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HomeMy WebLinkAboutStreet Cut Permits 56 Bramblebrae (3) 1600041 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/02/2016 GIS ID: 12600056 MUNIS APPLICATION# 201600517 FEE: 25.00 EXPIRATION DATE: 05/02/2017 APPLICANT LOCATION NAME: TELE-NETWORKS ADDRESS: 56 BRAMBLEBRAE ADDRESS: 31 BAKEWELL COURT OWNER: STREETER LINCOLN H&JANET H CRASTON,RI 02921 56 BRAMBLEBRAE PHONE 401-461-8420 SOUTH WINDSOR,CT 06074 WORK DESCRIPTION: 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. ISSUED13Y DATE INSPECTED INSPECTED BY 5/2/2016 11:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPEC17ON REPORT PERMIT NO::�OD� CONTRACTOR: LOCATION: .5 6 �6C M TYPE OF WORK: DATE INSP NEEDED: DATE INSP: z� T / INSPECTED BY: eV) WORK IN . PROGRESS: [f r % ll / , � � 1 ,ice . A,Ing SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molioy/forms 2014 Town of South Windsor INPSECTtON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm 1ele - N-e_"�W6 r�_-S Phone No. 1' 888 .84'G Z30 Z Address of Firm kl�5 vJ • (?AV�_- S T. e.sod�U2►'1C-e t1_7 Zip Code u Z9 y 9 Location of proposed work 5(0 l3,CGlitf� • J��r.0 Describe fully nature of permit requested of e L6G C t N G\ L y,l 5+1 n C� C Ai V s-e c V t( -2 Starting date 2;3 I b Call Before You Dig No '2 alp li, to 0 b'�>h PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ZWI No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing See P-t+g&xe vl No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ At 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$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations ( )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'S S EET C PERMIT MANUAL. iA Signe r,�� Print Name 5 l 1� Date: Z S Stree xcavation Permit 2014 a x i~ilg; Edct ing Sirvi+tes CustbmerInPormation Order tntry PPV Financial History HSD Help fa Acct Nbr 485062-01 Task LINCOLN STREETER Co/Dv/Frn 51 10 426 Cust Info 56 Bramblebrae Phone# Home 860 644-4275 South Windsor, CT 06074-2135 Bus Tech# 0 Q Code Q BURY DROP Job Se q Priority 5 Pool J Job Nbr 000 Tag Nbr 062 Work Order Number 20651460 Problem Code Work Order Type SR Special Request Addtl Problem Codes Work Order Status Not Coded Primary Finding . Dispatch Comment jUG DROP Primary Solution . Work Order Comments REPLACE UG DROP/ 1151/ DRIVEWAY AND Pri Loc STJ2 Sch Date 5/15/16 TJALKUAY/ No TEMP Sec Loc Sch Time ALLDY1 Node ID SVC17 Ckin Usr Stage Cat OccService From To Amount Pnts Emp User ID C 1 VTJGDROP UG DROPTiJK 1 LL- QO KPARINEA / .Sir t'� f', I 0i've wa co CQMMU�rtCATtO!i5 S r