Loading...
HomeMy WebLinkAboutStreet Cut Permits 186 Quarry Brook Driv (2) RMIT9 PEERMIT NUMBER TOWN OF SOUTH WINDSOR, CT STREET CUT PERMIT DATE: 04/15/2015 GIS ID: 74100186 MUNIS APPLICATION# 201500320 FEE: 25.00 EXPIRATION DATE: 04/14/2016 APPLICANT LOCATION NAME: TELE-NETWORKS ADDRESS: 186 QUARRY BROOK DRIVE ADDRESS: 31 BAKEWELL COURT OWNER: SWEDOCK JOHN A CRASTON,RI 02921 18.6 QUARRY BROOK DR PHONE 401-461-8420 SOUTH WINDSOR, CT 06074 WORK DESCRIPTION: 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 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 S EET CUT PERMIT MANUAL. <7 ISSUED BY DA E INSPECTED INSPECTED BY 4/15/2015 2:49 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 5-000 CONTRACTOR: fry/P , (��r LOCATION: 0(o Q o a jrI'u , A4,9 v e TYPE OF WORK: DATE INSP.NEEDED: DATE INSP: %�// INSPECTED BY: >1 WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: L DATE: I 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. f TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT�0A60074 FEE $25.00 Name of Firm Phone No. 2 2 36 Address of Firm')'1J 6Cb V. gr �r cu V1 Ck r—d Zip Code 6Z9 03 Location of proposed work f$6-1gy at.atcYYJrcx�`�di Describe fully nature of permit requested Y--ey( ce CAT V Starting date y-166 J Call Before You Dig No K00 qay PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 19 No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut 5d Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing See '+4ae�')ecl No. cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost$ Est. Curb Replacement ft Est. Curb Unit Price$ /ft Est. Curb Cost$ Est.Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control $ Amt. of Deposit$ Total Due$ ( ) Cash ( )Check# 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 WINDSOR IS TREEr57 IT MANUAL. �r Signe Print Name3( n\ �✓V�( �r b r� Date: reet Excavation Permit 2014 Y iA�F$enzrt y a cAd �f 'Tor ++•��+ �"+•+�� t� '+• +�ell".+ F42 '+ • ' $4 i i� SN90Z95 -� �� 1� � �'�� � LLD i. _. •••. � $asa3 M S$TO • • 53 is ,r � •�"_Ai N� €� ,� r SWB6221 20 m -s T ; 21 + a Map data©2015 Googl BAD HARDLINE LOSING 5 DB EXTRA ON 1 GHZ ym key