HomeMy WebLinkAboutStreet Cut Permits 48 Dawn Drive 1100068 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/24/11 "
GIS ID:26400048 = FEE: 25.00
MUNIS APPLICATION# 201100653 EXPIRATION DATE: 06/23/12
APPLICANT" ` = LOCATION
NAME: HOMEOWNER ADDRES 0 DAWN DRIVE
ADDRESS: SOUTH WINDSOR,CT Q674 OWIIER: DOSS-DAVID&LAURA
48 DAWN DRIVE
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: REPLACE DRIVEWAYWITH Cf)NCREPAVERS APRON TO BE ASPHALT
APPLICANT AGREES TO FURNISH THE ED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI'EENSES INCURREII BY THE T(?WN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP$LICANT-LS FAMILIAR WITH ANI}WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SQUT�WINDSR'S.STREET CUT PERMIT MANUAL.
ISSUED BY DA E INSPECTED INSPECTED BY
6/24/201111:51AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 11 nrj26 CONTRACTOR: I-lej vnen c,e�►�Fx
LOCATION: y $ Day)V-) '
TYPE OF WORK: '� l �.t - P lac S - Ao r o►n
DATE INSP NEEDED: DATE INSP: i I/p/a
INSPECTED BY:
WORK IN
PROGRESS: .4(0t'O n N v V IL
4A PCL
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
PA
INPUT: 7 � DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT >> OD0 6
• -Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC_WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm hU M P 0'w N-tf 7DO u e b S S Phone No. D
Address of Firm tiNry fr Zip Code
Location of proposed work Ll 8 LAWN t C
Describe fully nature of permit requested � l v"
NANC'fefP @ftVC "
Starting date Approx.time for completion
Call Before You Dig No. Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer []Septic
PLEASE NOTE:.THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFFIC.CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North . Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
f a tr�l� Est.Curb Unit Price
ESL Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Ant.of:Deposit$
Total Due$
Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.S.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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMW;A6.QUTLINEQ IN E TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: 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 JOSSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
Molloy, Catherine
From: CallCenter@CBYD.com
Posted At: Monday, June 20, 2011 8:14 AM
Conversation: Locate Request-20112600115
Posted To: CBYD
Subject: Locate Request-20112600115
(CALL BEFORE YOU DIG - CT) 06/20/2011 08:14:24
-5G -C1 -GV -OT
1-SW SWINDS -T5 -W3
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***** ROUTINE *****
TIME. .08:14 DATE. .06/20/2011
REQUEST NO. . .20112600115
LATITUDE. .41.8090600 LONGITUDE. .-72.5872081
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .48
STREET. . . .DAWN DR
NEAREST
CROSS STREET. .LEFOLL BVLD
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TYPE OF WORK. . . . .EXC TO RMV&RPLC DRIVEWAY
AREA IS MARKED. . .NO
REMARKS:
WORKING ST TO GARAGE
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START DATE. . . . . .06/23/2011 START TIME. .08:00
CALLER. . . . . . . . . .DAVE KOSS
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-558-6965
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .HOME OWNER
ADDRESS. . . . . . . . .48 DAWN DR
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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EXCAVATOR DOING WORK. .DAVE KOSS/TODD MCKEE
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