HomeMy WebLinkAboutStreet Cut Permits 135 Norton Lane (2) 1300146 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/25/2013
GIS ID: 64800135 FEE: 25.00
MUNIS APPLICATION# 201300871 aEXPIRATION DATE: 06/25/2014
APPLICANT ;
LOCATION
NAME: TELE-NETWORKS L2DRES& fly- TON LANE
A
j % I � RGST OM COLLEEN E
ADDRESS: 31 BAKEWELL COURT-
CRASTON,RI 02921 OR ON LANE
BUT 3 wINDSOR, CT 06074
PHONE 401-461-8420 �% 1.
I IV AN
WORK DESCRIPTION: REPI�ICIN1,0M1� �� At
i�
APPLICANT AGREES TO FURNISH THE 1 W�P SpUTII I R �Mp Of-B4 AID REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANEPENSIS II ��iTHE1WN'I�RIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THMA.R I �1N�1S I V W Ii AI W ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN++ THE TOWN OlY 'OtnIJVRI -4-T T. i T-T-TE 131 IIT MANUAL.
ISSUED BY DATE TNSPECTED INSPECTED BY
6/25/2013 11:16 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
--
' =<
i %
N i/
- j W i
�/ 7
i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 0 I CONTRACTOR: - - to~ N�ar US
pGl - .
LOCATION: _57- I_ rip
TYPE OF WORK:
DATE INSP NEEDED: DATE IN.SP: X 0 la 3��3
INSPECTED BY: 16 6
WORK IN -
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT. DATE:
IV
5/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
s APPLICATION FOR STREET EXCAVATION PERMIT
—Appl. No. ___ -_ __ ____ _TOWN�OF_SDUTH_W-INDSOR- _Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: ,,
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm ��?� — C r� Phone No.
Address of Firm :� I G t,, J.11 Cc. cz ,54�c ,► IeT— Zip Code
Location of proposed work r_3 /,�;/ A10r-+o i (AJ
Describe fully nature of permit requested c=e 2r 5h:ZI j 0 A- L1
Starting date 013 Approx. time for completion
Call Before You Dig No, ,;�){Z 95—O 90/d Existing Water Supply: ❑ Public Water ❑ Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUT D N THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT ANUAL.
Signed: Date:
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
w
- T ,
20/27 54/37 Oi��\O \ ��
\ /
17/17 26/24 -
v ` R�
Cr
15/2 0/8
85.4 T /
SWD0504
'I, Cb 01
replace cab E 6180
NGZ
$dB/RC 9
Q� 1�
155 e P
166
70' M /
145 CL
RG6
CLO
'
L
Co
Co
70 152
LO RZ RG6
replace cabl "10,
142
ao : i Z
0
N i Z L1
�CO
o �
LO O
80' M R�
RG6 C'') I CCL
I
O N
OLO 0
Co 134
� , �b
r � RZ QG