Loading...
HomeMy WebLinkAboutStreet Cut Permits 9999 Strong Road 1200030 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 03/26/12 = _ GIS ID: 87009999 FEE: .00 MUNIS APPLICATION# 201200311 = = EXPIRATION DATE: 03/26/13 APPLICANT LOCATION NAME: GLENN DRILLING = ADDRESS,- STRONG ROAD EAST OF#460 ADDRESS: 532 NEW LONDON ROAD= OWNER TOWN OF SOUTH WINDSOR COLCHESTER,CT O6 I5 18,7 - 1540-SULLIVAN AVE OtJTI INDSOR,CT 06074 PHONE 860-537-3601 WORK DESCRIPTION: TEST�'IT ON WATER NM' EAST 01��#460 TOWN I'RQ�ECT NO FEE APPLICANT AGREES TO FURNISH THE TQWN OF SOUTH W1NDS�3R THE AMOUNT©F BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY=EXPENSES INGURR D Bl THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE"�I A iNT IS Ii IAR WITH AID,WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S UTH'W". SR'S STREET CUT P1 RM1T MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 3/26/2012 3:44 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ,6l 000,3 C7 CONTRACTOR: LOCATION: 4 0,3: oke G JYPE OF :DATE INSP NEEDED: DATE INSP: INSPECTED BY.-_4 V WORK IN PROGRESS: o� rc�c .- g �s ,' - +6 c��� pie f i�c Gc-5c1, riot�.�n -��r- I c5 LZvx n i ig X4c k A-K d -�``L--�-- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO 'AS-BUILT.- INPUT, C'N'-- DATE: Y W12007 Town of South Windsor INPSECTION REPORT 07 APPUCAnm FOR SMEET EXCAVATION PEFW[' APPL NCL TOVM OF SOUTH WINDSOR PWffft No. PUBLIC WOWS DEPARTMENT' 1540 SULL VAN AVENUE D 3h 3 L?c)1-a, SOUTH WRIDSOR,CT 06074 FEE $25.00 Ime of FirmG I h n �;� ( 1�`n fi Pimm Ntt. ?60 J _7-36 o Addremofflrm_�� /fie_,_j Lae �o ^i;p� Cor 6e- 5 ��/ +` CT � Coda Q6ail �L Desaft f�rnabxeof I�� + 1�� 4 4,Lev Mci"v) ivt I•n �� secfrog7 Stat"date U f Apprm*m for Gorr on a a 1 0? Cat1 Before You Dig No., o i i a 3 ``J 1 FAng Water SupW. PtM Water D wee Existing Sewage Service: ❑PdAc Sewer ❑Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELNIINARV ESTIKATE, THE APPL>CANT IS RUBLE FOR THE FULL MAL COST OF THE PERMANENT PATCH AND CURB RENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LEHM,TIMM CONTROL AND THE TOWNS CONTRACT COSTS THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch of proposed work or furnish ThLs s to be filled out by two of separate drawing I mate Town of South Wknisr No.cuts Est.Patch SI*S) S f Est.PvL Thidmass in. Est.Patch Unit Price$ Asf ESL Patch Coat$ Est.Curb Rq*wmnad ft EsL Curb Unit Pdce-$ Aft Est.Curb Costa Est.Traffic Unit Cost$ Ahr Est.Traffic Control$ Amt.of Deposit$ Total Due$ . Ttwo Pr,� �� 1 ( )Cash check# Appift"is ate for contacting Paid By the Police DepL 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 AEA FAMILIAR WITH AND WILL ABIDE BY THE RUMS AND REGULATIONS FOR PERMITS NED IN THE TOWN OF SOUTH WINDSOWS STREET CUT PERMIT MANUAL Signed,_----- - - - .- - - -- - Date; -3 6 3 ) D� o /d - - - - - -- - - Title: L 4:2� n-r.Q_►r Drivels License#: Q�6 f PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATK}M FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Ymet 15mmatim Pw Tk OS RW 2Z-W APPLICATION FOR STREET EXCAVATION PERMIT Appi.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: 3 o Id, SOUTH WINDSOR,CT 06tlT4 FEE $25.00 Name of Firm I e;1 n br (/'rig, Phone No. Address of firm L oj c14.,, 5Z S f ,- C-T- Zip Code Q4!1 1' f, Location of proposed work 36 Q -et f('n a.41 R61 Describe fully nature of permit requested_T�,f �,'� o� a /►'t . �, ►,fir°n.,f a ol� Starting date 3 j ;4;? o t: Approx.time for completion 7To Tp o i L- Call Before You Dig No. N 1 I ao :3 ,S-Q Existing Water Supply: Putfic Water ❑Well Existing Sewage Sere ee: ❑Public Sewer Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE PULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB -LENGTH,TRAFFIC-CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed worts or furnish This section to be filled out by two copies of separate drawing Indicate-North Town of South Windsor No.cuts Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf Este Pate Cost$ - Est.Curb Replacement ft Est.Curb Unit Price.