HomeMy WebLinkAboutStreet Cut Permits 46 Pleasant Valley Ro 1200006 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 02/09/12 ;-
GIS ID: 72900046 FEE: 00
MUNIS APPLICATION# 201200124 EXPIRATION DATE:
APPLICANT= LOCATION
NAME: METROPOLITAN DIST-RICT-= = -ADDRESS 4 EASANT VALLEY ROAD
ADDRESS: 125 MAXIM ROAD DERO ANICHOLAS L
HARTFORD,CT 061 I4 46`PLEASANT VALLEY RD
" SDIJTH WINDSOR,CT 06074
PHONE =
WORK DESCRIPTION: REPAIR ERVIC-E�LEAI� "=
APPLICANT AGREES TO FURNISH THE T'QW1T,OF SOUTH'W�NDS{1R TIDE AMOUNT CIF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-EXPENSES INCURRIyD BY-THE TOWN OR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPI CANT LS FAMILIXk WITH-AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF s6;T I WINDSR'8`STREET CUT PE ----- MANUAL.
ISSUED BY DATE 19SPECTED INSPECTED BY
2/9/2012 8:41 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:;�. 11 � CONTRACTOR: J,'n C
LOCATION: l
. .TYPE OF
;DATE INSP NEEDED: DATE INSP::1�
INSPEom BY:_L�b .
WORK IN
PROGRESS:_ %S x g -
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
'AS-BUILT:
INPUT: " DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
THE METROPOLITAN 61SSTRICT- PAVEMENT CUT DATE; v ,
BELL JOB YES❑ NOS WO#
ADDRESS '16 NAWT VAkI6-Y X
RAW SKETCH SHOWING LOCATION AND SIZE OF GUTS AND TOWN SQVM WINI FqA STATE HIGHWAY YES O NO
CROSS SECTION OF PAVEMENT CUT MADE IN
It r STREET !� BIT. CONC. X� CONCRETE ❑ PREMIX ❑
o SIDEWALK BIT. CONC. ❑ CONCRETE ❑ FLAG ❑
CURB BIT.CONC. ❑ CONCRETE ❑ STONE ❑
DRIVEWAY BIT. CONC. ❑ CONCRETE ❑
GRASS LOAM&SEED NEEDED YES O NO I
' ----7' REASON FOR CUT:_
NUMBER OF CUTS:
610 DATE OF FIRST CUT,cn
IS JOB COMPLETED: YE be NO❑
FOREMAN:_ (,�-�
°o
U
REPLACEMENT PAVEM N iT CONTRACT NO
w
�- BIT.CONC. 13CONCRETE 0 PREMIX Cl
U DATE COMPLETED:
0
ACCOUNT NUMBER: C '
CALCULATIONS
m OF CUT ITEM ITEM ITEM# 1TEfN#
r-4 I
0
CV
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W
LL
PRESS HARD, 3 COPIE P vINCi IPISP. OPEI;ATIONS UTILITY SERVICES CONTRACTOR�ORIC:IIVAL) (WHITE) (WHITE) (YELLOW)
r
Molloy, Catherine
From: CallCenter@CBYD.com
Posted At: Friday, February 03, 2012 7:01 PM
Conversation: Locate Request-20120600002
Posted To: CBYD
Subject: Locate Request-20120600002
(CALL BEFORE YOU DIG - CT) 02/03/2012 19:01:00
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***** EMERGENCY *****
TIME. .19:00 DATE. .02/03/2012
REQUEST NO. . .20120600002
LATITUDE. .41.8214487 LONGITUDE. .-72.6152097
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .46
STREET. . . .PLEASANT VALLEY RD
NEAREST
CROSS STREET. .MAIN ST
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TYPE OF WORK. . . . .EMER WATER SERVICE REP
AREA IS MARKED. . .YES
REMARKS:
LOC IN ST
CREW EN ROUTE
A24 JMM 020312 1859
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START DATE. . . . . .02/03/2012 START TIME. .20:00 CALLER. . . . . . . . . .EDWIN RUIZE pej
CALL BACK. . . . . . .ANYTIME
PHONE #. . . . . . . . .860-278-785OX3600
FAX #. . . . . . . . . . .860-550-7961
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .METROPOLITAN DISTRICT WATER
ADDRESS. . . . . . . . .125 MAXIM RD
CITY. . . . . . . . . . . .HARTFORD
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06114
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EXCAVATOR DOING WORK. .SAME AS NOTIFIED
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:
I