HomeMy WebLinkAboutStreet Cut Permits 229 Brookfield Street (2) 1300127 TOWN OF SOUTH WINDSOR
PERMIT NUMBER C T
STREET CUT PERMIT
DATE: 06/06/2013
GIS ID: 14700229
MUNIS APPLICATION# 201300764 — FEE: 25.00
EXPIRATION DATE:
06/06/2014
�Jr
APPLICAN'Jiff�
NAME: TELE-NETWORKS LOCATION
ADDRESS: 31 BAKEWELL CO U T�� % D 229 BRC OKFIELD STREET
TRAM L,XN KIM
CRASTON,RI 02921
2ROQKFIELD ST
PHONE 401-461-8420 - V?INDSOR, CT06074
��� '
�
WORK DESCRIPTION: REPIfA IN
wom
APPLICANT AGREES TO FURNISH THE
x-tW9RS6UTI
THE TOWN OF SOUTH WINDSOR FOR AN?,,-E� SES 11C� �AMQI I OF BLIND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THI A IS � ABIDE BY THE RULE S AND REINTENANCE OR PAIR GU IN
FOR PERMITS AS OUTLINED IN THE TOWN OF
ATIONS
�L31 WI1�1: SR R - MANUAL.
ISSUED BY DAT WECTED �
INSPECTED BY
6/6/2013 11:12 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
Af
Of
JjFf
ii
Asa-
Ame
------------
jf
i =
j
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1300/a 7 CONTRACTOR: Irk ✓'
LOCATION: d.)
TYPE OF WORK: Alt/
DATE INSP NEEDED: DATE INSP:�g,
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT.
INPUT: DATE:_ g 1
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 $25.00
Name of Firm ��I�-41ekjork5 Phone No. �`6 C�5-- 930D-
Address of Firm 31 Oqkeueu cao4 OCCA5tao JZ� Zip Code
Location of proposed work - C/0 rc .( S
Describe fully nature of permit requested teakzlv I"I Cc,--t>
Starting date Co S-- /.3 Approx. time for completion
Call Before You Dig No. �4(j I,� 3(�p!(0 Existing Water Supply: ❑ Public Water ❑ Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
,,��C2 No. cuts
0 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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$
O 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 THIEWERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTL THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: --luz Zd 1
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
CC6gO
17/17 24/20 f SwC5107 289 Ib
/ •,` S
1085 26.15
/f FMBIGPJ I
R42
C5102
54/37 25/23 55 SWC5130 f �' 13/10 'j �'JO •.,� r�`
/// / o
34
R2�, RG6
J
6.3 60 f / R 269 �� ! R2
RG6
290
42 ��Q / A*R2 RG6
259 70 // /f
RG6 R2�/ e� PC\°a �I �+C o.
�270 18� 24
ell/
/ /
60' 50 /
2 RG6
7.1
58
OX1,
7.9 6o R2 e� 60
�R2 260
_ / / RG6
RG6 A.
' 249 I c,�
250
1 RG6 6.6 GG S W C R2 N
P 70
229 RG6C11-
S':
�h� %, Opp e1rt,l
i / RG6 240
R2 // N� �2 �R 60 SWC5108 / rcplace cable
b // aQ RG' 7,6 FMBIGPJ ; replace cable
3 C5102 /J
21/23 54/37 1'
17/17 30/28 0 /
731, J/J h /
Q^0 / oC` PGl\°• 02/0 10/6
8.4 75.4 T /
li .