$_ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ fir Est.Traffic Control; Amt of Deposit$ Total Due$ )Cash ( )Check# Applicant is responsiMe 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 WORD IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOITS STREET CUT PERMIT MANUAL Signed: Title: a h 0-1- v d^ Drivers License#: 0.162 l 0`f-1 Y 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 dOBSITE AT ALL TIMES Strut Excwabw Petit 08 P"10-22-06 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT '1540 SULLIVAN AVENUE Date _ SOUTH WINDSOR,CT 06074 J FEE $25.a0 - Name of Firm �� �'� '1 r i ll''I c' Phone No. ��� Address of Firm_ Q; ola 0 1?r� C a 1 r h e Tp Code o�— Location of proposed work 3 S` e q f Describe fully nature of permit requested- R S ,t Qa-? yQie M? pn 6 �,rw f l f- a -' Starting date an i 'd_ Approx.time for completion Gall Before You Dig No. ��i a i 5 �� Existing Water Supply: ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer [I Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT`PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or futnish _Thts_ to be filled out by two copiers of separate drawing Indicate-North Town of South Windsor No.carts Est Patch Sl*s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ fsf Est.Patch Cost; Est.Curb Replacement ft - EsL Curb Unit Price-$.. fit Est.Curb Cost$ Est.Traffic Unit Cost$ !hr Est.Traffic Control$ AmL of Deposit$ Total Due$ ? ( ?check# Applicant is responsbe for contac ft Paid By the Ponce 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 W CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL --- -- - e, -- / _-_Signed: ,.r .� - Date-._ _�..()�, Title: L a L.o y, e-L Drisrer's License#: o 3 1-:)Lt �! PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPL.ICATION_FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSI'E AT ALL TIMES Street Excwabon Pair#08 REV 10-22-06 APPUCA nON FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: .5 � tl SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm G- t-n yt 1� f I e s )r Phone No, Address of Firm, Lbp c c G7 Zip Code P6�i/ — Location of proposed work - Q L Describe fully nature of permit requested_:Ts 5 ?`-f- Liu ki v Starting date a I I Approx.time for completion o /a c Call Before You Dig No.D DO 3,-`I Existing Water Supply: 13 Public Water ❑Well Existing Sewage Service: ❑Pic Sewer ❑Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPUCANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC-CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch of proposed worts or hMsh This section to be hied out by two copies of separate drawing This ate-North Town of South Wlndmw No.carts Est.Patch Ske(s) sf Est.Pvt.bless irL Est.Patch Ufvt Price$ /sf Est.Patch Cost$ Est.Curb Replacmerrt ft Est.Curb Unit Price_$ Est.Curb Cost-$. Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt of Deposit$ Total Due$ T�ww Dko✓e l ( )Cash ( )Check# Applicant is responsive 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 OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.. Signed. - Date: 6�J�3 /�o 'i� Title. �--Q b"o!` J` Driver's License C. 36` I 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 dOBSITE AT ALL TIMES Street EXCMU n Pesndt 08 REV 10-22-08 APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR permit No. PUBLIC,WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date��5 I Q t 1 SOUTH WINDSOR,CT M74 FEE $25.00 Name of Firm r r i C 1 t',,1 Phone No. W40 ` S 5 l -3. 