Loading...
HomeMy WebLinkAboutStreet Cut Permits 12 Nancy Drive 1100021 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/06/11 ; GIS ID: 62100012 FEE: 25.00 MUNIS APPLICATION# 201100240 = EXPIRATION DATE: 04/05/12 APPLICAN `" = " LOCATION NAME: TELE-NETWORKS ADDRESS: ." 12 NANOY DRIVE ADDRESS: 31 BAKEWELL COURT -.` OWNEP: MARIETTOS NICK&CRISTINA CRASTON,RI 02921 -" i2 NANCY DRIVE SOUTH WINDSOR,CT 06074 PHONE 401-461-8420 WORK DESCRIPTION: REPLAC&G EISTING`CATV ,. APPLICANT AGREES TO FURNISH THE TQVwN-O SO F UTH WINDSOR THE AMOUNT OF FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AIIT EXPENSES INCUIKREID BY THE TOWN FOI3 MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPL ANT S_FAMl_LIAR WITH ACID WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIND R'S-STREET CUT PERMIT MANUAL. ISSUED BY _ DATE IRSPECTED INSPECTED BY 4/6/201111:30AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 J 000-4 1 CONTRACTOR: LOCATION: IX Na hL�4 O V K TYPE OF WORK: 1 we fix} 5� i �► Cam}'y/ DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: N W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT 1 1 ©064 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: q1►/—Z<-/I I SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �l2 NCB 1,1C����5 Phone No. <6SS Address of Firm Law I I 0-� CZT Zip Code 09- � 1 Location of proposed work 12 - 2s9- AWcj Vr Describe fully nature of permit requested V_dd2)Gcha eX,1.5 '' C T►/ Starting date 0 S ZG II Approx.time for completion_I Call Before You Dig o.2dl I iyo 23._c4 Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT is A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor l Jam, ^� No.cuts 0( 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement It Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( )Cash ( ) Check# 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 TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS 4UT NED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PER IT MANUAL. Signed: Date: f 2l91 Title: Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES d2011 1ya;3�CjCL , WMdsa►' Q o �\ 43 h ' S W 5 oQ� �.�� R2 �o "59 RG6 SO o' 3"SWB14 ' SWB143 � _ - 35 50' R2 °O FMLI G7J-A 14 _ SOOP$ - RG6 ^� ;' a 61403 o°e `50OP3 22/23 54/37 0 b 17/17 25/23 51 �bR 1024' 24.68 4 43 5i R2 88.4 T RG6 4 0 Z � / 35 AF" I I pro o; Ig c622 M / N O O zs3 R plac/6 this span. .o 93 15 4O /�R1 RG6 R2�', / 40. v R612 5 52 42 34 50OP3 SOOP3" 700, R2 S W B 1432 c,6 .500P — ` OOPS `-_, _ ,; 7 p4 R� /Gb ✓' ')5(1' ..Snnn Snn