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HomeMy WebLinkAboutStreet Cut Permits 10 Kent Lane (2) 1400121 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/20/2014 GIS ID: 50100010 FEE: 25.00 MUNIS APPLICATION# 201400601 AM EXPIRATION DATE: 05/20/2015 APPLICAI LOCATION NAME: TELE-NETWORKS — ADDR 10EITT LANE ADDRESS: . 31 BAKEWELL COL'R� 1R DARLING TAKAKO&ROBERT CRASTON,RI 0292jr LANE PHONE 401-461-8420 ' OILWINDSOR,CT 06074 WORK DESCRIPTION: INS�'� ACC, I 1 APPLICANT AGREES TO FURNISH THLTO WOLL�I1D_AGRI4E AMFfTNT1bND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A1YPEIxIE4ICY 1R1 b YTIII'll TOWFOMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T API -CANT 19 FAI�II��AR���A WI"I L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN GF SC35JJ`H WIND_ E1 >JT p IT MANUAL. ISSUED BY TED INSPECTED BY 5/20/2014 9:39 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ggg sn ------------------- it -n aim owl is ------------ -y i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I !� CONTRACTOR: 7e e- LOCATION: / © ' TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: ° D WORK IN � d�' PROGRESS: 6 . SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C' DATE: J S/2014 Town of South Windsor INPSEMON 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 060774 FEE $25.00 Name of Firm 3 e-I��� 0y' S Phone No. 0� 2-30 2 Address of Firm ,J1�- _RCOC CC WCkLA fo'J)C�{nct (2 Zip Code 03 Location of proposed work /0-l7 ke it L Describe fully nature of permit requested 1 i1 S' �`l imp(� � cki T y Starting date 51411 '0/1 Call Before You Dig No QC/Y/10 3 G 85 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ® No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut Ca Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts A 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost$ Est.Curb Replacement ft Est. Curb Unit Price$ /ft Est. Curb Cost$ Est. Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf 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'S STREET, PERMIT MANUAL. N � + yy,,J 1 Signed' `\�"' Print Name ( a�� �G\ Date: -5/f/d-00 reet Excavatio Permit 2014 17 2 PORT TAP E DESTROYED BY s TOWN PLOW AND Estimated to replace input and output 20 TO HARD LINES feeders from damaged ped. If possible FEEEDING TAP move ped and only replace one section ofo, ALSO '�coax. COMPROMISED. R2 TD - -�- 36 ' 8dB/RC 854' ' 21.4 0.0 17.4 0.0 \ I 1 so 20.6 0.0 I I 1 � R2 o�Oo R1 O `. .500P3 - �1 , y R2 `. R2 ` .500P3 '