HomeMy WebLinkAboutStreet Cut Permits 108 Tallwood Drive (2) 1.400237 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/08/2014 AA
GIS ID: 89100108 FEE: 0.00
MUNIS APPLICATION# 201401094Fyr r FPIRATION DATE:
APPLICAN LOCATION
NAME: CONNECTICUT WAR CQIVIAN`SY y ADDRESS �0�$TA LWOOD DRIVE
ADDRESS: 25 NORTH ROAD ` °C3VNER f r zCCAl~ REY WILLIAM S
EAST WINDSOR,C l gTAIJ WOOD DRIVE
I ,. VINDSOR,CT 06074
PHONE 860-623-335510,15
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WORK DESCRIPTION: ! ` ° ��h f , w y
. ltSIN 9 F1.21.(c!' f� 4010
APPLICANT AGREES TO FURNISH THENOvF`SQUk 1NI� {) �IE1vIOL7T��135ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR 1KP,FIVE ;I1IG�IRR)p B i�TI �TQQ TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T APzI Ali IDS PAIy�ITIAItTITD W,`L ABIDE'BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE 1 OWNrsuly I W D TC`UT P IT MANUAL.
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ISSUED BY DATE"-I MECTED INSPECTED BY
8/8/201410:33AM *** PERMIT TO BE KEPT ON .COB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 126012 CONTRACTOR: W
LOCATION:- 1-13 `�' °l°�-wal)J __.
TYPE OF WORK: ! '-� 2. c�" i,A3c
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: L
WORK IN
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PROGRESS: �- �. a 2e � r a A" C�6 �
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L DATE:
S/2014 Town of South Windsor TAIPSEMON REPORT 14
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APPLICATION FOR STREET EXCAVATION.PERMIT
TOWN t)F SOUTH WINDSOR '"" "'�
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PUBLIC WORKS DEPARTMENT Permit Nd.
TOWN HALL
1640 GULL
IVAN AVENUE
SOUTH WINbSOR,;,CT 06'074
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FEE $23.00
Address of F .. - °
Ph ne No
77
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two copies of s.00 ' Ite drawing indicate-.North
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t CJI WfiF i RI HrS A It 'At�tD THffi[AM•1rf MILJAR!IU'i ii Ault WILL A> tDE i THIk Rt1 FAKE` t3UiRATt4 iti IcOR:
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PERMIT SHALL 13E KEPT ON J013SME AT ALL TIMES
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CONNECTICUT WATER COMPANY
EARLY WARNING AND EMERGENCY RESPONSE NOTIFICATION
To be used for early warning notification,to report an interruption of service or other emergency.
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Eric Thornburg, Maureen Westbrook,Craig Patla,Art O'Neill,Dan Lesnieski,Dan Meaney,John King
Paul Andrews,James Casagrande,Pat Corbett,David Hines,Clifford Green,Paul Lowry,Michael Mastropietro,
Walt Miezejeski,Gerry McDermott,Pete Pezanko,Charlie Pilkington,Jeff Racicot,Reed Reynolds,Bob Ross,
Don Schumacher,Robert Sehl,Matt Stosse
Cindy Gaudino(spills only),Di ti Shah,Steve Melanson,Dave Radka,Pete Ranslow
Central CS, Catherine Bokus,Laurie Felleman,Jayne Hebert,Liz Johnson,Genny Jones, Josephine Lingua,
Patricia Pliszla,Cheryl Waterbury,Melissa Wilcox
Completed by:
Reverse 911 Notification Used? ❑Yes ®No *PURA Notification Required? ❑Yes ®No
See PURA Notification Requirements
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Nil I�7f1a�l 4`�llllt down j$t(iill
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Nature of Emergency EmeEgency and Response Actions:
Additional Details/Information: Customers may experience discolored water due to this activity.
Estimated Lost Water(Gallons): 50,000 gallons
"Must provide information to state agencies for outage impacting 50 or more customers or duration of >4 hours
Outside Contacts by Region Office as necessary): Indicate name of contact and any notes:
Town CEO(s)Town Manager
Public Works Director/Town Engineer
Public Safe -Local Dispatch,Police,Fire
Local Health Departments
DEP Spill Unit(860-424-3338)
State Health Department:
Email all: michael.ha ege@ct.gov, david.coole r a,ct.gov, tlioinas.chyra@ct.gov
Phone-Normal Business Hours: 860-509-7333
Outside Business Hours: 860-509-8000 (includes weekends and Holidays
PURA Engineering Related
E-mail all: karl.bakergpo.state.ct.us, geoige.denninar}n•no.state.ct.us, linda.king-corbin a-po.state.ct.us.
maria.szulna�po.state.ct.us
Phone-
Normal Business Hours:Call the following Engineering staff in sequential order until reach someone:
(1)George Denning,Engineer,860.927.2876,ge9Lrge.denning@po.state.ct.us
a po.state.ct.us
(2)Linda King-Corbin,Engineer, 860.827.2817, linda.kin -corbin&po.state.et.us
(3)Maria Szul,Engineer, 860.827.2815,maria.szul@j2o,state.ct.us
(4)Karl Baker,Interim Engineering Supervisor—860.827.2661—karl.baker@po.state.ct.us
Outside Business Hours: Karl Baker,Interim Engineering Supervisor—860.827.2661
PURA Consumer Related Matters:
Maureen McCaffery,Rate Specialist,860.827.2644, maureen.mccaffery@po.state.ct.us
Alan Bouchard,Associate Rate Specialist, 860.827.2885, alan.botichard@po.state.ct.us
Outside Contacts or Follow Up from Clinton(as necessary):
❑ DPH ❑ Local Health ❑ Direct Customer Notice ❑DEP
❑ PURA ❑ School Superintendent ❑ CentraI Customer Service
❑ OCC ❑ Media ❑ PSL Customers