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HomeMy WebLinkAboutStreet Cut Permits 22 Evans Crossing 1000131 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/20/10 - GIS ID: 30900022 FEE: 25.00 MUNIS APPLICATION# 201000907 EXPIRATION DATE: 07/20/11 APPLICANT - ;LOCATION NAME: TELE-NETWORKS AT)DRES:" 21-49 EYANS CROSSING ADDRESS: 31 BAKEWELL COURT OWATER: -` ; , LIANI ROBERT E& CRASTON,RI 02921 22 EUANS CROSSING SDUTH WINDSOR,CT 06074 PHONE 401-461-8420 = WORK DESCRIPTION: REPLACEEXISTING-CATV APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WLNDS©R TfIE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDS0R FOR ANY EXP-ENSES,INCURREI?BY THE TL3WN FOR"MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLIGAI�IT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTA WINDSR'S STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 7/20/201010:09AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Gb0/3 CONTRACTOR:_ ' 1 v 01e4S LOCATION: �o� S SSIi'I TYPE OF WORK: CX DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS:__Lj_, q-3 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT. INPUT: �. DATE: ld-01 // W12007 Town of South Windsor INPSECnc)N REPORT 07 V 10 00 9/�7. roe � a�ays��wi■,r vt a ti7�sif�.L s-Lea^%'Pt V H 11%jry rr_n 11 2 ��CO Appl.No_ TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 15W SULLIVAN AVENUE Bate: dO C SOUTH WINDSM CT fI€itt74 FEE$25.0 .Name of Frrn Phone No. 2-3 G2. Address of Firsri C CCAY �i V'1 2T Z0 Ccuie Ci i 2 Location of proposed work 9,2 y-y eA-va4s X,�na Describe fully nature of permit Tequested ce:o lac COX.rcasrn,r L' 4T V Starting date 0 Approx_time for complefion�_ Call Before You Dig-No 2c t3 0 Ong Water Supply_ [❑Public Water Dwell Existing Sewage Service: - 0 Public Sewer D Septic PLEASE NOTE: THE:DEPOSIT FOR THE PERMANENT:PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE. PERMANENT PATCH AND-CURB REPLACEMENT,-INCLUDING ANY INCREASES IN-PATCH AREA;.CURB LENGTH;TRAFFIC CONTROL AND.THE TOWWS:CONTRACT COSTS-.-THE.PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN'A YEAR OF THE TEMPORARY PATCHBUT IT COULD BE LATER THAN A YEAR. Show sketch of Wised work orfumish This section 12 be fEed.crrrt by two copies of separate drawing ` Inclicate North. TO"of Soria Windsor No_cuss Est Patch Size(sL sfi Est.PVL Thickness in. Est.Patch Unit Price 1sfi Est Patch Cost$ Est.Curb Replant meat ft Est.Curb Unit Price fit Est.Curb Cost$ t_st.Traft Unit Cost$ 1hr EsL Traffic Control$ Amt of Deposits Total Dore S - _ Cash { }Gheck� Applicant is responsible for contacting Paid By the Police Dept.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 TOR 11A04iEIfIANCE G1R:REPAIR`WORK IN CONNEC N WITH THIS PERMIT AND THAT I Ally FAMfLIAR lilflTH AND WfLL ABIDE BY THE RUMS AND REGULATIONS FOR PER A OUTLI THE TOWN OF SOUTH WiNDSiiR�S STREET CLI7 PERMIT MANUAL gned' �,,r _ _ Date, 5., '1E�lU Title: Driver's License# PLEASE ALLOW AT-LEAST TWO WORKING DAYS AFTER APPLICATION FOR NUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT.ON.IOBSITE AT ALL Tlli s Street Excavation Penrft 08 REV 14-?2-08 4 SOOP3 �� e 95 L._= i gg�� rgtVD562 " I _._...6x5s _L. exsP3� d m 3 '°one r �:Isn --,"---i------1i8 • SWD5l1 6'., �62 sRs DP FTJ v/L 16r II1 " V�� tl391Pd l 26 ''Oxs Ry Rp5 229 I 5 -._ N 46 I I 524 ssa I! y6: .ersP i� D5623 21 " 19 236P I, 15 515 13b 523 w e12 RE RGd II 67 a •�? 29 R2 61 dtl RG �.r r �P� 4gj TAP YA EE PG5 \'A iA4� 110 3 �dAce wRH � P '1a^ _� "tr�JP 16Ht E�O/IP&Q G ^ ^ / RI 139 .,E 6231 1 W 1` av"/Fv Rk� taP VAiu/✓ R Z l D/6(^'yna's�P EVANS XNG �I 61 I� 79 I� A44 ANSXJ'i'G need to raPlGce le®der yam®from amPol ol2nCq 1"Pm �cl2 6 eoe W°98 O 32%' 22 �j s I 3a79 ^,,y,90 i 2 Dc eio 1 J 31 /Ul0 i M1 )3 1, Rp GG �R1A1 /71' __ PINE KNOB''YYDR2 Jae ae6 I_ - ` - CHANGE ..... r DC OLOOC 2 759\ 11 F 12 O SAA5 5 b� .2 1pG6 'lopx I! 0„ R3 0.1 woe II Jag fro 519 so'714 22 1431 R06 I, RpjP �' qq. m > W R Q I' 746 p059 ".E 141 IOp I R5 27 RG6 313 'p/2 �� Rwy J36 PLACE WRH —TtlRIR+ C 3 I�/IP9-9 �TtlB1R R R�2a l J.35