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HomeMy WebLinkAboutStreet Cut Permits 121 Windshire Drive (2) 0025 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/20/2014 = GIS ID: 95100121 FEE: 25.00 MUNIS APPLICATION# 201400605 EXPIRATION DATE: 05/20/2015 APPLICAI1T ; ,�� LOCATION NAME: TELE-NETWORKS ADDRM- 1�f-W NDSHIRE DRIVE ADDRESS: 31 BAKEWELL COURR ; %% ! N> R I I1VI Gt UNG-HO&JAE CRASTON,RI 02924 YVIIIDSHIRE DRIVE SWINDSOR, CT 06074 PHONE 401-461-8420 WORK DESCRIPTION: INk'k4-L �11 APPLICANT AGREES TO FURNISH THIrTO N OF SOUI II I ID Q I E AMaJjN P $OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR IX XPEN ES IN II,RRWAY T�11��VI�FOWMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T A4'I� ICAI�JT I AR W11ID WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN F S0tW- H V� D rI � 1 I T IJ1 pl 1IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 5/20/2014 10:34 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -------------------- - TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: l 001dt " S' CONTRACTOR: le /t/e,17u (� LOCATION:_�i� -t,Sc /tJj-t TYPE OF WORK: �l o f I / �r��/�i c4, q l DATE INSP NEEDED: DATE INSP: INSPECTED BY: 3 D WORK IN PROGRESS: ..� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: %i - DATE: S/2014 Town of South Windsor INPSEC-HON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm T ye—tvek ^0-y—S Phone No. t, � S- 2.30 2 Address of Firm 1 1 ��C%�G� Ct�t f'QV iCV{4�C(� Z"� Zip Code (A0 Location of proposed work 1? s c.4b, ©F Lu',nd jfe Jr q,,, 4= 44) �,JI �e r Describe fully nature of permit requested l t1 S L`l Ire CH Z y Starting date �IDly Call Before You Dig No P-C J%/%G 3 70i PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: (;I No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut X Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts See A I�Uhed 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est. Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( ) Cash ( ) Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By 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 STREE T, PERMIT MANUAL. In q Sign G'�` Print Name ���� � J (C\ Date:� reet Excavatio Permit 2014 —•SOOP3 R� 140 R1 i 1 i w ,mo VA I L i N 1 if 118 SWC0467 R� SWC0466 FML1G7J-LO4 / f,. 4 C0403 �t`-t pOP3 17/17 27/25 s�S 820' 18.59 i `t\ 09/0 5/9 500P3 \ 79.1 T _2. 13 WC046 12 b25ert. bad hear lines • 'y,V GC 10 20 M ► ' �1 M O p I LO i^ I ; 89