HomeMy WebLinkAboutStreet Cut public utility 135 Valley Vie 1000009 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
-� STREET CUT PUBLIC UTILITY
DATE: 01/21/10 6
GIS ID: 91200135
FEE:
MUNIS APPLICATION# 201000055 —s .00
RATION DATE:
APPLICAN LOCATION
NAME: CONNECTICUT WA I
ADDRESS: 25 NORTH ROAD sor
Y — S• V EY VIEW DRIVE
ALBERT&DONNA
EAST WINDSOR,CT 8�
_ Y
— � 1 EY VIEW DRIVE
PHONE 860-623-3355 O SOR,CT 06074
WORK DESCRIPTION: EME
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APPLICANT AGREES TO FURNISH THE T (}
THE TOWN OF SOUTH WINDSOR FOR ANY ND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE `�. � U - FO. AINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OF S� sI ILL ABIDE BY THE RULES AND REGULATIONS
�. UT- IT MANUAL.
Kko 110
ISSUED BY
DA INS ECTED INSPECTED BY
1/21/20103:56PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
---------- ------------------- -------------------------------------
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00000 j' CONTRACTOR: C W
LOCATION:_ 35r Q I le U 0 T e o
TYPE OF WORK: e f7 Mal in f t ( (�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: t3 D
WORK IN
PROGRESS:__- f_b'l4'w_Gq6/ a l Z C
24
C.Eiif
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: CJv DATE: 1 "
W/2007 Town of South Windsor INPSECTION REPORT 07
Jan, 21, 2010 3: 07PM—CT Water Northern Region No, 4278 . P, 1
Post-IV rax We 7671 ""d Z� i 6 p"ages► /
TC '° Fro �Au/ w� gEET EXCAVATION,PERMIT l 00000 9
co.roepi.� e 4 e- F SOUTH WINDSOR !`�"
Phone# Phone# !ORKS DEPARTMENT permit No.
Fax# 60 Ca -7P iPd Fax# f OWN EIALL
ULLIVAN AVENUE
)VINbSOR,CT 06074
PEE $25.00
' Name of Firm �a,c)NPa 7` I ��� Phone No Sria -G a 3- 33.53'
Address of Firm . Z A_ .,tt4, iQo 3 9
Location of Proposed work /.AS-
Describe fully nature of permit requested
Starting date IlAol.,o Approx.time for comp►etlon Al a.u:lb
Cali Before You pig No, Traffic Services Control No. .5"P.o
Show sketch of proposed work or Mumish
two copies ofseparat drawing Indleats North This section to be fllfed out by
24wn of Sauth'Wlndsor
Pavement Cut
No.cuts
Est:Size of Perm.Patch(&)
re Est.Pvt Thiclmew in,
35' Est.Unit Price$
r Amt.of Deposit
Total Due$ _
by
( )Cash( )Check#
pennanent Patch
No. Cuts
Slze of Patctl(s),
Final BiA(ng
Amt,tXe Payee
✓f}LG�y ✓I FW Amt.due Town
Applicant Is resoanql6iA for contactin .
the POlice Dept,and C.B.-Y.D.
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 PERIGIITAND THAT GAM FAMILIAR WITH AND WILL ASIDE By THE RULES AND itEGULATIONS FOR
PERMITS AS OUTLINED IN TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Sig ed• Date• �l
Trtle; e� Driver's License#f:
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES
�, f a P�
4/0 o� C�o Se �
g� a -7:/3 y.h
Drabek, Bernard
From: CallCenter@CBYD2.com
Posted At: Wednesday, January 20, 2010 9:23 AM
Conversation: Locate Request-20100400836 � z
Posted To: CBYD
Subject: Locate Request-20160400836
(CALL BEFORE YOU DIG - CT) 01/20/2010 09:22:38
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-OT 1-SW SWINDS -T5
-------------------------------------------------------------------------6
***** EMERGENCY *****
TIME. .09:21 DATE. .01/20/2010
REQUEST NO. . .20100400836
LATITUDE. .41.8334607 LONGITUDE. .-72.5395178
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .135
STREET. . . .VALLEY VIEW DR
NEAREST
CROSS STREET. .FELT RD
--=---------------------------------------------------------------------- t
TYPE OF WORK. . . . .EXC TO REPAIR WTR MAIN BREAK -EMERGENCY
AREA IS MARKED. . .YES
REMARKS:
CREW ON SITE
WORKING IN THE STREET IN FRONT OF THE PROP
--------------------------------------------------------------------------t
START DATE. . . . . .01/20/2010 START TIME. .09:21 . in6) 1-di-
to
CALLER. . . . . . . . . .PAUL LOWREY >( 3 q
CALL BACK. . . . . . .8-4:30 /`
PHONE #. . . . . . . . .860-623-3355
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .860-944-9655CELL
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .CONNECTICUT WATER CO
ADDRESS. . . . . . . . .25 NORTH RD
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:
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