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HomeMy WebLinkAboutStreet Cut Permit 46 Heatherwood 900155 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 11/23/09 s y GIS ID:41300046 FEE: 25.00 MUNIS APPLICATION# 200901434s �� WNRaTION DATE: 11/23/10 Ae iu' � s APPLICAN LOCATION NAME: TELE-NETWORKS IERWOOD DR IVE A ADDRESS: 31 BAKEWELL COU � ffift 'IMOTHY M&DIANNE B CRASTON,RI 02921 ERWOOD DRIVE 9JT VINDSOR,CT 06074 PHONE 401-461-8420 a s� s§ WORK DESCRIPTION: REPL - APPLICANT AGREES TO FURNISH THE T E TI FEND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E 6 AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE I JT 1 b LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOr ���[J IT MANUAL. rl ISSUED BY DATE INSPECTED INSPECTED BY 11/23/200910:21AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** - - ...... - ..... ..... - - -....... ....... - ........ ... --------- --------- v � AOF OW % --zv 3 g _ i �yg �y - 071 �� � �� y A # ot i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 9 Oa L, CONTRACTOR: LOCATION: LA tP �Ae `Nn eC X,0Q1) Q TYPE OF WORK: to cpT Y' �' 'Lw rA`w DATE INSP NEEDED: DATE INSP: z INSPECTED BY: �D WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: c DATE: (� W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT AWL No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm ek e. WUcr—S ' 94urr'23C2 Phone-No. Address of Firm e Q s_-'6Y� lza Zip Code00Q-2� t Location of proposed workl�4b 12 t Describe fully nature of petmit requested fyeCCLCe f lV1 sj.L CA-TV Starting date I , -01 Approx.time for completion Cali Before You Dig-No.X001 '� Existing Water Supply: Public Water ❑Well Existing Sewage Service: ❑Public Sewer. ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL COST:OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB "LENGTH,TRAFFIC CONTROL AND-THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This on to be filled out by two copies of separate drawing Inccate.North jpn of South i indsor See 0'4 cid—ed No.of Est.Patch Size(s); sf Est.-Pvt.Thickness.. in. Est.Patch Unit Price to /sf Est.Patch-Cost S Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.t urbCost.S Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of.Deposit S 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 REGULATIONS FOR PERMITS&S-OUTLIRED IN THE TOWN OFSOUTH WINDSOR'S STREET CUT PERMIT MANUAL g ned: 4­� Date: LL/ dL0 _0 Gj Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES street Excavation Permit 08 REV 10-22-08 m ark >" =Cox Commimications GNIS Mobile 4 7 'X a .--Map — —�[ 4 a :'-. a .,3 Boundaries Fiber fli Landbase r . r �j Notation LIEN Reckne -� © RF 1+7 o Structure • r Tt je,l - 4 M • 47. t ��,=a; a r• •.�:r; eon Star