HomeMy WebLinkAboutStreet Cut Permits 141 Fairview Drive (2) 1400090 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
•DATE: 05/01/2014
GIS ID: 31500141
MUNIS APPLICATION# 201400475 FEE: 25.00
EXPIRATION DATE: OS/01/2015
APPLICANT LOCATION
NAME: TELE-NETWORKS ADDRESS: 44TFAjRVIEW DRIVE
ADDRESS: 31 BAKEWELL COiJRT'
OWNER CQUR`IsOIS KELLI M&PATRICK F
CRASTON,RI 0292 141`EARVIEW DRIVE
PHONE 401-461-8420 - - SQUTI-IWINDSOR,CT 06074
WORK DESCRIPTION: IN SIT Ak REPLACE CATV
APPLICANT AGREES TO FURNISH THHTOWN OF SOUTHUVINDSOR THE AMOU
THE TOWN OF SOUTH WINDSOR FOR AN NT OF$OND REQUIRED AND TO REIMBURSE
Y=EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI1E_ APPLICANT IS FAMILIAR WITH ANp WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S,STREET'CUT PERMIT MANUAL.
ISSUED B
DATE INSPECTED INSPECTED BY
5/1/20149:41AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: f L/ &&91� CONTRACTOR:_-te f e - he*aoV-k y
LOCATION: 1 q I ra)(- V I Elul) ���► l
TYPE OF WORK:_ ► n S`-a I t C-e p lacy- CA V
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: 'r-e ,%'l t C &jy It ke ,it 0-c')
D,A
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: -- DATE: S
S/2014 Town of South Windsor INPSECTION 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 $25.00
Name of Firm ' _(�j L C� Phone No.1 ' �` J �� 23L�
Address of Firm,. i(�i � C 1 v�`�. Z� Zip Code �%C.�i U 5
Location of proposed work
Describe fully nature of permit requested 4t�1 ('�G.� (U ^6-0 ('A I'V
A// Dar )-o /f 7 r4,`ra`ecs, d r
Starting date y ZZ,/y Call Before You Dig No ao H /70 2-t/7 3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: �4 No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
JI Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
� C`, �k
� No.cuts
0 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est. Curb Cost$
Est.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$
( ) ( )
Applicant is responsible for contacting the Police Dept.and C.B.Y.D Cash Check#
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'5 STREET T PERMIT MANUAL. 1
7.r,et
d V`1
Print Name Date:
ExcavatiA Permit 2014
7o
ql)_6 29
90' 24
4RA RG6
C CL
L
o
129 !00 41
R(361
5
- ----- ----------------
.625?3 ---------- ----------- 173
.500P3 ------- ---200,
Gb
7 -------
NEEDS ALL IN RE
----------
---------------
D0530
20 'sw ---
lu
sz 140 11 SWD0530 SWD0515 SWD0515
1 J-L04
LLJ FMLIG7J-A]4 —
5 D0502
3 D0501
/25--Tl-C) ' jr 54/37
25/29 54/37
17117 21/27
17117 24/22—
P/d 172 541' 3.04
116
---22 43 162 0/0 12/6
12/2 5/10 75.3 T
85.4 T
101 60' R1 ? '
kG-6
SWD0513
FMLIG7J-A14
4
It 27/21 54/37
17117 32/31
T -9 9.78 177
Gl\,AL T —02/0 8/3
WD051
96 T
ji)
b
89
80, ,cv)
RG6
'50OP3
77 90