HomeMy WebLinkAboutStreet Cut Permits 198 Wood Pond Road 1600079
PERMIT NUMBER TOWN OF SOUTH WINDS OR, CT
DATE: 0512512016
STET CUT PERMIT
GIS ID:96000198 „ r
MUNIS APPLICATION# 201600672
} 3 FEE:
k�Y,3 'EXPIRATION DATE: 25.00
APPLICAIV`I' 05/25/20 17
NAME: TELE-NETWORKS S
_ADDRESS: 31 BAKEWELL COL7RT i LOCATIONADDRESS 198 WOOD POND ROAD
CRASTON,RI 02925 { OWNER ` OTL
a STUART A&
PHONE `18°`WOOD POND ROAD
401-461-8420 r SDUT W
�I: 1NDSOR,CT 06074
WORK D
4
ESCRIPTION: �pL���AIN � , � _ •
r i n 3t r
AAPLICANTAGREES TO FURNISH TH _TO Yfiw
THE TOWN
OF SOUTH WINDSOR FOR I;�XpENI~DSI�SOTHE h CONNECTION WITH THIS PERMIT AND TUN AMOlJ1�1T OF BOND SQUIRED AND TO REIMBURSE
URRD E�THE TOWN F �'MATENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TO WN OTJTI3IND4R S ST1ET CUT PENT M
AIIILIAR Li11jJD WL ABIDE BY THE RULES AND REGULATIONS
ANUAL.
ISSUED BY
Gy
DATE INSPECTED '�
5/25/2016 3:01 PM SPECTED B Y
** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
,
aff
r w
Y-tr>r
4a {
%
4�
Ye C s
r* rt
m..Ce ,
' r
a
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT'NO:; CONTRACTOR:
LOCATION: 46)n4
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
_LZ k2l 4,
INSPECTED BY: 011
WORK IN
PROGRESS:_ .. +r`�' _ . _. •� i'. t
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
9
INPUT: ! DATE:
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.
xTOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm N S Phone No.
Address of Firm vS W . G'� S C�vl V1C� �2-T Zip Code 02A(2
Location of proposed work
Describe fully nature of permit requested C W C'A-
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT 1S RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED
�WIT IN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Q Check Applicable: " No Pavement,Curb or Sidewalk Out ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
j,U No.cuts
0 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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
{Applicant is responsible for contacting the Police Dept. and C.B.Y.D )Cash OCheck#
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.Signed: Print Name-T&Mn Y (n M�rCA Date:jfl
Stre Excavation ermit 2014
❑ X
Fit £Ii � 16n�y Seances CistomerInformation Order En. PPinariaal FlistQry 'HSD Help
. . -
7
Acct Nbr 446239-02
Task
STUART A COTLER Co/Dv/Frn 51 10 426 Gust Info
Prt W/o
198 Wood Pond Rd Phone# Home 860 644-5101
South Windsor, CT 06074-1562 BUS 860 241-3666 Tech# 0
' Retain 0 Code 0 BURY DROP Job Seq
Menu Priority 5 Pool J Job Nbr 000 Tag Nbr 1518320
Work Order Number 20722372 Problem Code
Work Order Type SR Special Request Addtl Problem Codes
�jtage History
Work Order Status Not Coded Primary Finding ,
"Time Slats Dispatch Comment ^ Primary Solution .
Work Order Comments UG_DROP SO'_NO_TENP-NO BORES Pri Loc SW2
Sch Date 5/15/16 LNDSCPNG—TREES/PLANTS IN THE CLAY. j Sec Loc
ilech Flash
Sch Time ALLDYl NOda lD SWC17 omments --- --------- ----------
Ckin Usr - Stage
C 1 V[FGDRUP'UG DROPWK: 1 00 1179t1 KdACt}B
COMMUNICATIONS
------------
1
r^M