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HomeMy WebLinkAboutStreet Cut Permits 96 Tumble Brook Drive 1200011 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 03/07/12 GIS ID: 90600096 FEE: 25.00 MUNIS APPLICATION# 201200214 EXPIRATION DATE: 03/07/13 APPLICANT LOCATION NAME: CONNECTICUT CABLE CONST.&MTC. ADDRESS: 96 TUMBLE BROOK DRIVE ADDRESS: P O BOX 159 OWNER: KING GREGORY D& 43 INDUSTRIAL PARK ACCESS 746 AVERY ST MIDDLEFIELD,CT 06455 SOUTH WINDSOR,CT 06074 PHONE 860-349-1807 WORK DESCRIPTION: PIT IN PAVEMENT TO BORE TELEPHONE SERVICE TO HOUSE APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S STREET CUT PERMIT MANUAL. � 1 ISSUED BY DATE INSPECTED INSPECTED BY 3/7/20122:39PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: c� r CONTRACTOR: LOCATION: i L� ✓'�b Imo - I� �;-,,,-� .'TYPE OF WORK: v DATE INSP NEEDED: DATE INSP: INSPECTED WORK IN PROGRESS:— C,LEI S `� e A (3-2 C.. 2 . C �4 �� �►lC SC41 `�d �' �('e �6t� �t' 2 r SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED El YES ❑ NO 'AS-BUILT.- INPUT: DATE: W12007 Town of South Windsor INPSEcnoN REPORT 07 aolaoaaiq APPLICATION FOR STREET EXCAVATION PERMIT jcPooall Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC.WORKS DEPARTMENT '1540 SULLIVAN AVENUE Date: 3 7 1 SOUTH WINDSOR,CT 06074 FEE $26.00 Name of Firm (2-T b(•2 1 A C. Phone No. f66--3*` )8(9 7 Address of Firm ' U O o © Mo 1 1 C~ 4{S:5'- Zip Code Location of proposed work Umbl !igO Dr- Describe fully nature of permit�requested l ce n 16,0 rD o r't w1- bide- of haose— Starting date 3 X Approx.time for completion Call Before You Dig No. rD i' C71(o j Existing Water.Supply: ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts Est.Patch Sizes) k =36 sf Est.Pvt.Thickness in. PeyQ o( Est.Patch Unit Price$ 15 /sf Est;Patch Cost (v.M Kok ®r ; Est.Curb Replacement ft Est.Curb Unit Price.$. !ft Est.Curb Cost$ Est.Traffic Unit Cost$ Mr �p Est.Traffic Control$ Am#.of Deposft$��d Total Due$ 7 { )Cash ( )Check# Applicant is responsible for contacting Paid By Cohn Cgh/r, C40M 1. 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 QUTLINED IN THE TOWN OF SOUTH WINDSOR°S STREET CUT PERMIT MANUAL. f � Signed. �"Zts�ld8ae• . �71�2 Title: �t 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