HomeMy WebLinkAboutStreet Cut Permit 26 Farm Brook Lane 1000115 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
lot
DATE: 07/08/10
GIS ID: 31600026 � FEE: 25.00
MUNIS APPLICATION# 201000849 V RATION DATE: 07/08/11
APPLICAN' LOCATION
NAME: TELE-NETWORKS 56 FARM BROOK LANE
ADDRESS: 31 BAKEWELL COU�T� � TI O KAREN K&STEPHEN J
CRASTON,RI 02921 � jasA BROOK LANE
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P�V4INDSOR,CT 06074
PHONE 401-461-8420 _ gal
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WORK DESCRIPTION: REPLAGRC-A.1'
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APPLICANT AGREES TO FURNISH THE T3F SQ � D`BND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY` CR #s4NC AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE 'f"- 'T�A I ,} L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SUISR' STI - BUT IIMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
7/8/20104:04PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: �� ''
LOCATION: - � aCm�lr0at La /1.�.
TYPE OF WORK: C
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: dt>
WORK IN
PROGRESS: n�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L DATE: 5� l
Wj2007 Town of South Windsor INPSECTION REPORT 07
d 0j o 00 3 L/ At' ILIUA 11UN #-UM 5 t Hf=t I LXUAVATION PERMIT / 00d
Appi.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS OEPARTME U
1540 SULL#VAN AVENUE Date-
SOUTH WRMSOK CT=74
FEE,$26.00
Name of Firm. tale- -�v c� S Phone No.t' ' � 2 t 2.
Address-Of Fi S CT C C C,n 19�%A PLT To Code 0 Z! i 2 I
Location of proposed work r (o a M b
Describe fullyy nature of permit requested
Starting date Appro a for completion...
Call Before You Dig o. �C> _ Exisfmg yyater Su Ty: Q Pt�&c ester D well
Egg Service: �(Pubic Sevfter 0 Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANOff PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AMID-CURB REPLACEMENT,MAJIDING ANY]INCREASES IN PATCH AREA,CURB
LENGTH;.TRAFFIC CONTROL ANDTHE TOIIffWS"=M:1ACT COSTS_-THE_PERMANENT PATCH IS TYPICALLY
COMPLETED WIMN AYEAR-OF THE TEMPORARY RY PATCH.BUT IT COULD BE-LATER TJJAN A YEAH
Show skeich of proposed work or feurish This section to be fitted outby
of mmate drawft IrWkateNorth Town of Stx-#h Wmdsar
No.
cLft
Patch S*sL sf
- tit PvL Ttk*n s in.
Est Patch Unit Prim$ Ist
Est.Pates cost
Est Curb Re&cwnent ft
Est.Cutb Urift Price$ /it
EsL Curb Cost$
Est:Traft Unit Cast$ Ihr
Est_Traffic Control$
AznL ofDeposft$
Total Due$
Cash Check#
Applicant is responsUe for wing Paid By
the PoliceDog.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REiiu URSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES-INCURRED BY THE.TOWN-FOR MAINTENANCE OR.REPAIR WORK IN
COl►IN; -THIS PERW AND THAT i AM.FAMILIAR WITH AND WILL ASIDE BYTHE€ULES AND REGULATIONS FOR
PER OUTU I THE TOWN OF-SOUTH WINDSOR'S STREET CUT PERMIT MAMJAL
ed r t Date_
�tle: fhitrer`s Ucense#:
PLEASE ALLOW AT.L.EASTTWO WCRI4M DAYS AFTER APPL ICATIM FORISSUANCE OF PERMIT _
WORK MAY NOT BEGIN:UNTIL:.A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT:ONJOBSITE,AT ALL TRAES
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