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HomeMy WebLinkAboutStreet Cut Permits 66 Greenwood Drive 1600076 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/25/2016 GIS ID: 38700066 FEE: 25.00 MUNIS APPLICATION# 201600669 r EXPIRATION DATE: 05/25/2017 tia r x APPLICANT �f 4 LOCATION NAME: TELE-NETWORKS Fv 4 ADDRESS 66 GREENWOOD DRIVE ADDRESS: 31 BAKEWELL CC)i RTY OWNED � IECHWSKI ROBERTA K CRASTON,RI 02921 r' _ }b�6 i ENWOOD DR Y< 5 ?UTH WINDSOR,CT 06074 PHONE 401-461-8420 hSy Fr,� 15 ft�r`'s `� S 5, WORK DESCRIPTION: IN*,.. ALL RI'LCE CsATV z` t a 3 APPLICANT AGREES TO FURNISH TH ,TOW"I'll1'OF` O`[JTFI=I�UINT O FHE"Aj1�I0 1T OF BbND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR, 1 PEI S 1N IIRREII BY TfIE TOVU`TX,OWMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TFIE�PPLTCANT;IS 1 AMIUTAR VCrITH 1I3 W�I,L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN oFtTTI3INDSOR';S STIE P CLIT'PERMIT MANUAL. r ISSUED Y DATE INSPECTED INSPECTED BY 5/25/2016 2:49 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** x ` t z. hh S _AM �55 a; VA V kS t t ty r - � TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR: LOCATION: o e*? j I CJ a j Awl TYPE OF WORK: DATE INSP NEEDED: DATE INSP: fT l INSPECTED BY: � WORK IN PROGRESS: .0 - SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2614 Town of South Windsor TNPSEMON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. hTOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm lv S Phone No.�' �6�' 4 Z 3U 2 Address of Firm �� PC,(t- S C()vt VICE � Zip Code C7ZCt Location of proposed work Est Describe fully nature of permit requested ('- Starting date 6 0 Call Before You Dig No 1q-0k �p �q0 S 01 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WI IN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est. Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est. Sidewalk Replacement sf Est. Sidewalk Unit Price$ /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 TREET C PERMIT MANUAL. Signed: Print Name Date: 1(.e Stre Excavation ermit 2014 a�- Filec its B�Uing Servi=es CustarnerInforrriation 'girder Entry RR Frrianc�al History, .HSD r -51 Acct Nbr 491091-01 Task = ` Roberta Ciechowski CofDv/Frn 51 10 426 Cust Info 66 Greenwood Dr Phone# Home 860 644-3400 South Windsor, CT 05074-2957 Bus 860 528-5967 Tech#I[Exit and Retain 0 Q Code 0 BURY DROP Job Seq Menu Priority 5 Pool J Job Nbr 000 Tag Nbr 456379 Pts Work Order Number 20715800 Problem Code Svcs Work Order Type SR Special Request Addtf Problem Codes f .2tage History Work Order Status Not code Primary Finding . Time Slots Dispatch Comment - Primary Solution . "Work Order Comments 1251T UNDERGROUND DRIVEWAY BORE Pri Loc SW4 - _- Sch Date 5/15/15 AND_A SNALL_VALKWAYlBBORE ^ _i Sec Lac iech Flash Sch Time ALLDYI ---.---- _ _I Node ID sWD07 Comments Ckin Usr Stage C -1 VUGDROP DG bRQPWK 1 �' ��� '' " N10HROD'� l C 0;/1C caw�Mururcar�ows �U a� vW4\vA ri C �L � S � f 4 J J,. ;J