HomeMy WebLinkAboutStreet Cut Permits 148 Homestead Drive (4) 1500141 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/16/2015
GIS ID:44700148 FEE: 25.00
MUNIS APPLICATION# 201500926 EXPIRATION DATE: 07/15/2016
APPLICANT- LOCATION
NAME: TELE-NETWORKS ADDRESS: 148-HOMESTEAD DRIVE
ADDRESS: 31 BAKEWELL COURT OWNER: RAMESH MADHAVAN&SANDHYA
CRASTON,RI 02921 148 HOMESTEAD DRIVE
SOUTH V�?INDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: REPLAg4 EXISTING 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 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 PERMI-T MANUAL.
ISSUED Y DA E SPECTED INSPECTED BY
7/16/2015 1:11 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
------- ----- -----------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: ISO®/y/ CONTRACTOR: -fi?/L0-- 1JfTA)eY- s
LOCATION: 09 1�m�s ®a��j�✓iu�2
TYPE OF WORK: l a�. j_S Ll-EV
DATE INSP NEEDED: DATE INSP: i I o
INSPECTED BY: 4b
WORK IN
PROGRESS: I cs-x
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: 0 DATE:
S/molloy/forms 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 06074 FEE $25.00
Name of Firm 7--ele—&.�wvC1ts Phone No.' � ' 9 - Y5_. 3
Address of Firm 31 6clet-,zil ci-- (t'ttn 5_kcr, A I Zip Code d�c'l
Location of proposed work Eqj he_qc-e34-rc,J Or- leck-ro"ecu r)!'
Describe fully nature of permit requested &cD/ucc CX t`sh'o4 CAI U
Starting date Call Before You Dig No J015JSO0,55
PLEASE NOTE: THE DEPOSIT-FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: IX No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
X Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
S � `��� No.cuts ee �-
0 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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$
( )Cash OCheck#
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
WINDSOW STREET C PERMIT MANUAL.
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