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Home My WebLink AboutStreet Cut Permits 50 Bourbon Street (3) 1600074 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/25/2016 GIS ID: 12300050 FEE: 25.00 MUNIS APPLICATION# 201600666 EXPIRATION DATE: 05/25/2017 APPLICANT - LOCATION NAME: TELE-NETWORKS ADDRESS: 50 BOURBON STREET ADDRESS: 31 BAKEWELL COURT = OWNER: ZIMMER DEBRA CRASTON,RI 0292.1 50 BOURBON STREET PHONE 401-461-8420 SOUTHVINDSOR,CT 06074 WORK DESCRIPTION: REPLACE INSTALL CATV APPLICANT AGREES TO FURNISH THE TO WN 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. lloy ISSUED BY DATE INSPECTED INSPECTED BY 5/25/2016 2:39 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO..: J �� CONTRACTOR: '7-`P /� �/ �'`'® ('ks LOCATION: t A C.k QA TYPE OF WORK: I DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: �.� rlr` �� 4 , x> /u ' SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: I S/molloy/forms 2014 Town of South Windsor INPSECRON 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 $25.00 Name of Firm • t S Phone No.t' ��` g�I S Z 3p Z Address of Firm kqt5 Q f t— 3j VC6\AdCeV1C.Q- Q'T Zip Code OZ-L Location of proposed work 5b (5 rj UIc 0 VA S . Describe fully nature of permit requested V'f O 16 S CA-T Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. �XNo'Pavement, Check Applicable: Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water I :ate Supply: ❑ Public Water ❑ Well Sewage Service: El Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing —� Q C No.cuts �t 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /Sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft 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 ( )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 TREET PERMIT MANUAL. M O'nSigned: — Print Name-) �� Date: Stre Excavation ermit 2014 ❑ x `e d' Jtl�ng Sen�ices Customerin or rattoOraeihntr i DPP Finanual History H� elp t Acct Nbr 471797=o1E. Tank it KYLE F ZIMMER '': ! ----- ----- Co/DvlFrn 51 10 426 Cust info 50. Bourbon St Phone#: Home 860 644-9519 View 2 South Windsor, CT 06074-2137 Bus Tech# o EA and Retain Q Code Q BURY DROP Jab Seq Priority 5 Pool J Job Nbr 000 Tag Nbr 1262290 Pts Work Order Number 20727240 Problem Code Work Order Type SR special Request Addtl Problem Codes Stage Histuty Work Order Status Not Coded Primary Finding . �Tirne Slots Dispatch Comment �- Primary Solution . Piorates Work Order Comments UG DROP 2001 RG11-NO TEMP-NO BORES " Pri Loc ZY2 lech FlashSch Date 5/15/16 Sec Loc _ _— — --- Cornments Sch Time ALLDYl Node ID SVC04 -- --- --- Ckin Usr - -- Stage C 1 VUGDROP'Y :,,DROPWK 1 s 00 11790 KJACOB P6 ON/ v `l rl E3 _]E3 cu�n�suK�cazioNs