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HomeMy WebLinkAboutStreet Cut Permit 203 Woodland Drive 900004 TOWN OF SOUTH WINDSOR, CT PFFRMIT�NUMBER ' STREET CUT PUBLIC UTILITY DATE: 02/09/09 tt� t41 GIS ID:96900203 ` { MUNIS APPLICATION# 200900076 ;` Y FEE: 00 F NRATION DATE: APPLICANT " J.1.1 ' >` £• NAME: CONNECTICUT W C .. LOCATION o R WOODLAND DRIVE ADDRESS: 25 NORTH ROAD , g { RBVOANIEL R JR&SHIRLEY A kj EAST WINDSOR,Ct g� ,$�� E LAND DRIVE # PHONE 860-623-3355 ' �°0 H VINDSOR CT 06074 � €" � .��. �,� ""�' � ,, s, t � WORK DESCRIPTION: APPLICANT AGREES TO FURNISH } THE 1 THE TOWN OF SOUTH WINDSOR FOR © �REQUIRED AND TO REIMBURSE C AN CONNECTION WITH THIS PERMIT AND WOMAINTENANCE OR REPAIR WORK IN THE PL G T T FOR PERMITS AS OUTLINED THE OWN OFTILL ABIDE BY THE RULES AND REGULATIONS . .. .: x IT MANUAL. I SUED B°Y DATE SPECTER INSPECTED BY 2/9/200911:56AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRAC TOR: iov� LOCATION: a 0 UD 06 c�1, TYPE OF WORK: - yyi ( vA �a DATE INSP NEEDED: DATE INSP: � INSPECTED BY: WORK IN PROGRESS: Z4dim << AS-BUILT: INPUT:__LVv_\._ _ DATE:_ - 9-D l W{2007 Town of South Windsor INPSEMON REPORT 07 "Feb, 9. 2009 11 ; 27AM" CT Water Northern Region" ' wn No. 0169 P. 2 `j°°zl0°` APPLICATION FOR STREET EXCAVATION.PERMIT TOWN OF SOUTH W(NDSOR Permit No. PUBLIC WORKS DEPARTMeNT TOWN HALL 1640 SULLIVAN AVENUE SOUTH ININDSOR,CT 06074 FEE $25,00 ' 'blame of Finn -r- 2 Phone No. Address.of Firm 2 5- a 4 rrtns Location of proposed work ao 3 CJ,n�p Sz Describe fully nature of permit requested �' * ,t-�- rve Starting date 2 131 } Approx.time for completion ,Zl5l Qs Call Before You Dig No :2 Traffic Services Control No. Show SEtetch of proposed work or famish two copies of separate drawing [rite NlorlhF on to befitted ut 6v of SouthWut EsL'Size of Perm-PaWs) OAK- Est Pvt Thickness in. EsL Unit Price$ . Ant:ofi Qepas�'t 3 Total Due$ by - Ar2CX� ors Cash( )Check 9 8'x r 2' - Penwaneat Patch I�(�tYl. Na. Cods Size of Pafrd(s) N Final Barm Amt.Due Payee 9 $- Amt.D'ue Town Ap •cant is a Me for cQnkKftq the police Land B.Y.D. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND.REQUIRED AND TO REIMBURSE THl' TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN'FOR MA1NTENANCI= OR REPAIR WORK-IE CONpVECT10_N WITH THIS PERMIT AND THAT 1_AM-F'AMIL-1WWrM AND-WILL ABIDE-BY THE RULES AND REGULATIONS FOR - FERMCt VNED IN THE;TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL ZZe Signed' pate: a2 Tide; . ' Driver's License#; PERMIT SHALL BE KEPT ON JOBarm AT•ALL TIMES Drabek; Bernard From: CallCenter@CBYD2.com Posted At: Tuesday, February 03, 2009 10:31 PM Conversation: Locate Request-20090600625 Posted To: CBYD Subject: Locate Request-20090600625 (CALL BEFORE YOU DIG - CT) 02/03/2009 22:31:18 -5G -Cl -CW -GV -OT 1-SW SWINDS -T5 -----------------------------=-------------------------------------------- ***** EMERGENCY ***** TIME. .22:30 DATE. .02/03/2009 REQUEST NO. . .20090600625 LATITUDE. .41.8292253 LONGITUDE. .-72.5093414 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .203 STREET. . . .WOODLAND DR r; ... NEARESTt. CROSS STREET. .OAK ST -------------------------------------------------------------------------- TYPE OF WORK. . . . .EMER WATER MAIN REPAIR AREA IS MARKED. . .YES REMARKS: LOC CURB TO CURB AND TO HOUSE CREW EN ROUTE A24 ARW 020309 2229 -------------------------------------------------------------------------- START DATE. . . . . .02/03/2009 START TIME. .23:00 CALLER. . . . . . . . . .CHARLIE PILKNINGTON CALL BACK. . . . . . .ANYTIME PHONE #. . . . . . . . .860-786-8950 FAX #. . . . . . . . . . . ALT. PHONE #. . . . 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_/_T-IME-ARRI-V_ED-:- -_-_------T-I-ME- LE-F-T-:- - - - ---COM-P--LE-T-E-D- BY-:-- CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: PERSON CONTACTED: PERSON CONTACTED: 1 r, « c. •' eta." y � y „4 s y � q -.�4 .X _ �.r en� 77 a r. dig 4"' ;Y. E° s-. - st•k ti� 4 '..�r'f`'�D 1 a �,� w '�;"""- `, _�'b+"i `fir, `�'""''•�`�� �ti'1r- ��� w y • s', AN _ .2 t. m a ' .._.4 t. 1 BB 4 � a� •- � ,.W ^ {f '� s' y�{'�� y1M1i�\m' ski` f 'J .:,' ..yam ♦ v, .i• � 3�, `YJd'. r , • .�i y4♦ 'Y - yWl � n � �� � ,- .. !� *..}Y�IY+A''iy , � �.,��y,m!d^'Yry� s r w. w. a _ i • a5 -r r s'�"�.,Kgr- + a;^ +1 „g�`h ,,,�,; '-w:f:I': g,r� ,. �,�q� �a'�.s �. � •a. r, "+ �3g�.+f.Y '"`:'�M ���� _ `0.°R � �j `], v"�� �'.#!4f"� /' r♦ µ." �,..v.,, Y .F p,��p ��,., _ .'�"''e ky^.i S s 4py��'�: �' 10'�f 1� �y♦��'�q .,lVi� .,�f��� �'� :J', � �:.'W'. ` 'rl,:'d