HomeMy WebLinkAboutReplace catv Street Cut Permits 26 Sea P 800087 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/12/08
GIS ID: 81700026 FEE: 25.00
MUNIS APPLICATION# 200800864 EP:IRATION DATE: 06/12/09
APPLICANT LOCATION
NAME: TELE-NETWORKS ADDRESS 26 SEA.. E ROAD
ADDRESS: 31 BAKEWELL COURT '; - Q NER hi ffP.ROkRTIES LLC
CRASTON,RI 02921 2 A PX*E ROAD
SWTH WNDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPLAC&G C 1INST ILI iG C 1T .
ALONGSEA,PAVE DRIVL�
APPLICANT AGREES TO FURNISH THE TOW SOUTH ,SbR T'I II;:AMQ tT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EYPI? 1SES INURRT Ii TEEbGVi I Olt;l?v1AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS` :I A TTH A D`WIL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S(U,.TH W PRIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
6/12/20082:34PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: f'o � �I CONTRACTOR: " 'te Pi y--t- o c s
LOCATION: , gyp f`►Lg ,
TYPE OF WORK: I- f-V2 la c i nc z )r,?St4 h c" (""5 y
DATE INSP NEEDED: DATE INSP: f C ,
INSPECTED BY:
WORK IN
PROGRESS:
r
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AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
i
APPLICATION FOR STREET EXCAVATION PERMIT .7
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
` TOWN HALL .
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm 'gE'iJ V`��(ZCS Phone No.00eT'fqC'a3 c-3
Address of Firm 31 344+ ccc CT. (2,A/1S'-10N AZ Zip Code 61:04d"l
Location of proposed work Sell ��V6 v9
Describe fully nature of permit requested 120-064C#U6 (f4'TU 14 S-7',1aLt/NC-n GA TV
Starting date '� O A
Approx.time for
Call Before You Dig No. -?W934 0
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
-� Est.Curb Unit Price$. /It
Est.Curb Cost$
Est.Traffic Unit Cost$ Ihr
i
d Est.Traffic Control$
� Amt:of Deposit$
Total Due$
{ )Cash O 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 S OUTL�nNED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Cgg . --� J Date: ��r
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc
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