HomeMy WebLinkAboutStreet Cut Permit 56 Partridge Lane 1000075 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/11/10 - -
GIS ID: 69600056 j FEE: 25.00
MUNIS APPLICATION# 201000536 =� M' �I'IRATION DATE: 05/11/11
ME
�W
APPLICAN ,�'�% - = LOCATION
Aff
NAME: TELE-NETWORKS RED €PAR tIDGE LANE
ADDRESS: 31 BAKEWELL COU
��� '� IIA�T HEIDI B
CRASTON,RI 02921 %� 1PXRTjIDGE LANE
I If WI-7 ffff %%% U rSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPiu-%- Or CA-1 V,
j ti�/jam
//
APPLICANT AGREES TO FURNISH THE V F's(1I1 TT REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANV%� XPONS' -1 TH 1fl MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THEAPPI }�TIAAY� ALL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF LfTB U I SIB Ei`I V PIjR IT MANUAL.
iItc
ISSUED BY DATE INSPECTED INSPECTED Y
5/11/20109:24AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
,igy—li rww
IN
IN
i
� jgm
Eft�� 97
I,
mr
lmc
i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO. /0000 7S_ CONTRACTOR:
LOCATION: I G
TYPE OF WORK: 1 sti n
DATE INSP NEEDED: DATE INSP S-k A
INSPECTED BY: Qi�,
WORK IN
PROGRESS: L.?
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: ' S
W/2007 Town of South Windsor INPSECTION REPORT 07
90 10005-.:�(" APPLICATION FOR STREET EXCAVATION PERMIT r' 0006) 7S
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS.DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR,GT M74
_EE.$25-
Name of.Firm i1e- '. U 1 S Phone NO: ` 23 .
Addres Of t=irm 3G<'(- t'� `C t C CC
s Su`1 Zip Code ( �i 2
Location of.proposed-work;- — Pf�12-C�tG E' (car,
Describe fu!!y nature 6f permit requested YP oace- � S n C, C A
-�-
Starting date t L + Approx.time for campWon
Cali Before-YOu Drg No.; ( 1. Existing WatCrStrpply: 0Put)rld e; Well
Existing sewage Service: �(PubGc Sewer 0 Septic
PLEASE NOTE: THE DEPOSfT FOR THE PERMANENT PAVEMENT PATCH_AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE F. THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,-INCLUDING ANYINCREASES IMPATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWS-CONTRACT COSTS. THE PERMANENT PAT -IS TYPICALLY
COMPLETED WITHIN A.YEAR OFTHE TEMPORARY PATCH BUT R COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Irrr&cate North. Town of South llftrndsor
No cuts
Est Patch Size(sL s#
Est PvL Thickness in.
Est Patch Unit Price$ Js#
Est Patch Cost$
Est:Curb,Repiacement ft
Est Curb unit Price
Est Curb Cost$-` - -
Est Traffic Unit,Cost fir
Est.Traffic Control$
Arm.of Depoait;-
Total Due$
t )Cash ( )Check If
Applicant is responsible for contacting Paid By
the Police Dept and:C.B.YA.
1 AGREE TO FURNISH TO THE TOWN OF'SOUTR WINDSOR THE AMOUNT OF BOND REQUIRED AND Tfl'REIMBURSE THE
TOWN C3F SOUTH 1NtNDSOR FOR-ANY EXPENSES INC[1RRED BY THE TOWN FOR:MAINTENANCE OR:REPAIR WORK IN
CONNECT WITH Tt#IS PERMIT ANQ THAT I AM'FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PER (?UTLI D THE 7 OVftNbF SOUT�t WINDSt)R`S STREET ClIT PERMIT MANUAL
igned• csw Date: '' O"�
tie: Driver's Luse#:
PLEASE ALLOW AT.LEAST TWO WORKtf�x QAYS AFTER APPLICATION FOR'iSSUANGE OF PERMIT
WORK MAY Nb*BEGIN UNTtLAPERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ONJOBSITE AT ALL TAKES
Street Excavation Perrnit a8 REV I0-2Z-W
f
R2*' ,
b�Gb
124
Z
J_
Q
135
SWD5618
FMLI G7J-LO4
3 D5602
33/22 54/37
17117 32/31 RI
314' 7.57
CSS/0 9/4
33 86.6 r 132
o-
\Q a
o o ?
-------------
LO
�C\`ro.
Cr
74
66
NO
Cr 56
Qf
46
Replace from the output of the 23-4 tap to the input to the 2nd 23-4 to