HomeMy WebLinkAboutStreet Cut Permits 13 Country View Drive (2) 1100012 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/18/11 = `
GIS ID: 24300013 FEE: 25.00
MUNIS APPLICATION# 201100190 EIRATION DATE: 03/17/12
APPLICAN - 2 LOCATION
NAME: TELE-NETWORKS - ADDRES-1 3 COUNTRY VIEW DRIVE
ADDRESS: 31 BAKEWELL COURT OW 3FjI . DEu--LEY HERBERT J&MARY ANN
CRASTON,RI 02921 = f3 G.QUNTRY VIEW DRI
SQUTJI'WINDSOR, CT 06074
PHONE 401-461-8420 "
WORK DESCRIPTION: REPLACING EXISTING CAT V`INTETZSECTIC)1�1 E)F VERY AND COUNTRY
VIEW TO 13 &0NN -lRY.SEW
APPLICANT AGREES TO FURNISH THE TOWN-OF vOUTH-WINI)St}R TEE,AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR HE TOWN FOR.ivIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT�FAMILIAR VITII AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTRAgNDSR-S-§T EET CUT PERMIT MANUAL.
rY1� l� o \c 2.
ISSUED BY DATE INSPECTED INSPECTED BY
3/1 8/201 1 2:29PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: file -fir-I O r4 s
LOCATION: i 7--5�e-J;tgki I il� tAU?CV K/)y�j'et,
TYPE OF WORK: C ,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: L �
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: CV, DATE: o-j
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT"Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH SOUTH WINDSOR, CT 06074
�/� / FEE $25.00
Name of Firm / e- ,vG ek rkS Phone No. `�lq
Address of Firm 3 fZ-3-- Zip Coded�Z-q 2-
Location of proposed work s o v 5 46- -rckm lao -�o ks C!Cy,+ vJe (-
Describe fully nature of permit requested J
Starting date 3 26 11 Approx.time for completion , pa4
Call Before You Dig No. 20t( 046 2?(R �` Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing (� Indicate North Town of South Windsor
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement It
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=ASLLIEDIN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERM T MANUAL.
Signe r Date:
Title: 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
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Molloy, Catherine
From: CaliCenter@CBYD.com
Posted At: Friday, March 18, 2011 10:28 AM
Conversation: Locate Request-20111202795
Posted To: CBYD
Subject: Locate Request-20111202795
(CALL BEFORE YOU DIG - CT) 03/18/2011 10:28:14
-5G -C1 -CW -GV
-OT 6-SW SWINDS -T5
--------------------------------------------------------------------------
***** ROUTINE *****
TIME. .10:27 DATE. .03/18/2011
REQUEST NO. . .20111202795
LATITUDE. .41.8461082 LONGITUDE. .-72.5116154
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .5 - 13
STREET. . . .COUNTRY VIEW DR
NEAREST
CROSS STREET. .AVERY ST
--------------------------------------------------------------------------
TYPE OF WORK. . . . .EXC TO RPLC CATV
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM RISER PL 5122 LC AT INTER,XING THE ST TO PED LC FRONT RIGHT OF PROP 5,XING RD
TO PED LC FRONT LEFT OF PROP 6 XING RD TO PED LC FRONT RIGHT OF PROP 13
--------------------------------------------------------------------------
START DATE. . . . . .03/23/2011 START TIME. .08:00
CALLER. . . . . . . . . .JASON BYCH
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
---- ---------------------------------------------------------------------
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