HomeMy WebLinkAboutStreet Cut Permit 20 Scott Drive (2) 1000010 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 01/25/10 �'
GIS ID: 81600020
MUNIS APPLICATION# 201000063 � � = FEE: 25.00
y RATION DATE: 01/25/11
PER
APPLICANT s
; � Uh
NAME: CONNECTICUT CAB Ej p�S & T" s LOCATION
ADDRESS: P O BOX 159 Jr "RFI SCOt DRIVE
yY`VIARY LYNN&
MIDDLEFIELD,CT �. �
to 71 Q
11 � � � ��=SGQI DRIVE
PHONE 860-349-1807
JTTfWhNDSOR,CT 06074
WORK DESCRIPTIO
N: DIG T
ACar
APPLICANT AGREES TO FURNISH THE T�, ��
��F u-THA 'B D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI
rcVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE t 'PL I
S`
FOR PERMITS AS OUTLINED IN THE TOWN OF TT n- KA L ABIDE BY THE RULES AND REGULATIONS
4 S STD BUT j? IT MANUAL.
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ISSUED BY
DAT INSPECTED INSPECTED BY
1/25/201011:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /006010 CONTRACTOR: lfOrI�T,
LOCATION: "—T='S cI �S'co71' Dk4
TYPE OF WORK: 14 Tt r sC5 lreo/
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
o" ( I
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
a ®la�o, � - APPLICATION FOR STREET EXCAVATION PERMIT /OWO/D
--_Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm 4 0?66 'e e �- MGt�nl`T -,-V* Phone No. E*Q o?3� 3 fS.3
Address of Firm 3T4,44 OLM Ag7g5S R {,eld C° Zip Code t S
Location of proposed work a1T D
Describe fully nature of permit requested Q i� 'To Loc 'r T- lgur►a C*4SlC
Starting date LO Approx.time for completion ..So
Call Before You Dig No. OM a O40 l3Cot�o
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
see No.cuts
0 Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
4 Est.Patch Cost$
C�() Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
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 WITH T IS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT O N IN WN OF SOUTH WINDSOR'S STREET CUT 1P RMIT MANUAL.
Sig ne( " Date:
Title: Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08
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O31oio2SEE PRINT 14 45CG 514') 1968 20 2C
KTS-50 A+5C 401 KTS 1 0') 1992
11 45C) 1453') 1968 3006, 701-725 3006, 801-850 1 SPECIAL
3006, 851-900 16 Ld 6 FTVL-200 3006, 851-900 N
O p��• F 120 A �5C1 1443') 1989
G� 6 BHGNA lOERING A FILLED 16 22CS 655') 1992-50 (3006, 901-850) SAME, 1 TTN AERIAL
MINAL CIRCU(fS
O�O� C 1 FTTN REPLACE yy BURI 12 m 14 Z M 3006, 801-850 <3006, 851-900> 7, 851-90p�,O Aas ; 6203 N
y1^^y z — '`�,C � FORWARDED
O� �} F r y S. �o^m'oa _ �-"�- C7
Ojf ^ 1 RE-ENT G A FILLED •OE. wiy^ ,rom�m _ ❑ ( l D R PE1601 j0 P21600
�p BBGNA.10 d� 4 w�p b^rytpq c) 165' PERMIT N
1 FTTN R CE RA BURI S �<pgago ER
45c ^a _ � O 14 ��$,No e' �' � _ REQUIRED
31 0 36 NORTH ARROW
PED-7 461 532' 11 15 OPERATING RANGE OF JOB STEPS
HBGNA lOERING A FILL
1 FTTN REPLACE RA BU Sd Cold
S C Ct T T DR ,'' !8 `�= TO 11
_.._ 19
0 ^' Q ``°o'Ob,i'ti° N -- Q� • y���d` . .moo 5C -
ti10 /�'�'`b�� r°F� ��99 1s �'� 2 17 A 5C 87 Z
/�b q, J J� ✓ 77�y'�I�C
1 RE-ENTERING A FIL ED _ 0 D LO11L
m h 2 1 FTTN REPLAC RA
1-FTTN REPLACE RA B 'y RZ 0 CZ 0 TAPER CODE 310202
F 81 KTG-25
1 RE- 17ENTERING A FILLED 45C) 46') 1968 ��� p�� /�
4 BBGNA*10 3006, 701-725 No HIGH VU J9
1 FTTN REPLACE RA BURI _ AWN DUMUN
O 1 RE-ENTERING A FILLED
18 KMZ-100 KV 1120
BBGNANlO 45C) 30') 1992
I FTTN REPLACE RA BURI CONSTRUCTION-PAIR O ING 3006, 851-900
-If you find a.loop attached to a co tied pa". A, 51-100 HKY PERYff�•
10 45CA 682') 1968C
22�2
2 UhTAy CO CUP
-CXCTIWT LIMIT POWER
3006, 876-900 1)If the pair is working,dete ine a adds REP NK
1 ADTx RECDN/REGRDUP s for the line.Make the char s o the S '� REP TEL NO.
35
(change the T to an S and th ad POLE CONTACTS WO {-)0
c 0 call into the MLAC to up e LF CS -
® the same information. W4 CO
_8 O
-ENTERING A FILLED 2)If the Jule 1S not WOrku1 re ove the loop. 0 11
a GNA*10 'LL
I FTTN REPLACE RA BURI P4
POLE CONIACTS (+)0
F 166
a 06, 879-879
3 0g 883 883 S CO
U!
OB1-50-30
6 893-893 P ATT:S LI 1S 45C) 20') 1979 [U MME
900-900 3006, 701-725
3 6-1a _ AT EACH BURIED SPLICE REP TEL NO,
o` D BREEZY HILL ROAD Lo A, 26-5D POLE CONFn WO Ho
� ON ALL , S&T COMMITTED PAIRS. PROJECT NO 6631107
O ® ® TOTYRINTS 12 PRINT NO.6
NPA/NNX: 860-644 PRT:860644
Z 37 D(CH. WPNG-WAPPING
TAX DIST.
GEO LOC.5511
ENGR. DT DRAWNDT
cs 122') 1968 O TELEPHONE NO.(860) 725-4509
3402, 1026-1050
REC. REF.
KTG-50 MAP REF.697-630-77
Q. 45C) 813') 1968
'O 8 45C 3402, 1001-1050 SCALE NONE
Cbti PED-9 O ISSUE DAATE04/21/2008
BBGNA lOERING A FILLED PROJ W 6631707 SC1534
�h T- 1 FTTN REPLACE RA BURI
REV. NUMBER 1
1 r I PED-9) DATE REV.11/13/2009
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