HomeMy WebLinkAboutStreet Cut Permits 168 Debbie Drive (2) 1000118 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 07/08/10 ,
GIS ID: 26700168 FEE: 25.00
MUNIS APPLICATION# 201000852 EXPIRATION DATE: 07/08/11
APPLICANT LOCATION
NAME: TELE-NETWORKS A WESS = 16B- 175EBBIE DRIVE
ADDRESS: 31 BAKEWELL COURT OW R, StV61 N LAWRENCE K&MARY ELLEN
CRASTON,RI 02921 15& BEBBIE DRIVE
SOUTH WINDSOR,CT 06074
PHONE 401-461-8420 ,
WORK DESCRIPTION: REPLACE CATS "
APPLICANT AGREES TO FURNISH THE TOWN€3F SOUTH INDSOR'II�EAME) OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPOSES I CURRE-0BY-=THE TOV�,POR 1vIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE IS FAM IAR-- H AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WII TDSR N STREET CUT P-064IT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
7/8/20103:34PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00//ep CONTRACTOR: Y/P-
LOCATION: CD i y If �r l
TYPE OF WORK: �� (L�CY' AT
DATE INSP NEEDED: DATE INSP: ? h //
INSPECTED BY: J
WORK IN
PROGRESS: L),.-L__-.-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS—BUILT.
INPUT: DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
0 0 003S.� AVI'Ut;A I ium f-UH 5 I Ht:k:f EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLUVAN AVENUE Date;
SOi.I'#•H WINDSM DTtfW4
FEE $25.00
Name of Firm - ' C � Phone No.f' -ZE E5 2-3 G 2,
Address of Fmn 51 �Q lv e l lx { �S b� 2T F-m Code 0
Location of proposed wgrfc - `7
Describe fully nature of permit requested v
Starting date ` Q Approx_time for completion
Call Before You Dig o. 26l t) Q?32a. - Existing Water Supply_ ❑PubdiJ Water D Well
Existing Sewage Service: ]Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE THE APPLICANT IS RESPONSIBLE OR,THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB-REPLACEMENIG INCLUDING ANY INCREASES IN PATCH AREA;CURB
LENGTH,TRAFFIC-CONTROL-AND THE TOWNS CONTRACT COSTS.-THE:PERMANENT-PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH`BUT 1T COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish T_ I section to be#Ned.oert by
two copies of Sate kxlcate Ate Tma of Said Windsor
I I
4 ,5ee- Tr�CY!JI/►2/} wcuss
Est Patch Size€Sj sf
Est Pvt.Thickness in.
EsL Patch Unit Price$ /sf
EsL Patch Cost
Est.Curb Replac�t ft
Est Curb Unit Price$ /it
Est Curb Cost
EsL Traitic Unit Cost$ lhr
Est Trdf ffc Control$
AmL of Deposit
- Total Dice$
{ )Cash Check#
Appftcant is response for contacling Paid By
the Police DeM and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOU(H_WINDSOR THE AMOUNT OF 13 N D REOUME[3 AND TO REWBURSE THE
TOWN OF SOUTH WWDSOR.FOR ANY-EXPENSES NCURRED BY THE TOWN FOR-_MAINTENANCE OR REPAIR WORK IN
CONNEC N WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WRL ABIDE BY THE RULES AND REGULATIONS FOR
PER A OUTLn IN THE TOWN OF SOUTH WINMOR:S ST-REET CUT PERMIT MANUAL
igned• Date:
Drivees License
PLEASE ALLOW AT LEAST TWO:WORKING BAYS AFTER APPLICATION FOR OF PERMIT'
WORK MAY.NOT BEGIN;UNT#L A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON`JOBSITE.AT ALL TEES
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