HomeMy WebLinkAboutSewer Installation Street Cut Permits Ab 800109 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 07/02/08 "",:>:;;:,>>;;>:
GIS ID: 00609999
MUNIS APPLICATION# 200801005 ` FEE: 25.00
' EIRATION D. ATE: 07/02/09
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PLICANT PL I C A N T
<LO A TI O NNAME• SIMFT ECHO FA�N :
ROAD
ADDRESS: P O BOX
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SCRIPTION:
S RIP T IO N•
• S T RED
E C.UT:` O < _.:
WORid. '6 1, DYER MAIN
:SU:I�D� �S���I B I�<I�T 7!T.A TQWN PATCH
APPLICANT AGREES TO FURNISH THE TOWN
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THE TOWN OF SOUTH WINDSOR FOR ANY:.EANSINC `" � OF U<QNIJ`REQUIRED AND TO REIMBURSE
<, ' 'O�"F0�2;.:MANTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH `:AI'PLICA ?: °rSFr Et ABIDE BY THE RULES
FOR PERMITS AS OOUTLIINNEDI IN THE TOWN OF''SCJI T I`Wes:` > T U F 'EI21kITT'TvIANUAL. LES AND REGULATIONS
ISSUED BY
DATE°IId :F' Tb INSPECTED BY
7/2/20083:58PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: s 00 I o � CONTRACTOR: S i vy�S c Co
LOCATION:_ lA I Q
TYPE OF WORK:_ 5�-` �q o,
DATE INSP NEEDED: DATE INSP: ( G 0
INSPECTED BY:
WORK IN
PROGRESS: C�.4, o r Le-
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INPUT: C DATE: u " 17 _ 0 9
W/2007 Town of South Windsor INPSECTION REPORT 07
1:. APPLICATION FOR STREET EXCAVATION PERMIT 900/C r]
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL .
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm Vas Phone No.
Address of Firm r ` l lk p., Zip Code 06�:)7e-,—a5-9i
Location of proposed work ILL
Describe fully nature of permit requested � p ex r, h
Starting date _ —0 Approx.tilme for completion L4'
Call Before You Dig No. —
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing 6"A Indicate North Town of.South Windsor
No.cuts
Est.Patch Size(s) sf
Est.PvL Thickness in.
Est.Patch'Unit Price
W r S� JW Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$. fft
Est.Curb Cost$.
Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
Amt.of Deposit$
J Total Due$
( )Cash ( )Check#
i
Applicant is rensible fo contacting Paid By
the Police Dept.and C.S.Y.D.
AGREE TO FURNISH �iO 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 WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITSIMN7TOWN OF INDSOR'S STREET CUT PERMIT MANUAL.
Signed Date:
Title: Driver's License#:
PERMIT SHALL E KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc
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Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Friday, October 24, 2008 11:12 AM
Conversation: Locate Request-20084303141
Posted To: CBYD
Subject: Locate Request-20084303141
(CALL BEFORE YOU DIG — CT) 10/24/2008 11:12:04
—5G —C1 —CW
—OT 3—SW SWINDS —T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE
TIME. . 11:11 DATE. . 10/24/2008 a;
REQUEST NO. . .20084303141 ✓ ( ��f(
LATITUDE. .41.8577447 LONGITUDE. .-72.5408115
TOWN. . . . .SOUTH WINDSOR
ADDRESS. . .190
STREET. . . .ABBE ROAD
NEAREST \ e f
CROSS STREET. .FOSTER STREET �/� D
-------------------------------------------------
TYPE OF WORK. . . . .ROAD REPAIR m
AREA IS MARKED. . .YES
REMARKS:
FIXING SEWER LINE
----------------------------------------------------------- -- ------
START DATE. . . . . .10/29/2008 START TIME. .07:00 M
CALLER. . . . . . . . . .KAREN
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-623-2526 1 Of
FAX #. . . . . . . . . . .860-623-2529
ALT. PHONE #. . . . `1" ,�1GtA
EMAIL ADDRESS. . . V
CONTRACTOR. . . . . .BOUTIN & SONS CONSTRUCTION CO. `AA
ADDRESS. . . . . . . . .121 WINDSORVILLE RD ,� �J
CITY. . . . . . . . . . . .BROADBROOK
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06016
---------------------------------------------------------- ---------------
EXCAVATOR DOING WORK. .BOUTIN AND SONS
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: f� 7
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: f �v
PERSON CONTACTED: PERSON CONTACTED:
1