HomeMy WebLinkAboutStreet Cut Permit 11 Kimberly Drive 900026 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/16/09
GIS ID: 50300011 FEE: 25.00
MUNIS APPLICATION# 200900339 }E "IRATION DATE: 04/16/10
APPLICAI %VLOCATION
NAME: TELE—NETWORKS y; a RFS 1 KIMBRLY DRIVE
ADDRESS: 31 BAKEWELL COLT ���� "� C 1 ` CK PIPERTIES INC
CRASTON,RI 02921 1BEI,Y DR
'� I TI- W NDSOR,CT 06074
PHONE 401-461-8420 � ''
WORK DESCRIPTION: 1NST-I�NNv: �• f '} - ,
€ x$ w
APPLICANT AGREES TO FURNISH THE T' uF ?J{. r £�IsIITfF BQ'ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Ai XP L51Ci7OII�fAINTENANCE OR REPAIR WORK IN
4
CONNECTION WITH THIS PERMIT AND THE A'P•I T is. '' l",WQ AID.W1 L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S T kJ> TE T PlRvIIT MANUAL:
M2110!� if�l
ISSUED BY DATE INSPECTED INSPECTED BY
4/16/20098:53AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMITNO.: 000d6 CONTRACTOR; -
LOCATION:__ �nn,Li,�r 1�i ,� , a e
TYPE OF WORK:_ vI Sfi�
—_------= --DATE INSP NEEDED: DATE INSP: f a 3<��
INSPECTED BY: Y30
WORK IN
PROGRESS: 'Sag,
AS-BUILT:
INPUT:_ (;V`j`' DATE:_ 14 r_i�
W/2007 Town of South Windsor INPSECTION REPORT 07
CoWd37 APPLICATION FOR STREET EXCAVATION PERMIT Ct (a
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT Q
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
t FEE $25.00
Name of Firm 1n-k wS r Cs Phone No. � ' Z-s 02
Address of Firm V Y\ Z. Zip Code oZf--
Location of proposed work r - ((I
Describe fully nature of permit requested_ 1( S'A,M kt vie;) CRC-ru
Starting date — 5 Approx.time for completion
Call Before You Dig No. o Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
-Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
see A�C'iC`�i e d No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fit
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Cheek#
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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS UTLMLED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ned: ,UU( Jl Date:
Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS SEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
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Molloy, Catherine
From: CallCenter@CBYD.com
Posted At: Thursday, April 09, 2009 2:54 PM
Conversation: Locate Request-20091502469
Posted To: CBYD
Subject: Locate Request-20091502469
(CALL BEFORE YOU DIG - CT) 04/09/2009 14:54:28
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-J1 -OT -S1 6-SW SWINDS
-T5
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***** ROUTINE *****
TIME. .14:54 DATE. .04/09/2009
REQUEST NO. . .20091502469
LATITUDE. .41.8482706 LONGITUDE. .-72. 6016767
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .11 - 75
STREET. . . .KIMBERLY DR
NEAREST
CROSS STREET. .JOHN FITCH BLVD
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TYPE OF WORK. . . . .EXC TO INST CATV
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM POLE 1686 LOC IN LEFT REAR OF PROP 11,GOING ALONG THE STREET TO THE FRONT
RIGHT OF PROP 75
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START DATE. . . . . .04/15/2009 START TIME. .08:00
CALLER. . . . . . . . . .JAMES DAMBRA
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .888-845-2302
FAX #. . . . . . . . . . .401-942-1630
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .TELE-NETWORKS ,
ADDRESS. . . . . . . . .561 SCITUATE AVE
CITY. . . . . . . . . . . .CRANSTON
STATE. . . . . . . . . . .RI
ZIP. . . . . . . . . . . . .02921
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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:
1