .8-4:30
PHONE #. . . . . . . . .860-623-3355
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .860-786-8950CELL
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .CONNECTICUT WATER CO
ADDRESS. . . . . . . . .25 NORTH RD
CITY. . . . . . . . . . . .EAST WINDSOR
1
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
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