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HomeMy WebLinkAboutStreet Cut Permits 723 Nevers Road (3) 1300239 TOWN OF SOUTH WIND PERMIT NUMBER S O R, C T STREET CUT PERMIT DATE: 09/13/2013 _ GIS ID: 62400723 MUNIS APPLICATION# 201301332 � FEE: 25.00 All- APIRATION DATE: �� - 09/13/2014 APPLICANT ' _� LOCATION NAME: CONNECTICUT CABIN _ONST, // / ADDRESS: P O BOX 159 _� T%� RE � ECERS ROAD AkHT11 SAEED 43 INDUSTRIAL PAI1 K ®E Y2EVRS RD MIDDLEFIELD,CT PHONE 860-349-1807 ""-"- �; IJINDSOR, CT 06074 WORK DESCRIPTION: No I do P b O� E QEt-70.091 TO HOUSE FOR � �i �i APPLICANT AGREES TO FURNISH THE TDWRQUT -� DTD SQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E�iP 5E&N�( 0] NCR AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THmi PLAS ,I A WET ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OPS' 1 V 1�JS I� PI IIT MANUAL. ISSUED BY -. DAT� CTED INSPECTED BY 9/13/2013 2:48 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 6; i law a i J � i � —A IME jg— i —% i%! - TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 9 CONTRACTOR: (26nyi Cc L)'� LOCATION: 'J ol-3 1k)Fy-e- ,s TYPE OF WORK: 9 DATE INSP NEEDED: DATE INSP:_lAL_ INSPECTED BY: WORK IN PROGRESS:_ oo -cly r /1,�©!eJ vc kj" 1,4 fJ 0 (zc� C ti�s SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: W ` DATE: qlmh W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATIOWFORSTREETXCAUATION PERMIT APpI No TOWN OF SOUTH WINDSOR_ Permit No. PUBLIC.WORKS DEPARTMENT 1 1540 SULLIVAN AVENUE Date: jai I SOUTH WINDSOR CT 06474 FEE $25.40 - Name of Firm f C.t? lr"#"I4.i� C• 'Phone Ne. Add4e of Firm . Location of P 0sed work Tip.Code besotibe fulll+nature OflpeeMft reques#esl /Ac a rc b Starting date AP*ox.;ante for completion ?, C Gall Before You:Dig rho. ©1f�3 26�j - -- �{ Existing Water SuPPIy: Ej Pubfic lltlater, Well Existing Sewage Service: Q Public Sewer." d Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBEE hOR:THE FULL I'INAL COST Ot=THE `PERMANENT PATCH:AND CURB REP LACEMENTJNCLUDINQ ANY INCREASES IN PATCH.AREA,CURB _ENGTH;TRAFFIC.CONTROL AND THE TOWN%CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF TtiE TFXPORARY PATCH BUT IT COUI.B BE LATER THAN A YEAR. Show sketdt of paQpbsed work or furnish two copies of separate drawing This section to be o by Inckme.North ,TSwn Of South Winds �> 1 No.cuts' Est:Patch Slze(s) y sf Est.Pvt.Thicktress in. Est.Patch unit Price a--�„ _ X�E wand ►ra ate r* isf Est,Patch Cost t .Curb Replacement 40.Curb Unit Price_. /ft Est.Curb Cost t Este Traffic Unit Cost a /hr R Yl d d f �0 0 a OQ Est.Traffic Control s - `ttD cocfWAC.AGIC"' lint.of Deposk$. t. Total Due i O�7 Cash O Chedc# Applicant is responsible for:cQntacong `J + the Police-DW,and C.B.Y.D. Paid By. I�lfsnt f '{ '`� 11SH TO THE TOWN OF SOUTH WItVDSOR THE thP10U(VT'OF BQ ib REQUIRED -i: a v REIMBURSE ?^ f TOWW OF SOUTH`.WINDSOR FOR ANY EXPENSES INCURRED; dY THE TOWN OOR MAINTC -':'t%;E'OR REPAIR WO it, tta CONNECTtQN WITH THIS PERMIT AND THAT 1.AM FAMll1AQ uiT ;;;; ;z: wDra qv T• `�DlLES AND REGULATION':: ; i PERMITS AS ��N��E.�-�D IN THE TOWN OF SOUTH 'x;i}� ; �STREE`f= ":cn, , UAL Sig Date: 13113 Tide: Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF:PERMIT WORK MAY NOT 13EGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Penrdt 08 REV 10-22-08 Molloy, Catherine From: CallCenter@CBYD2.com Sent: Friday, September 06,2013 4:32 PM To: CBYD Subject: Locate Request-20133603674 (CALL BEFORE YOU DIG - CT) 09/06/2013 16:31:17 -5G -C1 -CW -GV -J1 -OT 13-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .16:31 DATE. .09/06/2013 b, REQUEST NO. . .20133603674 LATITUDE. .41.8612591 LONGITUDE. .-72.5492206 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .723 STREET. . . .NEVERS RD NEAREST CROSS STREET. .LINDA LN -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO INST TELE WIRE AREA IS MARKED. . .YES REMARKS: WORKING FROM PLE 3091 LOC ACROSS THE STREET FROM PROP & GOING ACROSS ROADWAY TO THE RIGHT SIDE OF THE HOUSE -------------------------------------------------------------------------- START DATE. . . . . .09/11/2013 START TIME. .08:00 CALLER. . . . . . . . . .BILL REARDON CALL BACK. . . . . . .6-5 PHONE #. . . . . . . . .860-349-1807 FAX #. . . . . . . . . . . ALT. PHONE #. . . .860-234-3153CELL EMAIL ADDRESS. .. CONTRACTOR. . . . . .CONNECTICUT CABLE TV COMPANY ADDRESS. . . . . . . . .PO BOX 159 CITY. . . . . . . . . .MIDDLEFIELD STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06455 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .SAME//CAPITOL CABLE 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