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HomeMy WebLinkAboutStreet Cut Permits 45 Krawski Drive (2) 1200223 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 11/05/12 GIS ID: 50700045 MUNIS APPLICATION# 201201486 FEE: 25.00 F P_IR_ATTOM n0_TF• ---- _ AM APPLICANT' , LOCATION NAME: TELE-NETWORKS �DDRE � �"IRAVSKI DRIVE ADDRESS: 31 BAKEWELL COURT + 1ER RIDEWAY NEIL B&ELIZABETH H CRASTON,RI 02921 45I IfiRAVSKI DRIVE GVTII WINDSOR CT 06074 PHONE 401-461-8420 ' WORK DESCRIPTION: INS 1h Lit Rk-RUA APPLICANT AGREES TO FURNISH THE TOWN O� SOUTHINI� flR�E"AMQUIT( B4ND REQUIRED AND TO REIMBURSE E3� THE TOWN OF SOUTH WINDSOR FOR ANY PFI�I ES IA1U43 TF31 T(?WN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAILC,ANT IS FAM �AR WITIAI�Fl�WII ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OFOUTi WINDS- 48 R'S= TR1 I T CUT ) PERIr1IT MANUAL. ISSUED BY DATE E�TED INSPECTED BY 1 1/5/2012 1 1:48AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i i i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 ZQ2 ®aa3 CONTRACTOR: S LOCATION:_ TYPE OF WORK:_ la Ce C4-r DATE INSP NEEDED: DATE INSP: .2 -S- S INSPECTED BY: 0 ib WORK IN PROGRESS: C J <v Z , SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: �- DATE: SjFORMS/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: ��'b SOUTH WINDSOR, CT 06074 { FEE $25.00 Name of Firm16(f _ �"e-kVJ of- \,s Phone No. ���" 8�- Address of Firm 212 13CK W!A4 NQkdeoce e-:�- Zip Code©Z`l21 Location of proposed work L�5-(A G l caw Sf— Describe fully nature of permit requested t Y1 S-- alO /(eycace c/:,kV Starting date kk "0 , -I Z Approx. time for completion 1 6LOq Call Before You Dig No.20tE L4 30 t 361 Existing Water Supply: ❑ Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor See No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. ----\ 'gned: Date: 1 2 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 Street Excavation Permit 08 REV 10-22-08 4.5 Ol 5.7 Flo R2 3 R2 � 220► 55 0P3 ko ----- co cl- -- _-- o LO BAD CABLE N so o ry 5.0 � o � � 6.0 ^�� �--Ao 9.0