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Home My WebLink AboutStreet Cut Permits 168 Debbie Drive (4) 1600053 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/02/2016 " GIS ID:26700168 MUNIS APPLICATION# 201600532 " FEE: 25.00 EXPIRATION DATE: 05/02/2017 APPLICANT M LOC NAME: TELE-NETWORKS ADDRESATION S: l &D1BBIE DRIVE ADDRESS: 31 BAKEWELL COUR = = Oy✓NER „ 3T J0I1 LAWRENCE K&MARY ELLEN CRASTON,RI 0292J r i68`DEtI3IE DRIVE PHONE 401-461-8420 SOUIH WINDSOR,CT 06074 WORK DESCRIPTION: CATU " APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH W NDSC3R THE AMOUI IT OF$AND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al ly E PEN ES INCURRED BY THE TOWI I FOR-sMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE OPLICANT IS FAMILIAR Wl-TH AI D WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED"IN f�FTHE TOWN SOUTH WINDS&S TREET GUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 5/2/20 1 6 3:49PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.; 00 CONTRACTOR: 4ee/ der; C •S LOCATION: f r) V`Q TYPE OF WORK: C A-1 V` . DATE INSP NEEDED: DATE INSP: rt INSPECTED BY: WORK IN PROGRESS: Z),7 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: ' DATE: I S/molloy/forms 2014 Town of South Windsor INPSEMON 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 06074 FEE $25.00 �Name of Firm 1e�e • "e %J 0 r�-S Phone No. 1. 898 •8Z-;1 230Z Address of Firm k9S vJ • PACE 57. es0'j t2a Zip Code 0 2_9 y 9 Location of proposed work 1 os ole bh e ✓JC Describe fully nature of permit requested ft'e(A C(N Cn l: 4 l S+\yi c� C(A-C v s-e c v 1 C-e Starting date 28 1 1241 ('0 Call Before You Dig No 2°alp i`e 6 l65(p PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, Check Applicable: OIT No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing __�qq See �"I,}�c)A-e vl No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est. Curb Replacement ft Est. Curb Unit Price Est.Curb Cost$ 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$ DRIVEWAYS must be aft or more from the property line per Total Due$ section 2.17 of the zoning regulations (Applicant is responsible for contacting the Police Dept.and C.B.Y.D )Cash ( ) Check# 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'S S EET C PERMIT MANUAL. II -- Signe Print Name Date: Z 8 Stree xcavation Permit 2014 4 DATA? -%lork Order Display- Site 216 Miami i ei;=z& Billing Services Customer Information Order Entry PPV Financial History HSD Help OK Acct Nbr 487296-01 Task LAWRENCE ST JOHN CO/Dv!Frn 51 10 426 Cust Info Ert VVIO 168 Debbie Dr Phone# Home 860 644-0877 South Windsor, CT 06074-1817 Bus 860 565-4579 Tech# 0 a( Q Code Q BURY DROP Job Seq Priority 5 Pool J Job Nbr 000 Tag Nbr 460956 Pt Work Order Number 20650721 Problem Code Svcs Work Order Type SR Special Request Addtl Problem Codes Stage History Work Order Status Not Coded Primary Finding . Time Slots Dispatch Comment Primary Solution . Work Order Comments Pri Loc sWz Sch Date 5/15/16Tech Flash Sec Loc Sch Time ALLDYl Node ID SYD06 Comments Ckin Usr Stage C 1 VUGDROP UG DROPTdK 1 .00 66194 JACHASE ILI C 0 ��6140) ILIA