HomeMy WebLinkAboutStreet Cut Permits 39 Quarry Brook Drive (3) 1300013 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 02/11/2013
GIS ID: 74100039 FEE: 0.00
MUNIS APPLICATION# 201300148 - XPIRATiON-DAT_E
APPLICANT LOCATION
NAME: METROPOLITAN DISTRICT ADI2ESS: 3SQU.4RRY BROOK DRIVE
ADDRESS: 125 MAXIM ROAD (jER „D`EFRAIIZO KATHLEEN G
HARTFORD,CT 0611 3 CUARY BROOK DR
PHONE CkliTH'WINDSOR,CT 06074
WORK DESCRIPTION: REPAIR&IIJ�BAIII,IJAK „
APPLICANT AGREES TO FURNISH THE AWN OF SOUTH_���O��HI�-AMO T OF BQ�1D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN1'It XPEIISE5 III FI RE j 3 THE TO"I:6I I AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE-IPTLICAIT IS II 1 ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP Oi ST1I yVli�iDS S STRUT C1I i PRM T MANUAL.
1'1�0ir
ISSUED BY DYTE INPECi" D INSPECTED BY
2/11/2013 3:21 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
SL
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ()6D 1 i CONTRACTOR:
LOCATION:
>> III
TYPE OF WORK: (Z ' 11a -
DATE INSP NEEDED: DATE INSP: n - /
INSPECTED BY: E31>
WORK IN
PROGRESS:— 1`� X `�`�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: f�' -_ DATE: m , k�
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
. M
MD-039,Rau2/12 THE METROPOLITAN DISTRICT - PAVEMENT-CUT DATE: ,)
ADDRESS e ►`a)a) r BILL JOB O YES W�O WO#
CLOSEST STREET_ -k5q /l(� NI t
A S�
rM o� TOW NIA HIGHWAY p YES Cam, !O
t
DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN I
CROSS SECTION OF PAVEMENT __1
®STREET 5/BITUM. 0 CONC. E]PREMIX
O SIDEWALK O BITUM. '' ❑CONC. O FLAG "
OCURB LIBITUM, " OCONC. OSTONE
O DRIVEWAY O BITUM: ❑GONG.
❑GRASS LOAM&SEED NEEDED p YES Q'NO
,M
REASON FOR CUT:F, ► r t L Ii'L
V 'Q
J0. DEPTH OF EXCAVATION:
NUMBER OF CUTS: r
j DATE OF FIRST CUT' l
IS JOB COMPLEX: DYES ONO
�,.. . . u� �1 FOREMAN: -4
I REPLACEMENT PAVEMENT CONTR ,T N7�. '
BITUMINOUS O CONCRETE O PREMIX O
DATE COMPLETED: ;
ACCOUNT NUMBER: v
CALCULATIONS ,y j
N('1 r N
OF CUT ITEM ITEM# ITEM# ''
PRESS LIAR®. 3 COPIESPAVING INSPECTOR CONTRACTOR
Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Saturday,February 09, 2013 12:56 PM
Subject: Locate Request-20130700029
(CALL BEFORE YOU DIG - CT) 02/09/2013 12:56:23
-5G -C1 -GV -OT
1-SW SWINDS -T5 -W3
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***** EMERGENCY
TIME. .12:56 DATE. .02/09/2013
REQUEST NO. . .20130700029 v
LATITUDE. .41.8169876 LONGITUDE. .-72.5884262
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .39
STREET. . . .QUARRY BROOK DR
NEAREST
CROSS STREET. .ELLINGTON RD
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TYPE OF WORK. . . . .EMER WATER MAIN REPAIR
AREA IS MARKED. . .YES
REMARKS:
LOC STREET
CREW EN ROUTE
A24 ARW 02092013 1255
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START DATE. . . . . .02/09/2013 START TIME. .14:00
CALLER. . . . . . . . . .MANNY OCASIO
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
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