4, Address of Firm s e�fe_ C-o oe) �I� �^ CYT- Zip Code 06 1.:5-_ Location of proposed work Describe fully nature of permit rewest L ,roa -Rd ci d 10a2e- Starting date 7 1 1 A - AWox.trine for c ornoe*m - o� Call Before You Dig No. I. I o Existing Water SWW. Q Public Water ❑Well Existing Sewage Service: Q Public Sewer D Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC-CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR Show sketch of proposed work or famish This section to be fitted out by two comes of separate drawirg tnficate-North Town of aRylb 1Mindsor 0 No.cuts Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Urvt Price$ /sf Est Patch Cost$ EsL Curb Replaoement ft Est.Curb Unit Price-$- fft Est:Curb Cost-$ Est.Traffic Unit Cost$ fir F.st.Traffic Control$ Amt.of Deposit$ a -re e Total Due$ rOw r aJ eC l ( )Cash ( )Check# Applicant is responsible for cartac ft Paid By the Police Dept.and C.B.Y.D. 1 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 AAA FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS PAOUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. -Signed.--- - 4 _ - - Date: 3 ! 1-3 a c, 14 Title: L G_i asr a u- Driverls License#: O ),6 9 to Ll 01� 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 dOBSITE AT ALL TIMES Street Excavatim Pemtt 08 RW 10-22-08 • APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Pennit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date:���3 SOUTH WINDSOR,CT 06074 ii FEE $2500 Name of Firm s b r i l t I '} Phone No. Address of Firm Jib wo a o _ Gr ,v- Zip Code 0.6 15 Location of proposed work Describe fully nature of permit requested Starting date Approx.time for completion EcL v Call Before You Dig No.;Z�o j 1 aL� 3�f` Existing Water Supply: [ Public Water ❑Well Existing Sewage Servke; Q Pt"c Sewer []Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch of proposed work or furnish This seWon to be filled out by two copies of separate drawing Indicate North 3LOM of SwAh Windsor No.cuts EsL Patch Sizes) sf Est.Pvt.Thickness ai. EsL Patch Unit Price$ !sf Est.Patch-Cost; EsL Curb Replacernent ft Est.Curb Unit Price-$- /it Est.Curb Cost$ EsL Traffic Unit Cost$ fir Est.Traffic Control Amt.of Deposit$ V Total Due$ law' 14 r Cash ( }Check# Applicant is responsible for Ong 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 OUTLINED IN THE TOWN OF SOUTH WINDSOR'S MEET CUT PERMIT MANUAL - g - . - - - - - - - -- - - - - ited.- cvs, -�-- -. 1 �3 J - --- - - - - - - L3ate-- 3 ��. 3- p,� Title: L cc ha,full' Dinner's License#; :J^3,6'7 1 9 L/a / 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 Eza wation Permit 08 RSV 10-22-08 w APPUCA n0N FOR STREET EXCAVATION PERMIT Appi.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC-WORKS DEPARTMENT 63 1��ld 1640 SULLIVAN AVENUE Date. SOUTH WINDSOR,CT OW74 I FEE $25.00 Name of Firm i �► .� , 1 ( Phone No. Address of Firm w L_ c� c h - Zip Code c6 Lr l Location of proposed work H (a a r 4 y ., Describe fully nature of permit requested in_ r 0 o Starting date 2 a`d 1 1 o i Approx.time for compwon c- , ®1 Cali_ Before You Dig No. c i ) i a 4 -14 73 Existing Water Supply: 19 Public Water ❑Well Existing age Service: ❑PulAc Sewer Q Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC-CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or hmtsh Th1s sscOm to be tilled out by Iwo copies of separate drawing Indicate North Town of South Windsor No.cuts EsL Patch Sizes) sf Est Pvt.Thickness in. EsL Patch Uri Pride tsf Est.Patch Cost - EsL Curb Replacement ft EsL Curb Unit Price_$. /ft Est.Curb Cost- EsL Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Oepostt$ /r/ {e Total Due$ 0 jvw �o ro✓ec l ( )Cash ( )Check# Appocant is responsible for Ong Paid By the Po GeeDepL and C.B.Y.D. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIN13URSE 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 OUTLINED IN THE TOWN OF SOUTH WiNDSOR'S STREET CUT PERMIT MANUAL_ -Signed: -Date: I- - 9 J. - - Title: Drivels License#: 6 ' L�_ PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION Ni_FOR ISSUANCE OF PERMR WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON dOBSITE AT ALL TIMES Street Enavation Perni t 08 P"10-2MB