HomeMy WebLinkAboutStreet Cut Permit 73 Rosemary Lane 1000109 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/29/10
GIS ID:77400073 FEE: 25.00
MUNIS APPLICATION# 201000795 EXPIRATION DATE: 06/29/11
APPLICANT LOCATION
NAME: TELE-NETWORKS ADDRESS: 73 ROSEMARY LANE
ADDRESS: 31 BAKEWELL COURT OWN_ER: LEFKOWITZ JANIS
CRASTON,RI 02921 73,ROSEMARY LANE
SOUTH WINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPLACE'EXISTING CATV
APPLICANT AGREES TO FURNISH THE TQWN OF"SOUTH'WINDSOR THE,AMOUNT O BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY TFE,TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT'IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIIVDSR;S,.STREET CUT`PERIv1IT MANUAL.
x CZ-
ISSUED BY DATE IN P CTED INSPECTED BY
6/29/2010 10:11 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: C, CONTRACTOR: y�
LOCATION: I �2/1 L
TYPE OF WORK: 6-4
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:_ 3n
WORK IN
PROGRESS: -}-r,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED El YES ❑ NO
AS-BUILT:
INPUT: DATE: )Y /
W12007 Town of South Windsor INPSEam REPORT 07
2010 C0 72 S APPLICATION FOR STREET`EXCAVATION PERMIT f boo 10 9
ApPl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
154t)SULUVAN AVENUE Date:
SOUTH`WINDSOR,CT06074
FEE $25.0
Name of Firm t� 2- - � C S Phone No.t'8E2 8 `�` 23 O2.
Address of Firm 3 sG'*jQ tv `C� CCG� S 4 R � zip Code U Gi 2
Location of proposed work 3
Describe fully nature of permit requested ,P y- -A-t 11 01 CA Ty
Starting date Approx.time for completion
Call Before You Dig No.;2t✓l( � Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT:IS.RESPONSlBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND,CURB REPLACEMENT. INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWWS CONTRACT COSTS. THE.PERMANENT:PATCH°IS TYPICALLY
COMPLETED WITHIN A,YEAR OF'THE TEMPORARY PATCH BUT iiT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or famish This section to be filted.out by
two copies of separate drawing Indicate North Town of South Windsor
pp t L 'n p
No-cuts
Est Patch Size(sj sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost:$
Est.Curb Replacement ft
Est Curb Unit Price$ /ft
EsL Curb Cost$
Est:Traffic Unit Cost$ /hr
Est.Traffec Control$
Amt.of Deposit$
Total Due$
{ }Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police;De t and C:B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH;WWDSOR.THE AMOUNT OF BOND:REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOU1fN FOR:MAINTENANCE OR'.REPAfR WORK IN
CONNECTi WITH THIS PERMIT AIVQ THAT I Alftl FAMILIAR WITH AND WILLABIDE BY THEfiULES AND REGULATIONS FOR
�ER A OUTL! D i THE TOWN-OF.SOUTH WINQSOR`S S I REET CUT.PERMiT tiItANUAL:
Dater 0
Driver's License#:
0
PLEASE ALLOW AT LEASTTWO WORKING DAYS AFTER:APPLICATION FOR1SSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A°PERMIT HAS BEEN ISSUED
PERMIT SHALT:BE KEPT ON:JOBSITE AT ALL TIMES
Street:Excavation Pemlit 08 REV 10-22=08
P`4 replace from 23-2 to the 14-2 RI
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