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HomeMy WebLinkAboutStreet Cut Permits 45 South Satellite Ro (2) 1500186 TOWN OF SOU PERMIT NUMBER SOUTH WINDSOR, C T DATE: 08/18/2015 STREET CUT PERMIT GIS ID: 84000045 MUNIS APPLICATION# 201501119 FEE: 25.00 EXPIRATION DATE: 08/17/2016 APPLICANT- NAME: TELE-NETWORKS LOCATION ADDRESS: 31 BAKEWELL COURT ADDRESS: 45 SOUTH SATELLITE ROAD CRASTON,RI 02921 OWNER: MERCURY REALTY COMPANY LLC PO-BOX 945 PHONE 401-461-8420 FARMINOTON, CT 06034 WORK DESCRIPTION: REPLACE EXISTING CATV APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AM pUNT OF BOND REQUIRED AND TO R EIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS 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. I S ED Y DATE SPECTED INSPECTED BY 8/18/20159:]SAM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** - ----------------------- - ----------- -- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.; CONTRACTOR: b LOCATION: TYPE OF WORK:_ cAiftl ' DATE INSP NEEDED: DATE INSP: I'llo INSPECTED BY: WORK IN PROGRESS:_ 81�� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: j'lr�.`"-- DATE: / , S/molloy/forms 2014 Town of South Windsor INPSECIION REPORT 14 s 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 Tele-jte-/-c.-)y[/ES Phone No, Address of Firm 31 114eczll C - Zip Code Location of proposed work y5 S Se,+e1j,`4-e Q Describe fully nature of permit requested Ike.�fta'x' CJ L-bng CAI/ Starting date $-►a lS Call Before You Dig No_0ZoI S 3 la 960 ,SS PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: © No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out bV Town two copies of separate drawing {y( y. No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est. Curb Replacement ft Est. Curb Unit Price 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 C1)PERMIT MANUAL. Signe ��,' �. �l �`" Print Name �►`(V1eS 19 °1 iJ q� � Date: Stre t Excavation Permit 2014 �CF V N COMPUMVE EDGE 20 I E 7 OLENTE �n C,I # GIN 0"1"' SWA0836 II6NT.'M rebalance LE SWA0834 SW86239 ILDIIW o J c g tap plates z 0 M76 OXFORD 7ER PER— DRM E A add DC1 2 after 23/4 tap V Q h 293'.62 SWB6234 'a overlash 293'.62 backfeed to 597 P.24367 SWA0833 it 180'.625 internal RE El. Fi to L X location i Ar. OM sw 37 ar C, a,�z ,r Ro ^/ �2 /^ti 66 25'riser&280' trench.625 to bldg Ilk) cj P llllfi,�4w