HomeMy WebLinkAboutStreet Cut Permits 86 Trumbull Lane (2) 1100100 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/29/11
GIS ID: 90200086 - FEE: 25.00
MUNIS APPLICATION# 201100837 EXPIRATION DATE: 07/28/12
APPLICANT -"" -" - LOCATION
NAME: TELE-NETWORKS - ADDRES-S: 86 TRUMBULL LANE
ADDRESS: 31 BAKEWELL COURT ` OW1 ER 660DALL TODD E&PAMELA G
CRASTON,RI 02921 `" 8�5 T-9 M13ULL
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SOUTH WINDSOR,CT 06074
PHONE 401-461-8420 -
WORK DESCRIPTION: REPLACJG
APPLICANT AGREES TO FURNISH THE TQWN OF SOUTH WINDSOR TIDE AMOUNT OR-BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI EXPVN9E INCUR I3$Y THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOiJTH 'VINDSR'S S EET CUT P1 RIVIIT MANUAL.
If
ISSUED BY DATE INSPECTED INSPECTED BY
7/29/201110:35AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK: Imo' 4- "v
DATE INSP NEEDED: DATE INSP: fl
INSPECTED BY:
WORK IN
PROGRESS: o(zt
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT 1/Do/D0
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
'1640 SULLIVAN AVENUE Date:_)--V -
SOUTH WINDSOR,CT 06074
FEE 25.00
L
Name of Firmf � w�ortc'S4c665 Phone No.�•
Address of Firm (b Q 0 v 12 L. Zip Code o2.q 0
Location of proposed work IV u jkA l3 0 L
Describe fully nature of permit requested _L t a L&C t✓1 GeA-i
Starting date Z O Approx.time for completion l
Call Before You Dig No. t 1 3 t 361- Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: [I Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
A4'+rG L`'� rA No.cuts
dam` Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$,.. /ft
Est:Curb Cost$
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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLI D IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Si Date: 11
Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
DATA2-Work Order Display-Site 216 FIT
File Edit` Billing '6ervlce5 eCustomerxTnPoratfonOrderEntrytPF�hFlnancCal' JlltoryWSD"Help k
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• Acct Nbr 232597-01 Task
PAM GOODALL Co/Dv/Frn 51 10 426 Cust Info r
• 86 Trumbull Ln Phone#:Home 860 648-9049
South Windsor CT 06074-2371 Bus G1
Tech# 0 '
. . - Q Code E HARDENED DROP Job Seq ++,,
Priority 5 Pool 5 Job Nbr 000 Tag Nbr 225815 �4 /� �j V
Work Order Number 16706037 Problem Code 3, �V
Work Order Type SR Special Request Addtl Problem Codes
- _ Work Order Status Not Coded Primary Finding .
_ Dispatch Comment Primary Solution.
_ Work Order Comments 250FT EET AND SIDEWHLK, RGil, Pri Loc SW2
Sch Date 7/29/11 MRDDISON NO TEMP Sec Lac
Sch Time RLLDAV 718-11 Node ID SWD06
Ckin Usr Stage
C 3 929 BURY DROP 1 00 67701 BPATTEN
1COMMUNMATIONS
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