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Home My WebLink AboutStreet Cut Permits 78-111 Natsisky Farm (2) 1200131 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/30/12 ,- = GIS ID: 62300078 MUNIS APPLICATION# 201200985 = FEE: 25.00 '= E PIRATION DATE n7/-3ni, APPLICANT LOC ATION NAME: TELE-NETWORKS ADDRESS: 31 BAKEWELL LOUR ADDRESS- 78 11 l NATSISKY FARM ROAD EI I)EFFLO'TIMOTHY J&BETSEY S CRASTON,RI 02921 =- 78 ATi-ISKY FARM RO PHONE 401-461-8420 OU H VINDSOR,CT 06074 ak WORK DESCRIPTION: REMA£Ifi1G APPLICANT AGREES TO FURNISH THE TOWD1=SOUTH I �g � OT 11 OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EX1'ENSE IN �RfDBY�H TOWN IYORItIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T L CAN IS FAM#I.fA WITH AI I? ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN ON61iffH W. DSR4�sTREV E WT- PERMIT MANUAL. ISSUED BY DATB-IIVPCTED INSPECTED BY 7/30/2012 11:59 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** jP it /„ i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: -10?0013 1 CONTRACTOR:_ Ie/r- 1be /'ks LOCATION: r,.4�m `/Z Ci TYPE OF WORK:_ {'P�J��k nc CA-r V DATE INSP NEEDED: DATE INSP: Z/�• /iz INSPECTED BY: 91) WORK IN PROGRESS: I� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:_ AP DATE: a� S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: -? / SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm le-ip—r(12-�( k�rJ�S Phone No. 2 S CIS Address of Firm rj-,jS,&o Zip Code 09q a I Location of proposed work ? Describe fully nature of permit requested c C J Starting date=�,_�. 20 )oL Approx. time for completion t On i Call Before You Dig No. 2©I2 3c j IZ��o Existing Water Supply: ❑ Public Water ❑ well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish two copies of separate drawing . This section to be filled out by Indicate North Town of South Windsor 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost$ Est.Curb Replacement ft 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 IS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTL1,060 IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title: 7 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 sat' - ----------- s s - "_ _ R2 ' \ 4iQl - 2 A2 SWD0615 o` •\`t\ 386 S C SCGP3�-� CP3 _ P^ S f �..tit"3i'� USP�R s� „ WD0617_" �a } �1SA R •;i 1 '4�`: 52 \PIC SWa cl atl8.'RC9 RL RG6 \ \ RG61, " .ec6 Losin_e 3db on C 45.and 153, U \ Yo \ RG6 RGd \\ an 72, \ �\ J� Cosine 3db on Ch 70,117,and 13 S 5 t¢Losing?db on Ch 145 and 153 ' R2 i � RI \ c/�//M1 RI /ea RI 7,5 11 69 -\ `\---\\',N \ � �/' RG6 R44'\ \ S I C» \\ 5_ tb J\ \ adB/RC 9 � ` .,` �p� 6 \ 2 .PLO 72 RG a e \ R SWD0613 ilia' � � �•J� �\ �. �`,\ 1AT\ RG !, 1 \ RAR I : w 0 , 2 \� t , U�!'? ;