HomeMy WebLinkAboutReplace catv Street Cut Permits 8 Hearth 800027 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/31/08 '
GIS ID:41100008
FEE: 25.00
MUNI S APPLICATION# 200800343f'+
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ATE: 03/31/09
APPLICAN
0CATION
NAME: TELE-NETWORKS
ADDRESS: ARTITTONE DRIVE
31 BAKEWELL COURT
-HARGIAVA ANUJ&PREETI
CRASTON RI02921 <:&.: TH-TONE DRIVE
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h IIDSOR CT 06074
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40 61 8420 �..:.
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SCRIPTION:
SCRIPTI ON:
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OiJ <:bF BTVti REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY
APPLICANT AGREES TO FURNISH THE TgO <;; A: JTENANCE OR REPAIR WORK IN
,:...� .,i .n.
CONNECTION WITH THIS PERMIT AND THE P TGt?aN I I TI`' ' I € "A-N VtLL>ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SJ IT' IT ;, 1 I.CURNI MANUAL.
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ISSUED B/Y ���G/ �3
ATE III]SPCTED INSPECTED BY
3/31/20081:42PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: b CONTRACTOR: �t,- e UD0 c V
LOCATION: '
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: gI�gl�g
INSPECTED BY: A-
WORK IN
PROGRESS:
AS-BUILT:
INPUT: C DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
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POWER POLE P L i�Xa m AMPLIFIER DATA -
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® J01NTn OLE 1 ANCHOR TY/T/P/1P Gym vA,AT -� }_WAY SPOT a aFPo i0o.BRotE \AEaPo SUPPLY �D �•
•� TV PLACE ANCHOR DIRECTIONAL ` `'co Acn uooE --� PI A
�}} OVERHEAD GUY ® RISER ®1 eoM tounoN COUPLER FTC
kV�00�q3APPLI CATION FOR STREET EXCAVATION PERMIT 0004 7
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT G
TOWN HALL /�, p o
1540 SULLIVAN AVENUE lJ
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm �`' T W�� lCS Phone No.
Address of Firm 3 ( W Z� Cam• Zip Code 6 Z c► 1
Location of proposed work \4 Gfl(LTL(S i l N e�
Describe fully nature of permit requested t2,e0C-�C l N
Starting date -3" 2-b ,a� Approx. time for completion 2-
Call Before You Dig No. k 1106 9 27
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
LE /�-t f�� l I G ►'� No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
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 STREET CUT PERMIT MANUAL.
Si ed: �- �'� Date:
Title: Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc