HomeMy WebLinkAboutStreet Cut Permit 0840UNK Beechnut Lane 900069 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
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DATE: 06/22/09 a,vva"a ,na�a� �\\nn�w �� �a\ava �„�a�� w\\
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GIS ID:08409999vav�� �\w,
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MUNIS APPLICATION# 200900702 �'� `va��� a``'' �`,���`\e�v�v w4v\v A ��a \\ FEE: 25.00
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APPLICAN
NAME: TELE—NETWORKS �\ n�a\\ N\\\\�`\1` \ ; :„ S \ ° T LANE
ADDRESS: 31 BAKEWELL COUvvvmmn�" 4 \,.`a°` av
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CRASTON RI 02921vSv w
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PHONE 401-461-8420 �� \�H\ \ \� ���\\\ ��\ \ �` \\\\\\r \ua . a�a \o"
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WORK DESCRIPTION: INST A\vgvmv"vvaaaaNgv� �a�aa�wv\, ���
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APPLICANT AGREES TO FURNISH TH Q
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THE TOWN OF SOUTH WINDSOR FOR ANY E " TT3
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CONNECTION WITH THIS PERMIT AND THE AP C� .\ I m;,o\uILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO �,�
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ISSUED BY DATE INSPECTED INSPECTED BY
6/22/20092:44PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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PERMIT NO.: a 4O(o CONTRACTOR:
LOCATION:
'TYPE OF WORK:
..DATE INSP NEEDED: DATE INSP: 3 JP
INSPECTED BY: Zb —
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PROGRESS:
AS-BUILT:
INPUT:—_ - DATE:
W/2007 Town of SoA Windsor INPSEMON RS%T 07
a00900 70,y APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL .
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm eLcz- Ne+w C r—S Phone No.V. &A-L- 2302-
Address of Firm '91 3RKeweh C-E. Cv-ooA S-kGn F-Z Zip Code 2q 2-
Location of proposed work ►�v L
Describe fully nature of permit requested %MtOA lCePWCOC'ol't
Starting date U- 1 ci-oai Approx.time for completion 1 d6!4
Call Before You Dig No. 30061 4101 (o
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT 1S RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH ISTYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
see aka C )e_(A No.oats
Est:Patch Sizes) sf
EsL PvL Thickness in.
EsL Patch Unit Price
Est Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost$
Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
Amt:of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By .
the Police Dept.and C.S.Y.D.
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.
igned: v.r J Date: Ce— 1 C?—09
e: Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc
3lreet 2518444839 ~`•�WP' 1?? .�rMP3 �+ ,r„rV ,
Zip Code 06074
Numbe° 273 •50P3 '6' p
actual Count 1f
%tential Count 1 —
F Residential :. 49 �` "� .r, .r,
Jnit Number 170•
address Suffix R 1
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3itya South Windsor
tete '. 96 10
State(Enum) Ct — f tam .S W B 126
Zip Code Ext r Q p
account Type cv
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account Type(Enum) Residential �- {
Service Type J Oc 6
Service Type(Enum) Ug 20 40+ / 126
Vode Number SW812
-louse ID 2160471745 R 1 z
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