HomeMy WebLinkAboutStreet Cut Permits 48 Commerce Way (2) 1400294 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/30/2014
GIS ID: 22500048 FEE: 25.00
MUNIS APPLICATION# 201401386 i XPIRATION DATE: 09/30/2015
APPLICANT, LOCATION
NAME: ADVANCED CONSTRUCTI"ON ADDRESS: 4$COMMERCE WAY
ADDRESS: 5 CHESTNUT HILL ROAD, OWNER: G�RDE�I GROUP LLC
STAFFORD SPRINGS, C-T06076 48tMLIERCE WAY
SOUTH JINDSOR,CT 06074
PHONE 860-519-8442 - -
WORK DESCRIPTION: INSTALL REPLACE CATV
APPLICANT AGREES TO FURNISH 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- INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIND OR'S STREET CUT-PERIvIIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/3 0/2014 11:18 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: IV60d 9V CONTRACTOR:Ic;(I anc'ecl Coosr2 .
LOCATION: Co mmeece Wa Y
TYPE OF WORK: Ins-ma f e plaze cATV
DATE INSP NEEDED: DATE INSP: r 3
INSPECTED BY: �
WORK IN
PROGRESS: i. o cit EJpz OF
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: Cam. DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25,00
Name of Firm Gr+ '
Address of Firm S Phone No.
Location of proposed work 0,4-a—rT Zip Code
GI-Ic �p m��eV C� �,,,
Describe fully nature of permit requested
Starting date �1
Call Before You Dig No. ao Approx. time for completion
Zolq— -� Existing Water Supply: ❑ Public Water ❑ Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. \
Show sketch of proposed work or furnish
two copies of separate drawing This section to be filfe_ dY
Indicate North Town of South Windsor
No. cuts
Est. Patch Size(s) . sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$______/sf
Est. Patch
Est. Curb Replacement _ ^ft I
Est. Curb Unit Price$ —eft
Est. Curb Cost$
Est. Traffic Unit Cost
Est.Traffic Control$
Amt.of Deposit$
Total Due
Applicant is responsible for contacting ( )Cash ( )Gheck#
the Police Dept.and C.B.Y.D. 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 STREET CUT PERMIT MANUAL.
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
Street Excavation Permit 08 REV 10-22-08