HomeMy WebLinkAboutStreet Cut Permits 45 Redrock Lane (2) 1600050 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/02/2016
GIS ID: 75500045 FEE: 25.00
MUNIS APPLICATION# 201600526 _ EXPIRATION DATE: 05/02/2017
APPLICANT LOCATION
NAME: TELE-NETWORKS ADDRESS: 45 REIaROCK LANE
ADDRESS: 31 BAKEWELL COUR ,_ OWNER: - NGO Jf1MES B&
CRASTON,RI 0292I 4-5 RED ROCK LANE
SOUTH WINDSOR,CT 06074
PHONE 401-461-8420 - =
WORK DESCRIPTION: CATU
APPLICANT AGREES TO FURNISH THI TOWI OF SOUTH WIND o THE AMOUNT OF BbND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIIYEXPI NS_INURREI)BY TI4E TOWII FOI3l1AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TII APPLICANT IS FAMILIAR WITH AND VILI'LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDS(R'S STRI ET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/2/20 1 6 2:00PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO::_LZd S CONTRACTOR: � LC✓L�
LOCATION: (�4
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: Z111 Il;
INSPECTED BY.-
WORK IN .
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE: Ro
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 $25.00
Name of Firm "(e ke . 0-e-A vy 0 C�--S Phone No. 1- 886 -8`,t-G- 2 3 D 2
Address of Firm k'�-S vd � (2Ac�-- 57, esCJtck-p—oc-e t2L Zip Code C 2_9 y g
Location of proposed work 4 S 1 ea ZocC-- c,A .
Describe fully nature of permit requested_ fit f(-A t N G\ L Y,l S+\In c� c lA-C y s-e c y 1 c-e
Starting date Z{3 f b Call Before You Dig No_'2 \Uj I to Q 1 04
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETE7N(o
HIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
see P " ci�cvxe cA No.cuts
0Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
C P' Est. Curb Replacement ft
S k 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 3ft 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!5SIREET C PERMIT MANUAL.
Signexcavation
� Print Name l Date: � Z 9
Streeermit 2014
-41 DATA-) -Work Order Display- Site 216
❑ x
Role Edit Billing Services Customer Information Order Entry PPV financial History HSD Help
L—�Co M S % 0 ca 01 " 3c 1 ri in
Acct Nbr 1339196-03 Task
Exit James Ngo Co/Dv/Fm 51 10 426 Cust Info
45 Red Rock Ln Phone# Home 860 874-8888
View 2 South Vindsor, CT 06074-3790 Bus Tech# 0
Exit and Petainc �' '� Y 0 Code 0 BURY DROP Job Seq
Menu Priority 5 Pool J Job Nbr 000 Tag Nbr 1551931
Pts Work Order Number 20691327 Problem Code
Svcs Work Order Type SR Special Revest Addtl Problem Codes
Stage History Work Order Status Not Coded Primary Finding .
Time Slots Dispatch Comment F Primary Solution .
Work Order Comments Fur 2 SIDEVALKS AND THE ROAD BORE Pri Loc SY4
Prorates
Sch Date 5/15/16 ING TEMP Sec Loc
Tech Flash
Sch Time ALLDYi Node ID SWE60
Ckin Usr Stage
C 1 VUGDROP UG DROPUK 1 .00 ANORTEGA
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