HomeMy WebLinkAboutStreet Cut Permits 48 Rosemary Lane (2) 1300283 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/08/2013
GIS ID: 77409999 ;. FEE: 25.00
MUNIS APPLICATION# 201301653PIRATION DATE: 11/08/2014
APPLICANT LOCATION
NAME: TELE-NETWORKS ADD T ;
ADDRESS: 31 BAKEWELL COURT % OTTER XQWN CIF SOUTH WINDSOR
CRASTON,RI 02921 = = 154aRUII IVAN AVE
S WINDSOR,CT 060742734
PHONE 401-461-8420
WORK DESCRIPTION: EXCAVAT'L I OPI: }N7 -ATVIN IN GRASS STRIP
BET) 4$A3+1D36 RCS NARY L T
APPLICANT AGREES TO FURNISH THE I-OWI OF SO - -WINDSO} THE-AMOUN OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR SES TNGAfI31t1 I)13Ir. HE T9CIOR 11fAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI APPT l ANT IS IfAMWb,- &W1TH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN 0 SOLI I yGINQSR T FERMI lMANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
11/8/20131:55PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: j 300d 8s CONTRACTOR:
LOCATION:
TYPE OF WORK:_ )CQ,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: a
WORK IN
PROGRESS: ci,
S 'U"2MK OL
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
2-1;v1653 APPLICATION FOR STREET EXCAVATION PERMIT t3 Z53
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:w o l- \3
SOUTH WINDSOR, CT 06074
6t?��vgL FEE $25.00
Name ofFirmle e- lv-eA\,,jo (_S l D0 Z 02-
Phone No.
Address of Firm &dadWof:K/i lc;V'i �V1( ;ZT Zip CodeCZAD3
Location of proposed work 4 3- 5(C Q W 1v\0.(-(-A UJ
Describe fully nature of permit requested y-eOCW -QVkS C4% CA-TV
Starting date [1-u - 13 Approx.time for completion
Call Before You Dig No. 46D1591 Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
,^�} %cv e cA No.cuts
0�'C '" Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
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 A OUTLI IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Sign Date: y� N013
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
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