HomeMy WebLinkAboutStreet Cut Permit 67 Ridgefield Drive 1000078 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 05/11/10 ;v
FEE: 25.00 GIS ID:75900067 �'�
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MUNIS APPLICATION# 201000541 Ile
PIRATION DATE: OS/11/11
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APPLICANT LOCATION
NAME: TELE-NETWORKS �: g )RED RIDIEFIELD DR
ADDRESS: 31 BAKEWELL COU j A IAOQIANG&
CRASTON,RI 02921 ==%� G FIELD DRIVE
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r INDSOR,CT 06074
PHONE 401-461-8420
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WORK DESCRIPTION: REP406WN" /
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APPLICANT AGREES TO FURNISH THE"NW1�T�AI1T � MOr� ( 1 bND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN `XPIS1C T � vIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THEE PZ�i ( 4� AI 1 ALL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF s?U P J� R'; 7� P IT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/11/201010:41AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTHWINDSOR INSPECTION REPORT
PERMIT NO. j O 000'7!0 CONTRACTOR:
LOCATION: kd �L ( Q�z�/,
TYPE OF WORK: 122_-0A(E CA-TIJ
DATE INSP NEEDED: DATE INSP: ( t 3
INSPECTED BY: 6D
WORK IN
PROGRESS: fib , +o S
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �'l DATE: �1
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT Z COW 29
Appi.No. TOWN OF SOUTH:WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1ls46SULLIYAN AVENUE t}ate.
SOUTH WINDSOR,CT 06074
FEI"::8.QI
-Name of Firm \4 y,_S Phone No:
Address of Firm <' 1 C Wk n S CEl (Z I
Location of praposevor �Y 1 'fir
Describe fui#y nature of permit requested +� 12
Starting date 5-{O t O Approx.time for completion
Calf Before You Dig]. 2 01,
Existing,Water Supply: ❑Pubiic Water Q We#I
Existing Sewage Service: 'ubiic Sewer ❑Septic
PLEASE NOTE! THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH-AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPL#CANT I RESPONSIBLE:FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES 1N PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A.YEAR OF THE TEMPORARY PATCH BUT if COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnishT. Ws Item:to ke fiw:out by
Iwo copies of separate`dravvirig Iruiicate North Town of S(WM Windsor
No:cuts
Est:Patch size(sj s#
Est Pvt.Thickness in.
Est Patch Unit Price.$ tsf
Est Patch Cost$
Est:Curb Replacement ft
Est.Car Unit Price$ /ft
Est Curb Cost$
Est:Trafft Unit Cost$ 1hr
Est TVdit Controt
AMtr of Deposit$
TdW Due$
{ )Gash ( )Check#
Applicant is responsits#e for contacting Pald By
=the Police De t and:CB.Y,D.
#;AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED`ANQ To REIMBURSE THE
TOWN OF SOUTt t WINDS FOR-ANY EXPENSES INCt1RRED BY THE TOWN FOR MAINTENANCE OR:REPAIR WORK IN
CONNECT# -WITH THIS PEfiM#T AND THAT I AM FAMILIAR WITt f AND Wit L ABIOE BY THE RULES AND REGULATI(3NS FOR
PER A lJtJiti D THE TO1NN OF SOUTH WINDSOR'S STREET CUT PERMIT hAANUAL
igned Date.
Ile: Dr#ver's License#:
PLEASE ALLOV1.AT LEAST:TWO WORKING DAYS AFTER APPLICAT0N FORTS_ StJANCE QF PtgMIT
WORK MAY Nt?T BEGIN UNTILA PERMIT HAS-BEEN ISSUED
PERMIT:SHALT.BE KEPT fN�i J088iTE AT ALL VIES
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