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HomeMy WebLinkAboutStreet Cut Permits 11 Beldon Road 1800162 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 10/25/20I 8 GIS ID: 09300011 FEE: 50.00 MUNIS APPLICATION# 201802108 EXPIRATION DATE: 10/25/2019 Awl s APPLICANT ;LOCATION NAME: METROPOLITAN DISTWT f ADI}ftES .41 I aBELDQN ROAD 21 ADDRESS: 125 MAXIM ROAD f OWNER ED ImbHRISTOPHER M r 1 BI� DO�T ROAD HARTFORD,CT 06114 PHONE C WORK DESCRIPTION: 8"MA 'IP LEAK Y '� 4 APPLICANT AGREES TO FURNISH THE T WIN CIE SOUTL1 W"IR71��t�R��E AM�}UNT 0�13;Q4V REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY 19 S Th( URRI b�Y THE TOWN F iV A1NTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THEAI'PICANT IS FAMII,AR WITH AIIL WTI 't1BIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN Ol"SOUTH DS '.S STREET CCI IPERM ANUAL. ,. l ; ISSUED BY DATE XNSPECTED' INSPECTED BY 10/25/2013 1:06 PTA *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** yls 49 f ., \ tom* 3 i 4 S ----------------- gg -ti t t V 1 r- 4 4F � 4 - ..yi4 TOWN OF SOUTH.WIN. DSOR INSPECTION REPORT wi PERMIT NO.: CONTRACTOR: LOCATION: L TYPE OF WORK*, G- DAli INSP NEEDED: DATE INSP:. t4 INSPECTED BY: ,_ WORK IN PROGRESS: S �r ''V)`` ! ✓�` SEPTIC TANK PUMPED SMASHED. FILLED WMESSED [:]-YES NO" AS-BUILT: ' INPUT: DATEs.: I + S/moifoy/fromzs 2014 To=of Soulh Windsor"INS&M614 iWEfrbt714 MD-M,Rev 2112 THE METROPOLITAN DISTRICT-PAVEMENT CUT DATE: � ADDRESS l .: ..—_BILL JOe; d yp O WO#� GLOS11EV STREET . f od TOWN. . . fr $1ATE HIGHWAY ❑YSS DFIAIN.SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CLF f MADE IN CROSS SECTION OF PAVEMENT ^� p QONG, 0 PREMIX I ❑SIDEWAV ❑BITUIVI,." OGONC. 0F'LAG.: _" k ` t OCURB OBITUM, ❑.GONG. ❑STONE L I ❑DRIVEWAY ©BITUM.. ❑:GONG. O BRASS LOAM&SEED:NEEDED ❑YES it*16 REASON FOR•CUT, 8 nrfwk�]t E'� DEPTH OF EXCAVATION:, NUMBER OF CUTS; { DATE OF FIRST CU.T IS.JOB COMI'1.ETED C'i'v'E g ❑NO 1 FOREMAN: {Iof4) REPLACEMENT PAVENIENOIdTRAOT_NU.; c BITUMINOUS 0 CONCRETED PREMIX 0 DATE COMPLETED: ACCOUNT NVMBERi CST CALCULATIONS OF CUT. 1TF.�t 1IS60 . 1? IIF�d> r PAVIry lR'NPE TOR C000'Y► Molloy, Catherine From: callcenter@cbyd.com Sent: Friday,August 03, 2018 6:18 PM To: C BYD Subject: Locate Request-20183200016 Attachments: 20183200016.PDF Importance: High (CALL BEFORE YOU DIG -CT) 08/03/2018 18:15:20 -5G -C1 -F5 1-SW SWINDS -W3 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY*** ***** EMERGENCY***** TIME..18:15 DATE..08/03/2018 REQUEST NO...20183200016 LATITUDE..41.822771 LONG ITU DE..-72.588685 TOWN......SOUTH WINDSOR ADDRESS...11 STREET....BELDON ROAD N EAR EST CROSS STREET..ELLINGTON RD -------------------------------------------------------------------------- TYPE OF WORK.....WATER MAIN REPAIR MACHINE EXC AREA IS MARKED...YES REMARKS: DIGGING IN ROADWAY PLEASE MARK OUT CURB TO CURB 75' IN ALL DIRECTIONS -------------------------------------------------------------------------- STARTDATE..:...08/03/2018 STARTTIME..19:00' CALLER..........MS MARY VASQUES CALL BACK....... PHONE#.........860-278-7850,3600 FAX#...........860-527-5158 ALT. PHONE#.... EMAIL ADDRESS...DISPATCH ER@THEMDC.COM CONTRACTOR......M DC 1