HomeMy WebLinkAboutStreet Cut Permits 64 Debbie Drive (4) 1800022 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/13/2018
GIS ID:26700064 FEE: 50.00
MUNIS APPLICATION# 201800456 EXPIRATION DATE:
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APPLICAN't k x;, LOCATION
NAME: TELE-NETWORKS w, k ADDRESS: 64'l7EABIE DRIVE
ADDRESS: 31 BAKEWELL COIL, KRATZ;GREGORY&CATHERINE
CRASTON,RI 0292I b DEBBIE DRIVE
F, QU I�WINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: INSAI,LING REPLACING CCTV
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APPLICANT AGREES TO FURNISH THE°t OV4N Ok SOUTH WINDSOR THE AMOUNT 1=BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A4Nx E�CPENSES INCURRED;BY T1IE TOWN FOR'IMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TF E APPLIOAi�" IS I±AMIT IAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN F SOUTH WI1VD OR':'S TRTij>;T CUT PENIIT MANUAL.
ISSUED BY DATA) SPECTED INSPECTED BY
4/13/2018I0:58AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT No.: z"a CONTRACTOR: _
LOCATION: I-e_ t V-e ..-
TYPE OF WORK: I� S //1,n zv
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DATE INSP NEEDED: DATE INSP: 7 i
INSPECTED BY:
WORK IN
PROGRESS: ✓a' n."a
SEPTIC TANK PUMPED,SMASHED, FILLED 1WrMESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE" p
5/m6lfoy/6orms 2014 T=of South WlndSW INPSEMdN REPORT 14
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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 $50.00
Name of Firm le �l}J U'rk-,S Phone No. 46 3
Address of Firm l Sr C S Oil 1W I 23- Zip Code 0 Z0
Location of proposed work
Describe fully nature of permit requested w S 1 n C `ac kI'1 G 'AI
Starting date Call Before You Dig No Q t I t 5
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicabie: RIN�o Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes 0 Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Weil Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
(� ( No.cuts
0 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ /sf I
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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$ /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 O 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 REET CLg PERMIT MANUAL.
Signed: a` Print Name -)am-e� Q(\AA6(C� Date: �3 {
Engine ng/perm /Street Excavation Permit 2017
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Replace 107 ft. of UG feeder cable from output of the 20/2
tap at Hse#64 Debbie Dr. to input of the 4/2 tap at Hse#73
Debbie Dr. Tech Izzy Robles 860-250-3484 ----- 107 fleet ug
/�1� cable. Joint trench attempted repair but second and third
"s •v RE fault next to power this is for Debbie dr in south windsor
ESR000002590761 Jeff and i dig it up fixed 1 fault but still =
m has another we digover 5 feet for the other fault but its joint
trench so its deep. Node SWD06 ------ ESR000002590761
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Notes: 4,
Date Created:0210812018 08:34:00