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HomeMy WebLinkAboutStreet Cut Permits 93 Dart Hill Road (2) 1100002 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 01/05/11 = = GIS ID:25800093 FEE: 25.00 MTTNTiS_APP_T.TCA_T_TOW 4i�au_nnnl o :PIRATION DATE: 01/05/12 APPLICANT - LOCATION NAME: CENTRAL CONNECT)CU_ HXCAVATI" ADDRESS 9 DARE.HILL ROAD ADDRESS:,,: id 131-0#206 TOLLAN]b T�K OWNER E� TDUSE JUDITH MANCHESTER,CT d 6*6 MOH GAN TRAIL -= t)UTH VyINDSOR,CT 06074 PHONE 860-250-4818 WORK DESCRIPTION: DRIVEW y ADD ORM-DI�AINAG FE T I ID�7EN WOODS D39SUBDyIONP 1hTD -R9 APPLICANT AGREES TO FURNISH THE TO- T AMOUNT O BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYXPENSES 1NCURRFf BY THE OWN IiOR 1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT 38 FAMILIARWITH AN WIC L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF St}UTH W1fiTIISR S STREET OUTPi RIvIIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 1/5/20111:48PM' *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 46 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ®©O(�o`Z CONTRACTOR: C / C )a,� O LOCATION: 93 - 9 9bar fry TYPE OF WORK: 1 \�149 wa L4 cI- DATE INSP NEEDED: DATE INSP: INSPECTED BY: 10 WORK IN PROGRESS:_ f e N 0:j Ye SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC.WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: jO SOUTH WINDSOR,CT 06074 FEE $25.00 Name o firm ( Phone No. / Address of Firm I i—V 7V1c.#tr4 A 09 e—/Zrc Zip Code !XaOYd Location of proposed work 3 #99 bAe7-/face- Rb Describe fully nature of permit requested R£FEK Tv AV 019U cLW bS —D¢qjArJ % Starting date Approx.time for completion Call Before You Dig No. Existing Water Supply: ❑Public Water &Well Existing Sewage Service: ApPublic Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish - --- two copies of separate drawing This section to be filled out by Indicate.North Town of South Windsor No.cuts q 3 Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$_ At Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposft$ Total Due$ Applicant is responsible for contacting Paid By the Police De t.and C.B.Y.D. 1 AGREE TO FURNIS O THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH. IN SOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH I PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS O INE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: f Date: ZC)/ D Title. fats Driver's License#: /6mUS`3/C! 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@CBYD.com Posted At: Friday, March 25, 2011 12:35 PM _Conversation Locate_Reauest-2D'L'L1-302804 Posted To: CBYD Subject: Locate Request-20111302804 (CALL BEFORE YOU DIG - CT) 03/25/2011 12:34:56 -5G -C1 -CW -GV -OT 3-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .12:34 DATE. .03/25/2011 REQUEST NO. . .20111302804 LATITUDE. .41.8486076 LONGITUDE. .-72.5225322 TOWN. . . . . .SOUTH WINDSOR q3- ADDRESS. . .99 STREET. . . .DART HILL RD NEAREST CROSS STREET. .NEIDERWERFER RD -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO INST CATCH BASINS & COMMON DRIVEWAY AREA IS MARKED. . .YES REMARKS: WORKING ON A PROP - 2 REAR LOTS LOC 40OFT SOUTH OF THE INTR WORKING FROM THE STREET & GOING APROX 250FT EAST INTO PROP -------------------------------------------------------------------------- START DATE. . . . . .03/30/2011 START TIME. .07:00 CALLER. . . . . . . . . .JASON SALISBURY CALL BACK. . . . . . .ANYTIME )40 PHONE #. . . . . . . . .860-748-8969 FAX #. . . . . . . . . . .860-295-8385w , ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .SALISBURY CONSTRUCTION ADDRESS. . . . . . . . .405 NEW STATE RD CITY. . . . . . . . . . . .MANCHESTER STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06042 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