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HomeMy WebLinkAboutStreet Cut Permits 9999 Debbie Drive (3) 1400315 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/23/2014 GIS ID:26709999 MUNIS APPLICATION# 201401504 FEE: 25.00 EXPIRATION DATE: 10/23/2015 APPLICANT-,` LOCATION NAME: CHARTER OAK UTILITY CONTRACTORS ADDT�ES 99 DIyBBIE DRIVE ADDRESS: 231 SHUNPIKE ROAD ---------------- OWNER TOWN QF SOUTH WINDSRO CROMWELL, CT 06446 " , 154o-'UIfiI IVAN AVE PHONE SOUTH WINDSOR, CT 06074 af WORK DESCRIPTION: 3400`R1 CONDUCTOR"AND ROAD CRO SI3*I FORL&P ON DEBBIE DRIVE AND NATSISKY FARM ROAD 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$Y"THL TOWNFOIZ 1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AID WILD ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUTPEIIIIT MANUAL. ISSUED BY DATE INSPECTED S INSPECTED BY 10/23/2014 8:57 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1!jn®31S- CONTRACTOR: C haf et, oak-, ut 1 Alt/ Chi o_*__5 LOCATION: 4- 1 Ggload TYPE OF WORK: -19 ' re.con d uc f4c g, Rd X-)'O!� r L I C DATE INSP NEEDED: DATE INSP: A � I►5 INSPECTED BY: An WORK IN PROGRESS: A � In IL b L4 �r G v Ci 0:cx C k SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: 41 S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 -40/yo/6-DiLl APPLICATION FOR STREET EXCAVATION PERMIT / Q© ) Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Charter Oak Utility Constructors Inc. Phone No. 860-529-7714 Address of Firm 231 Shunpike Road, Cromwell, CT zip Code 06416 Location of proposed work Natsiski Farm Road and Debby Drive Describe fully nature of permit requested 3400' Reconductor and road crossing Starting date 10417 Call Before You Dig No ee PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Out ❑ Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out bvTown two copies of separate drawing E No.cuts I Li& ATTAC.444,50 vl� Est.Patch Sizes) sf 't-- 0 Est.Pvt.Thickness 4' in. le r-V1 11" Est.Patch Unit Price$ Zs /Sf Est.Patch Cost$. 30t;0, Est.Curb Replacement ft Est.Curb Unit Price$- -71,0. /ft Est.Curb Cost$ 1-60 . Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$_3,16�, Total Due$ 30,[6 <° Applicant Is responsible for contacting the Police Dept.and C.B.Y.D ( )Cash (Check fl PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By CAArITSIZ AC- (/T( Ty ( �VVC1 A1 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 WIND SOR'S "TC ER IT UAL - 1 LikLA igned: Print Name JAj, 0 �'�e,1 er k Date: /06) Street Excav Lion Permit 2014 (W) 34'e .-3 ?aY Debbie Dr- Google Maps Page 1 of 1 c` y aOlq L/20 D-6 &7 Y-0M_ r Kni C�r �w. VL U G 60 t.asal7r t s8 C1r N 2. R. K r r� ro a is G I m i m„ t � v �� CaS�eswo�noP( Map data 02014 Google 200 R file:///C:[Users/Justin/AppData/Local/Temp/LowNF67M7H3.htm 10/16/2014 Debbie Dr- Google Maps Page 1 of 1 a 01 &IzO .26 lA Qy, �1 4°0 cc �w� t St'a kSlC fe�Spece- m � � 3 .....13,. I II G�t can In � Y`,L� �.-. s. 5 I . t7art ri#Re� s'd Map data 02014 Google 200R file:///C:/IJsers/Justin/AppData/Local/Temp/Low/FGBN805W.htm 10/16/2014