HomeMy WebLinkAboutStreet Cut Permits 30 Hanover Lane (2) 1000185 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/10/10
GIS ID: 39600030 FEE; 25.00
MUNIS APPLICATION# 201001203 , ' EXPIRATION DATE: 09/10/11
APPLICANTi LOCATION
NAME: COOKER CONSTRUCTIt} T LI G = ALIDRESS: 30.HANQVER LANE
ADDRESS: 8 EGYPT ROAD - OWhIR HARIEY CHRISTINE A
SOMERS,CT 06071 30 4AN&ER LANE
S`OUTI-i' DSOR,CT 06074
PHONE
WORK DESCRIPTION: LOCXJTE;AND-XPQSE S LICE S �0R AT&T
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH NI)SC�R THE AMQUNT OF B(7ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPTSES II CURREll B THETOWN FORIvtAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT'I FAMILIAR-WIT ANI3 WTI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF Sfl JTI WII`TDSR S STREF- CUTPERMIT MANUAL.
c
ISSUED BY DATE INSPECTED INSPECTED BY
9/10/20103:04PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-- .........
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /000/ S.S" CONTRACTOR: C 0e)
LOCATION: 30 /-4 a vl aye k 1_d-
TYPE OF WORK: d0" 4L�,TD c� �5 p)I c�, L/� cQ�l iby�s /
11
DATE INSP NEEDED: DATE INSP: ,I;7/,z
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: (-Vv \ DATE: O
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION PERMIT ��5-
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm 66t',- &Sbkzl&� LLC . Phone No. — —
Address of Firm o Zip Code
Location of proposed work
Describe fully nature of permit requested 16C6Ae fg--l0 5Se 5 411r%*
Starting date Approx.time for completion q-1;7— !®
Call Before You Dig No. ;?-Oi o 32o 011 a- Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out bV
two copies of separate drawing Indicate North Town of South Windsor
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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
CONNEC ION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PER S UTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT
MANUAL.
Signed- Date: g1y1Ck17
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
Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Wednesday, September 08, 2010 4:02 PM
Conversation: Locate Request-20103701772
Posted To: CBYD
Subject: Locate Request-20103701772
(CALL BEFORE YOU DIG - CT) 09/08/2010 16:02:02
-5G -C1 -CW -GV
-OT 9-SW SWINDS -T5
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***** ROUTINE *****
TIME. .16:01 DATE. .09/08/2010
REQUEST NO. . .20103701772
LATITUDE. .41.8491014 LONGITUDE. .-72.5655236
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .30 - 56
STREET. . . .HANOVER LN
NEAREST
CROSS STREET. .MORGAN FARMS DR
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TYPE OF WORK. . . . .EXC TO LOC AT&T SPLICE PITS
�i
AREA IS MARKED. . .YES
REMARKS:
WORKING IN FRONT OF PROPS
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START DATE. . . . . .09/11/2010 START TIME. .07:00
CALLER. . . . . . . . . .DEBBIE BARNES
CALL BACK. . . . . . .8-5PM
PHONE #. . . . . . . . .860-763-2783
FAX #. . . . . . . . . . .860-763-2783
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .COOKER CONSTRUCTION
ADDRESS. . . . . . . . .344 BILLINGS RD
CITY. . . . . . . . . . . .SOMERS
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06071
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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