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HomeMy WebLinkAboutStreet Cut Permits 9999 Rye Street (7) 1600220 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 11/23/2016 GIS ID: 78609999 FEE: 25.00 MUMS APPLICATION# 2016017534 EXPIRATION DATE: 11/23/2017 Rli All yk APPLICANK LOCATION NAME: GENERAL BORINGS NC ADDR Sr — R, STREET ADDRESS: 201 STRAITSVILLEMi?I� { OWN1R n TOWNhOF SOUTH WINDSOR P O BOX 7135 � s s _° I54OiTL LIVAN AVE PROSPECT, CT 0672 , 2JJUTHVINDSOR CT 06074 PHONE + y % x WORK DESCRIPTION: RYAT,R `I70rNORTYIJOF' � ��f�1N SI�3E OF ROAD DRILIIG BORiIC ff APPLICANT AGREES TO FURNISH TH�TOWN OF 0�1TH W 1D I SHE AMQi TOF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR^Y"I XPIINSES GCI1iRE15nB`Y II#E,1�C?W,N..��F�C�Rfi1AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T �t'PLICINT ISAtuI�TYTAR 1TIII3�WII L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQ°[ITH 1jV N. SO.A.,S STREIIT CU�°1'I tMIT MANUAL. co ISSUED BY 15A E INSPECTED INSPECTED B 11/23/201612:57PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** is Y i •Zw di TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.. CONTRACTOR. LOCATION: 6 S` TYPE OF WORK: 1 DATE INSP NEEDED: DATE INSP: INSPECTED BY. B'D WORK IN . PROGRESS: 4- pa SEPTIC TANK PUMPED,SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT: DATE:_. S/mclloy/€orms 2014 Town of South Windsor INPSECi WREPORT 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 $25.00 Name of Firm L f. Phone No.r S- Address of Firm l �5 0-V l (26, ro5 ? Zip Code42�2q La Location of proposed work 17 0 N In t? >.�1 i�s c�►��+ �' {��' ©� Describe fully nature of permit requested rl t t +n � 4 arm `' 'YV� Starting date 1 i 1 t(a _._ Call Before You Dig No L-011o450,:14Qa PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 0 Pavement Cut ❑ Curb Out ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of.proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est, Pvt.Thickness in. F( loe c� `Y �f 'l Est. Patch Unit Price Est. Patch Cost$ Est.Curb Replacement ft Est. Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ lhr 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 " )Cash OCheck# 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��EET CUT PE, rr MANUAL. n Signed; "` ' Print Name:lVjt Date:_l 1��� k-P Street Excavabon Permit 2014 i 3*tea fr t A 4 UP .. f... . Yr r � . E 41. 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'„,. • ;t':.A', r e to r ^I�.,i ads �6 'JF \ M9' i4! rq d.• r} Sy.z wlift r ik d,3•y r ;_' � r t � 1�.Y'�,• *hr r . �r If '� l�rr. {�d '�s'rk T�ttr•.�" �si'p T °.: '�Y�t d „ ? q, '"�.SA .1 `k4A r'�, F ; t Y t•r `� .c.,'xs;. �✓��, , r�� } rra+sxy�4 x': ,a t .� a e y � 'y'�' � z' r..4w`.,r-` PROJECTNO: E cbyd.c m http://onecall.cbyd.com/CT-B4-EN/WorkBenct rP 4" Ticket Summary Manual Print The asset owners listed below have been requested to contact you with information about their asset locations within 2 working days. It is your responsibility to identify the presence of any underground assets in and around your proposed dig site. • Do not proceed with any excavation until all Public Utility owners listed have marked out their facilities or have contacted you directly • Ensure you adhere to any State legislative requirements regarding safe digging requirements. • If you damage an underground Public Utility you MUST advise the Public Utility owner immediately. For more information on safe excavation practices,visit www.cbyd.com Ticket Lodging Details CBYD Request Number 20164503422 Job lodged on 11/11/2016-08:36:30 am Priority Normal Job was lodged by Web Delivery Method Email - office@generalborings.com Ticket Details Rye Street Address SOUTH WINDSOR CT Nearest cross street Sullivan ave. Ticket Type Routine Type of Work Construction Activity Borings Excavation Method Drilling Job Start 11/17/2016 Job Completion 11/30/2016 User Reference gei Excavator Doing Work general borings inc. Location of Workplace Both Location In Road Right-of-Way Road R.O.W.,Shoulder Is area pre-marked? Yes Remarks 70' north of of intersection east side of rd. 1 of 3 11/11/2016 8:37 AN