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HomeMy WebLinkAboutStreet Cut Permits 9 Karen Way (2) 1300047 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/15/2013 GIS ID:49300009 MUNIS APPLICATION# 201300431 i FEE: 25.00 ,�� - EXPIRATION DATE: �% 04/15/2014 y APPLICANT' _j LOCATION NAME: TELE-NETWORKS 1 Ar � DRE9U WAY ADDRESS: 31 BAKEWELL COUNT _/�j CRASTON,RI 02921 '" It ATARS DAVID S&RHONDA L iAAL y AEI WAY %� PHONE 401-461-8420JT WINDSOR, CT 06074 j WORK DESCRIPTION: REP 'LIF wb- G APPLICANT AGREES TO FURNISH THE TWIIOUT - THE TOWN OF SOUTH WINDSOR FOR AN 0FVSS Oi � QID REQUIRED AND TO REIMBURSE I' CONNECTION WITH THIS PERMIT AND TH1 �3 PL AT I � W T� NRAINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN OFF i �AI� ABIDE BY THE RULES AND REGULATIONS / VFW � T I PER I MANUAL. rail1 15149 _j ISSUED BY D TED / INSPECTED BY 4/15/2013 12:06 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ._... ..__..._... _.... / i �� m�WON- AA ' i' i _ -- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I D00 Y7 CONTRACTOR: ` LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: Ems© WORK IN PROGRESS: y L--e S Xe SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: 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: 4-/ / SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �El �P_� IC)�k3 Phone No. ' ���S` 93�� Address of Firm 31 cJe`_I c4 r4�n .-t Z Zip Code 09-ct�Z I Location of proposed work_ 9- e/l kiare-n cicA,i Describe fully nature of permit requested fZeI2!aU/tc eX,'S4t'1?c, CAT V Starting date 4-/ / 13 Approx. time for completion ( (7 I Call Before You Dig 6.,2©13 /Yoo -?o6 Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor S �� / ' �% �C ! t�� No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /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 OUTLI D IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PER IT ANUAL. Signed: Date: L/ 1/ 13 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 as 13 U/00 706 k+clf�n Oa 3.3 17 41 10 ��b - of R2 3 R2 replace cable 97' - *-------- s :8 I10 ' 500P3Qe R1 56 " Reece cable 5pOP3 \ SWC0404 \ 90 "' FMLlG7J-A14 h "- 3 C0401 28/21 54/37 \ 17/17 33/32 • � C `\\ 465' 11.21 50; RGE CS2/0 8/3 \ 79.7 T b%b 6 R� `� 55 G6 W C0404 R 0.�b 49 A Lp 1\ 25� i 37 60,