HomeMy WebLinkAboutStreet Cut Permits 1200 Pleasant Valley (2) 1200027 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/22/12
GIS ID: 72901200 FEE: 25.00
MUNIS APPLICATION# 201200292 EPIRATIONDATE:
APPLICANT LOCATION
NAME: TELE-NETWORKS DRESS, 12WPLP-ASANT VALLEY ROAD
ADDRESS: 31 BAKEWELL COURT - VW- SMITH YVETTE
CRASTON,RI 02921 =
= 1,260'PLSANT VALLEY RD
SOCT7 WTNDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: INSTAL- ,I H;PD CIE-
APPLICANT AGREES TO FURNISH THE TWI�QF-SQIITITU4 }1?S3IIAMOU11�OF80ID REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-X-PE R MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH AI2PLL AI�EIS FANIII IAR WITI�ANI)WIU ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF-SDU I$tiyINDSR SS-T-�E CUT-PER1_yflT MANUAL. p /'
ISSUED BY DATrIN S P D INSPECTED BY
3/22/2012 11:00 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: a mod 7 CO
------- NTi�C"i�R.
LOCATION: ® /
Lj
'TYPE OF WORK: 15 tc l I o
:DATE INSP NEEDED: DATE INSP:
INSPEC M
WORK IN
PROGRESS: i o
SEPTIC TANK PUMPED,SMASHED, FILLED WT[•NESSED ❑YES [:] NO
'AS-BUILT.
INPUT:_ l� DATE:--w
W/2007 Town of South Windsor INPSEC nON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT 6)00d
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR, CT 06074
rtt�z5:oo Name of Firm �� e-�UJ OY'1� s Phone NoJ-� aeC- �5 c��tr�
ro- 230 2
Address of Firm k� 00 WCk (d\jt C V,\ce 12.L zip Co OZ9 03
Location of proposed work P e-a s ,✓1 UG.�lC vzt-r( V IV /,2 Q
Describe fully nature of permit requested 1t/\
Starting date 3` i Approx.time for completion
Call Before You Dig Nojbk4 I Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
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
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS A OUTLINED THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Si Date5 _ - ,
itle: 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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Page 1 of 1`,
Estimate Request:View CIR
85964
Company Name: PE REPAIR:PLEASANT VALLEY/IVY LN Status:
Pending Construction
Creator: Denise Mazzoli ..`
City: South Windsor Phone: 860-4327041
State: CT Type: ICBS
Zip: 060I Sales Eng: Unknown
CrossStreet/Landmark Expedite: No
IRR Value: % Project
Manager: Unknown
Contact Name: denise mazzoli
- AddressID: 146378
Contact Phone#1: 432-5041 BAA Required?: No
Contact Phone#2: Permits No
. Easement Required?: No Required?:
**Please read notes on this CIR**
Comments: -----
NEED TO REPLACE THE UNDERGROUND FROM POLE 27713 TO THE FNB...ONE ROAD BORE
THIS IS AT THE IVY LN CONDOS. POLE IS ON PLEASANT VALLEY
f Related CIRs/Projects/SROs(0/0/0)
Tasks
Task Type Assigned To Open Date Close Date
Status Duration
R&M Estimate Denise Mazzoli 2/29/2012 1:26:30 PM 2/29/2012 1:26:51 PM Complete 0.0 Hours
R&M Create Package Denise Mazzoli 2/29/2012 1:26:57 PM 2/29/2012 1:27:06 PM Complete 0.0 Hours
Approval Bill Albert 2/29/2012 1:27:06 PM 2/29/2012 2:47:04 PM Complete 1.3 Hours
Assign R&M Build Denise Mazzoli 2/29/2012 2:47:06 PM 2/29/2012 3:45:06 PM Complete 1.0 Hours
102
R&M Tele-Networks Teienetworks 2/29/2012 3:45:07 PM 0
In Progress 93.1 Hours �7
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Local Time:9.48:36 AM Server r Time:9:48:36 AM ��� �
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