HomeMy WebLinkAboutStreet Cut Permits 73 Debbie Drive (3) 1300007 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DA-TF OA-Mlll i3_
GIS ID:26700073
FEE:
MUNIS APPLICATION# 201300075 -- = 0.00
IPIRATION DATE:
APPLICANT LOCATION
NAME: CL&P TAbbfSS: 731�EBBIE DRIVE
ADDRESS: 48 TOLLAND STAGE-QAD
S1ER I�REZEI CHRISTOPHER&ALISA
TOLLAND, CT 06084 ,, %�� 73 DI BRIE DRIVE
NO S }UTII WINDSOR, CT 06074
PHONE 860-871-3443 ,
WORK DESCRIPTION: REPAIR SERI011CAJNSEROA
APPLICANT AGREES TO FURNISH THE T-D WI}Op SO BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY If�PENSES IN' �(AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APy'LICANT IS ItA1GII]IAI WIT��AND WILT ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OR SO WIIkID�'S STRI> T��T PI RMI MANUAL.
ISSUED BY DATE INPEC IhED INSPECTED BY
I/23/201312:19PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
i ,
51,
, ��
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /3®nip ? CONTRACTOR:
LOCATION:
TYPE OF WORK: ,r Sec v t c P,- �4� 1� y rto�,P� ` _�
T
DATE INSP NEEDED: DATE INSP: a-%S- 13
INSPECTED BY: 6 b
WORK IN
PROGRESS: 4 x a t C /n a.A.
-Far- tieco gl-ect ou
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
I�
APPLICATION FOR STREET EXCAVATION PERMIT
Appl No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT J23 l
1540 SULLIVAN AVENUE Date.
SOUTH WINDSOR,CT 06074
FEE $26200
Name of Firm Phone No.
Address of Firm 1&6.. s-T,40 7'I44/I/b ,.G Zip Code �Go4
Location of Iproposed work 73 b F&A I t ,bR_
Describe fully nature-of permit requested Tb Rg_A+tR_ 5V C- G48 LIF_ yA10 Tk 7H"2
Starting date;:l iZ5/ Approx.:time for completiort
Call Before.You Dig.No:Z l 30-,�-O D Existing Water Supply: public Water ❑Well
Existing Sewage.Service: (]Public Sewer 0 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 WITHINA-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) sf
$�
Est..Pvt.Thickness in.
� Est.Patch Unit Prior
Est.Patch Cost a
-- - Est.Curb Replacement ft
Est.Curb Unit Price /ft
Est.Curb Cost;
Est.:Traffic Unit Cost$ Atr
Est:Tnkffic Control s
Amt.of.Deposit$
Total Due$
O Cash O Check# '
Applicant is responsible for contacting Paid By
the Police.Dept.and C.B.Y.D.
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 IKITH.AND WILL A.PIDB BY THE.RULES:AND REGULATIONS FOR...
PERMITS S7lNED iN THI=TOWN OF SOUTH WINDSOR'S STREET CUT PEfiMT MANIfAL.
Signed- Date; 1 /Z3
Title: St1 . X_1111,-r(LILAL- 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@CBYD.com
des+• \ALcdnnsd�v l�n,�n�Z��f1'13_11•��dM
To: CBYD
Subject: Locate Request-20130400838
(CALL BEFORE YOU DIG - CT) 01/23/2013 11:34:57
-5G -C1 -CW -GV
-OT 1-SW SWINDS -T5
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***** ROUTINE *****
TIME. .11:34 DATE. .01/23/2013
REQUEST NO. . .20130400838
LATITUDE. .41.8510089 LONGITUDE. .-72.5038352
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .73 - 80
STREET. . . .DEBBIE DR
NEAREST
CROSS STREET. .DART HILL RD
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TYPE OF WORK. . . . .EXC /SAW CUT TO REPAIR ELEC WIRE
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM BEHIND THE CURB IN FRONT OF PROP 73 CROSSING ROADWAY & GOING BEHIND CURB IN
FRONT OF PROP 80
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START DATE. . . . . .01/26/2013 START TIME. .08:00
CALLER. . . . . . . . . .JOHAN KARVANDI
CALL BACK. . . . . . .8-4:30
PHONE #. . . . . . . . .860-871-3408
FAX #. . . . . . . . . . .860-871-3324
ALT. PHONE #. . . .
EMAIL ADDRESS.. .
CONTRACTOR. . . . . .CONNECTICUT LIGHT AND POWER
ADDRESS. . . . . . . . .48 TOLLAND STAGE RD
CITY. . . . . . . . . . . .TOLLAND
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06084
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EXCAVATOR DOING WORK. .SAME // HENKLES & MCCOY
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