HomeMy WebLinkAboutStreet Cut Permits 188 Wheeler Road (2) 1400330 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/06/2014
GIS ID: 93900188
MUNIS APPLICATION# 201401614 FEE: 25.00
EXPIRATION DATE: 11/06/2015
APPLICANT LOCATION
NAME: TELE-NETWORKS ADDRESS: 188 WHEELER ROAD
ADDRESS: 31 BAKEWELL COURT OWNER: CHESSON MATTHEW&
CRASTON,RI 02921 188 WHEELER ROAD
PHONE 401-461-8420 South Windsor, CT 06074
WORK DESCRIPTION: REPLACE,EXISTING CATV
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 WINDSOR''S STREET CUT PERMIT MANUAL.
e'e /o h3'
ISSUED BY DATE INSPECTED INSPECTED BY
1 1/6/2014 1 1:00AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7 0 CONTRACTOR:
LOCATION:
TYPE OF WORK: fze I ce C -f
DATE INSP NEEDED: DATE INSP:_%y��f��S�
INSPECTED BY: 13 1)
WORK IN
PROGRESS: �:� �� T `�v Lis �R s �.f LIA
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: r DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
�
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 060774 FEE $25.00
Name of Firm ' Nk�wov'i�so 2
Phone NoA g�0' 24S. 230
Address of Firm V In `e t,�--I Zip Code0Z.qQ
Location of proposed work 1 hey
Describe fully nature of permit requested yw(Ace e`4-\S'-E A c� CATy
Starting date t 1-ots Call Before You Dig No,;Mq q48 1A00 q
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: X"'No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out bV Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ /ft
Est. Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt. of Deposit$
Total Due$
( ) Cash ( )Check#
Applicant is responsible for contacting the Police Dept. and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
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 OUTLINED IN THE TOWN OF SOUTH
WINDSOR' ST T C RMIT MANUAL. '"�� ,����n/� j� 1n
Sig PrintName�l(XM03 V Nt"J�� Date: //- 03- zdi�
S eet Excavatio Permit 2014
1 Order 1 ❑ x
File Edit Billing Services Customer Information Order Entry PPV. Financial .History 1-151) Help
s�
OK
Acct Nbr 1381450-01 Task Exit
Marcela Chesson CO/Dv/Frn 51 10 426 Cust Info
188 Wheeler Rd Phone# Home 484 769-4893
South Windsor, CT 06074-6919 Bus Tech# 0
E,.-.it and Retain Q Code E BURY DROP Job Seq
Menu Priority 5 Pool J Job Nbr 000 Tag Nbr 1880410
Work Order Number 19213841 Problem Code
jSyy C S Work Order Type SR Special Request Addtl Problem Codes
Stage HistoryWork Order Status Not Coded Primary Finding .
Ii
Dispatch Comment Primary Solution .
Work Order Comments Pri Loc sW3
Prorate-
Sch Date 11/12/14 Sec Loc
Sch Time ALLDAY 0 Node ID SWB63
Comments
Ckin Usr Stage
C TIVUGDROP UG DROPYK L .00 3748 TMTTCHEL
co,
COMMQINIGATIUNS
I-'