HomeMy WebLinkAboutStreet Cut Permits 131 Pine Knob Drive (2) 1300228 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/29/2013
GIS ID: 72000131 FEE: 0.00
MUNIS APPLICATION# 201301239 EXPIRATION DATE:
APPLICANT, - LOCATION
NAME: CONNECTICUT WATAR-Q-04PAN DDRES 13
-FTIN1KNOB DRIVE
ADDRESS: 25 NORTH ROAD �IER� RLMEO WILLIAM &
EAST WINDSOR,CT-.W--
3 L 111 KNOB DRIVE
iki V4'INDSOR, CT 06074
PHONE 860-623-3355 1 7 1
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WORK DESCRIPTION: REPI10I¢LEta
I NG V �R�RF '
APPLICANT AGREES TO FURNISH THE TI)WX-_O1k (UTI I T� MO pF 0- D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AAU--�ENP S TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THL P I BAN LIS I 1 1 W T I ANI WIk ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN O T MANUAL.
ISSUED BY DAT III ACTED INSPECTED BY
8/29/2013 8:52 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: O®0'a ' CONTRACTOR: s (�, •
LOCATION: n e no
TYPE OF WORK: �� f� U/'ce
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: R"D
WORK IN
PROGRESS: A S ' .C C o n t2 -Fy r
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WIIt bSOR,CT 06074
FEE $25.00
'Name of Firm C ", Lc?t��'ct�i2_ C� Phone Boo. 8�- ZQ2- Z8�c�'
Address of Firm.. Z5 m r�
Location of proposes(worts f a t `tic n 13
Describe fully nature of permit requested_ A4/9 --
Starting date ` 8127 l-3 Approx.time for completion 8 t Z41 13
'Call Before.You Dig No. 20 t 3 3 So 2 3+q Traffic Services Control No.
Show sketch of proposed work or furnish
4wo copies of separate,drawing Indicate North Psi sectionobe ffed out b
Town ofSouth'WSndsor
Pavement Cut
No.cuts ,
Est:Sizeof Peary.Patch(s)
t3 I
IL Est Pvt Thickness in.
Est Unit Price$
���� ant of Deposit�
J �• Total Due by
1
( )Cash( )check# '
lour-IfS Of% 6l�•f�``�``c Pry
Penwnent Patch
L-XC.I�Yr??iDh1
g` No. cuts
Size of Patch(s)
• '• dud/20�C LDCl.��iar� ,
t D� il1Q/!S/>�f LJIr!
`- Final Bilro
Amt Due Payee
O'
Amt Due Town
By
Applicant is responsible for contactor
the Police De t and CB Y.D. Date
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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS O INED IN OWN OF SOUTH WINDSOR`S STREET CUT PERMIT MANUAL.
Signed: -
Date: 13 _
Title* Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITIE AT ALL TIM' ES
Molloy, Catherine
From: CallCenter@CBYD2.com
Sent: Wednesday, August 28, 2013 1:30 PM
To: CBYD
Subject: Locate Request-20133502344
(CALL BEFORE YOU DIG - CT) 08/28/2013 13:29:39
-5G -C1 -Cw -OT
11-SW SWINDS -T5
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***** EMERGENCY *****
TIME. .13:29 DATE. .08/28/2013
REQUEST NO. . .20133502344
LATITUDE. .41.8344521 LONGITUDE. .-72.5097418
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .131
STREET. . . .PINE KNOB DR
NEAREST
CROSS STREET. .MURRAY
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TYPE OF WORK. . . . .EXC TO REPLACE WATER SERVICE
AREA IS MARKED. . .YES
REMARKS:
WORKING CURB TO CURB & INTO THE FRONT OF PROP
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START DATE. . . . . .08/29/2013 START TIME. .08:00
CALLER. . . . . . . . . .CHARLIE PILKINGTON
CALL BACK. . . . . . .8-4 :30
PHONE #. . . . . . . . .860-292-2810
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .860-786-8950
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:
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