HomeMy WebLinkAboutStreet Cut public utility 63 Timber Trai 1000103 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER _ STREET CUT PUBLIC UTILITY
DATE: 06/17/10 � pre-
GIS ID: 89700063
MUNIS APPLICATION# 201000740 FEE: .00
may , MMVIRATION DATE:
APPLICAN 4`
NAME: CONNECTICUT WA s LOCATION
vim _ ER TRAIL
ADDRESS: 25 NORTH ROAD TIM
r �AI I PETER J&KAREN J
EAST WINDSOR,CT08s yQ �� TIMBER TRAIL
�A�.JT SOR,CT 06074
PHONE 860-623-3355 �
WORK DESCRIPTION: REP _ FI
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APPLICANT AGREES TO FURNISH THE TW��� TIs
$ ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI �:1_ -ICU § VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE P iV I L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFF SU MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
6/17/20109:05AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO,: D� CONTRACTOR: C
LOCATION: ��
TYPE OF WORK: 1l(l'e
DATE INSP NEEDED: DATE INSP: Z �e
INSPECTED BY: 13�a
WORK IN
PROGRESS:_ �,J G/�C bs,,.+L o r)a►� o� R� y� ���`
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED n YES ❑ NO
AS-BUILT:
INPUT:_ r" ` DATE: 7✓/ (/
W12007 Town of South Windsor INPSECfION REPORT 07
1X/13/ZU05 TUE 5:33 YAR M 544 7180 South Windsor Town fia1l W[UUz/UUY
APPLICATION FOR STREET EXCAVATION PERMIT J ao/
TOWN OF SOUTH WINDSOR Pemrtit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL,
1540 SULLIVAN AVENUE
SOUTH WINbSOR,CT 06074
FEE $25,00
Name of Finn_ ���.. Phone No.
Address of Firm 2S �o �n �'
Location of Proposed W
Describe fully nature of permit requested
Starting date G i� o Approx time for cotnptetion G�v/,y
Call Before You Dig Na .2010.2 ea vov Traffic Services Conirot
Show sketch of proposed Mrk ar famish
two copies of separate drawing IF403te North This section to be#filed oUtbv
TMM of gmgh'yUndsor,
Pavement Cut
�3 No.cuts
r
Est'Size of Perm.Patch(s)
Est.PVL Thickness"in.
Est.Unit Price$
Amt of Deposit$
TO(W Due by
` ( )Cash( )Check#
I I nTrrs . CxC.aV��ionJ Permanent Patch
No. Cuts
Size of Paws).
Ti v�R,Yu2rZ 7 Final B[Tu�g
�. A+nt,Due Payee
Amt.Due Tbm
/��rtr� Wed DPE:�oG�i9r[f� �
AO
' ,Cl,�• lsl�5` Goanr�'s�E c4 '
- I3y
Pn�is re risible fnr contimbn
floe Police De t.and C.B.Y.D. Mito
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 AN OR REIMBURSE
EPAIR WORK [N
CONNECT1pN ffH THIS PERMIT Al1p T}Ip,7!AM FAMILIAR WrTH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS T INED IN TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL,
Signed-
Ttlfe-
Drivees Ulcense A
PERIVIrr SHALL BE KEPT ON.IOBSrrE AT ALL'TIMES
Z 'd t�6S 'ON u012ad uaaHIAON aajq 10 Wd6S 0[0Z 9[ 'U0r
Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Wednesday, June 09, 2010 1:39 PM
Conversation: Locate Request-20102402400
Posted To: CBYD
Subject: Locate Request-20102402400.
(CALL BEFORE YOU DIG - CT) 06/09/2010 13:38:47
-5G -C1 -CW -GV
-OT 4-SW SWINDS -T5
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***** ROUTINE *****
TIME. .13:38 DATE. .06/09./2010
REQUEST NO. . .20102402400
LATITUDE. .41.8305200 LONGITUDE. .-72.5410475
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .63
STREET. . . .TIMBER TRL
NEAREST
CROSS STREET. .SCOTT DR
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TYPE OF WORK. . . . .EXC TO REPLACE FIRE HYDRANT
AREA IS MARKED. . .YES
REMARKS:
WORKING IN THE FRONT OF PROP IN A LOFT RADIUS OF EXISITING HYDRANT
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START DATE. . . . . .06/14/2010 START TIME. .08:00
CALLER. . . . . . . . . .CHARLIE PILKINGTON
CALL BACK. . . . . . .8-4:30
PHONE #. . . . . . . . .860-623-3355
FAX ##. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .CONNECTICUT WATER CO
ADDRESS. . . . . . . . .25 NORTH RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
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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