HomeMy WebLinkAboutStreet Cut Permits 205 Orchard Hill Driv 1000130 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/20/10 -
GIS ID: 66900205 ". FEE: 25.00
MLINIS APPLICATION# 201000906 EEIRATION DATE: 07/20/11
APPLICANT' LOCATION
NAME: TELE-NETWORKS
„ ADDRESS: .,,20- ORCHARD HILL DRIVE
ADDRESS: 31 BAKEWELL COURT „ = OWNER; WILT INS CHARLES R&DOROTHY M
CRASTON,RI 02921 - 205- OR HILL DR
SOUTH WINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPLACE EXISTING CATV,
APPLICANT AGREES TO FURNISH THE TOW1�=0F`SOUTH- INDSOR TIE AMOUNT OF`BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI'EXPRNSES,INCURREI BY,THE TOWN FOR-MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMII IAR WITH ANI7 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH II iDSR'S STREET CUTPERIVIIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
7/20/2010 10:07 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Z0601,30 CONTRACTOR: l ele "
LOCATION IS
TYPE OF WORK: 1Q CE' 1 S C l4 V
DATE INSP NEEDED:. DATE INSP: 1� 2
INSPECTED BY: `1
WORK IN
PROGRESS:_Z&S p �
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:_ DATE: J ' d "I Y
W12007 Town of South Windsor INPSECTION REPORT 07
f.�vs�awzV r WEa v na. A L;;^%0KYH11VtY rr—nmii Z00154��_
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE gate: 7620
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of-Firm- 1 eke-tAe-�1%j C Phone No.t'K
Address of Firm:3C: t C�C �1 S CU`1 Zip Code C, i
Location of proposed work 0_0S- O r-c;i l
Describe fully nature permit regirestect_ I e LJ
Starting date I �;ko I Q Approx.time for completion
Calf Before You Dig No U t Q z 9®/ gglg Existing Wafer Supply ❑Public Water 0 Well
Existing Sewage Service: [ Public Sewer ❑Septic
PLEASE NOTE. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE-APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN_PATCH AREA,_CURB
LENGTH,TRAFFIC CONTROL AND THE TOWWS CONTRACT COSTS_,THE.PERMANENT-PATCH-Is TYPICALLY
:COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH'BUT IT COULD BE LATER HAN:A YEAR.
Show sketch of proposed work or furnish
two copies of separate diawitrg This section�t'th Wk t I o r by
� nn �'� LL �
Indicate North Town of Satoh Windsor
see- /+77Gc�j.�l�
No.cuts
EsL Pair Sizes) s#
0 Est.Pint Tt**ness im
EsL Patch Unit Price$ isf
Est.Patch Cost
Est Curb Repia€:emsnt ff
Est.GEab Unit Price$ fit
E.L Garb Cosh
Est.Tratfrc Unit Cast$ !hr
ESL Traffic Con€rot$
AmL of Deposit$
Totaf Due$
t }Gash O Check�
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OFL SOi3T11 WINDSOR-THE AK40MT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH:WINDSOR-FOR,ANY-EXPENSES#4MRRED BY THE TowN POR`11AAtNTEI+iANGE OR-REPAIR WORK IN
CONNEGjL _WITH THIS PERMIT AND THAT I AM FALJILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PER 1107JP THETOWNOFSOUTH WINDSOR'S STFREET CUT PEPMIT Mi4t�ttlAt
gned• r _ Bate:
Title: Drivers License#:
PLEASE ALLOW AT.LEAST TWO VIMKINO DAYS AFTER APP'LICATM FOR ISSUANCE OF POWT
WORK.MAY NOT BEGIN UNTIL A PERWIMS BEEN IMUEf#
PERMIT SHALL BE KEPT ON JOBSITE-AT ALL TRIM
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