HomeMy WebLinkAboutStreet Cut Permits 57 Sharon Drive (2) 1000117 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/08/10 "
GIS ID: 82500057A2. FEE: 25.00
MUNIS APPLICATION# 201000851 EXPIRATION DATE: 07/08/11
APPLICANT ,"" " LOCATION
NAME: TELE-NETWORKS ADDRESS: 57,-78 Sk-ARON DRIVE
ADDRESS: 31 BAKEWELL COURT OWIIER BUI IS
CRASTON,RI 02921 57 SHARON DRIVE
OUTFi WINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPLACING &V
APPLICANT AGREES TO FURNISH THE TOWN DF SOUTH'WI DSflR TIDE AMOUIT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPEN-si INCURfiID Buff TOWI ,FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLIUt)d�ITS FAIu11IAI t�V1TH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO JTII WTI I7SR'S STRE T CU PERMIT MANUAL.
ISSUED BY DATE INSPECTED IN PECTED Y
7/8/20103:30PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: C7b0// CONTRACTOR:
LOCATION:_ `7 - -7 D A) J`2_
TYPE OF WORK:_ W o lace A-TV
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: (3b
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [] YES ❑ NO
AS-BUILT:
INPUT: - DATE:
W/2007 Town of South Windsor INPSETION REPORT 07
0 b 00 9S I AV VUt a t 1UN i-UH 5 I KLL I-- LX(;AVAT10N PERMIT /G00 I/7
Appl.No. TOWN OF SOUTH WINDSOR Permit No_
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVEN1UE Date:
SOUTIi WINDSOR,CT 06074
FEE $25.00
Name of Firm 1 1e-tAe 4�6 S
Phone NNc.t L
Address of Firm 3 l MO '---Q k i CV VA `T Zip Code G Zc--A Z {
Location of proposed work 151 ?!K Mn or
Describe fuity nature of permit requested rg (ace --AV% 0_
Starting;date_Z 01 \ ?()i 0 Approx.time for completion aws
4-��I n9. Supply: ❑Public ater D well
Cali Before You Dig No.227.10 � • tit. ..Exist] Water
go to 2m %5--A3 .12o/d 2?O I S;L4( Existing Sewage Service 0 Public Sewer II Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH:AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFICCGONTROL:AND THE TOWWS CONTRACT COSTS. THE-PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LITER THAN A YEAR.
Show sketch of proposed work or furnish This section to tie filled.out by
two copies of separate drams Indicate North Town of South Windsor
5e2- No.cuts
EsL Patch0 Size{s3 s€
Est.PVL Thidmess in.
Est.Patch Unit Price$ Ist
- Est.Patch Cost$
Est_Curb Replacernem ft
Est.Crsrb Unit Price /it
Fit Curb Costa
Est_Traif a Unit Cost$ !hr
EsL Traffic Control$
Amt_of Deposit$
Iota[Due$
t 3 Cash { )Check#
Applicant is respons"o for contacting Paid By
the Police DepL 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 MAINTENANCE OR-REPAIR WORK IN
CONNEC _WiiH THIS:PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS THE TOWN OF SOUTH WINDSOR'S STREET CUTPERMIT MANUAL
Si ned
t �
t -
tle: Dr Ws License :
PLEASE ALLOW AT-LEASTTWO WORKI[fIG DAYS AFTER APPLICATION FOR-ISSUANCE OF PERMIT
WORK MAY-NOT BEGIN UNi7L A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE.AT ALL TIMES
Street Excavation Permit 08 REV 10-2Z-08
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