HomeMy WebLinkAboutStreet Cut Permits 100 Cheshire Drive (2) 1000113 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/08/10
GIS ID: 19500100 - FEE: 25.00
MUNIS APPLICATION# 201000847 - F� IRATION DATE: 07/08/11
APPLICANT ,_LOCATION
NAME: TELE-NETWORKS - DRESS: 100"CHESHIRE DRIVE
ADDRESS: 31 BAKEWELL COURT ., OWVIER: LE VINE bANIEL S&ROCHELLE S
CRASTON,RI 02921 = I0 CHESHIRE DRIVE
OUTffWCINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPLAC CA7
APPLICANT AGREES TO FURNISH THE TOWN-0F` OUTH V�TbSWWAMOUNT OF$OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPHEHNSEISINCURREI THE TOWN FflR IGIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T APPI ICANT ISFAMI I R WIH AN WI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOTJTH WINIISR S-STI3IsET CUT PERIVIIT MANUAL.
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ISSUED BY DATE IN PECTED INSPECTED BY
7/8/20103:12PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1000 03 CONTRACTOR: le 17
LOCATION: 100 Ch � I f
TYPE OF WORK: (J IQ C+G C A-t
DATE INSP NEEDED: DATE INSP: '714 it
INSPECTED BY: &b
WORK IN
PROGRESS: F,k i-yied d ,jv r,bs
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: CYVI--- DATE: 7
W12007 Town of South Windsor INPSECIION REPORT 07
10 At1t1Ut;A I 1UN f-UH S t Ntt t LNGAVATION PERMIT / 00"113
Appt.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date.
SOUTH MNDSOR,CT 06074
FEE$25-00
Name of Firm l 1 -� �tii C. S Prone No_ -86 ,(''cam 2-3 G 2.
Address of Firm 31 3M:R ut"Q t i Ck- C1CC1V1 S-hVA LT Bp code 0Zc i 2 �
Location of proposed work O .
Describe fully nature of permit requested k V
Starting date Z J to, '26 16 Approx;time for completion 1
Call Before You Dig No. 2 c5 V5�-S_ edsfing Water Supply_ ❑Pulrcc Water ❑well
Existing Sewage Service: B PubGc Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE.FOR THE FULL FINAL COST OF THE,
PERMANENT PATCH AND CURB REPLACEMENT #NCLUDINC ANY INCR€ASES IN-PATCH'AREA CURB
LENGTH,TRAFFIC-C{NTROL-AND THE TOWNS CONTRACT COST,-THE.PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY.PATCH 13UT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or hATdsh This scion to be fi8ed.out by
two copies of separate&awing ir�Cate North Town of South Windsor
-seeh No.cuts
Est:Patch Size(sf sf
0 Es Pvt.Thickness in.
Est:Patch Unit Price Isf
Est.Patch Cost$
Est.Curb Reptacerrient ft
Est--Curb Unit Price$ /it
- Est.Curb Cost
Est.Traffic Unit Cost$ Ifu
Est Traffic Control$
Amt-of Deposit$
Tobd Dire$
( l Cash ( }Check#
Appiicant is resportsUe for contactim Patti By
the Police Deg,and C-B:Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR.,FOR ANY.EXPENSES-INCURRED BY THE TOWN FOR-mAtNT'ENANGE OR-REPAIR WORK IN
CONNEGTt�£N.�WITH THIS PERMIT AND THAT I AM FAMILIAR 1lItMJ AND WILLABIDE BY THE RULES AND REGUI-ATIONS FOR
P RRmff S A OUTLINED J THE TO OF WINDSOR'S STREET CUT PERMIT MANUAL
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A__ _k---- WN Irate- aQ i
Title: Driver's license
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLIGATION FOR ISSUANCE OF PEFIMIT
WORK MAY NaT mam UNTIL A PERMIT HAS BEEN ISSUER
PERMIT SHALL BE KEPT ON`JOBSTTE,AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
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