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Home My WebLink AboutStreet Cut Permits 33 Windy Hill Dr (2) 1500283 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 12/21/2015 GIS ID: 95400033 FEE: 25.00 MUNIS APPLICATION# 201501842 EXPIRATION DATE: 12/20/2016 APPLICANT LOCATION NAME: TELE-NETWORKS ADDRESS: 33 WINDY HILL DRIVE ADDRESS: 31 BAKEWELL COURT ' OWNER: KWON YOON JOONG ALLAN& CRASTON,RI 02921 33 WINDY HILL DRIVE SOUTH WINDSOR,CT 06074 PHONE 401-461-8420 WORK DESCRIPTION: REPLACE EXISTING CATV/RELOCATING PAD 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 PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 12/21/2015 9:52 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ---- ------ - --------------------- --- --- ---------- - --- - ----- -- - TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: ��Q©�� CONTRACTOR: �'1e y /U o;� S LOCATION: 1,41,f l 'Z),-/ TYPE OF WORK: 1 7h t✓ PAP DATE INSP NEEDED: DATE INSP: INSPECTED BY: 3 WORK IN PROGRESS: GA 1 1 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO AS-BUILT.- INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSECRON 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 $25.00 Name of Firm Tele--Al -Loorks Phone No. /S NS— q5-.�3a"0- Address of Firm 31 Bo-keLzil C4- Cran S,kn A I Zip Code 0g 991 Location of proposed work 33 WeAdi Pell Pi- Describe fully nature of permit requested Ae-E?lac E56'.Shn�j C ATU e loccl4i�na j&d Starting date Id-- > -a1df r Call Before You Dig No 2015 500 a 5d�Y PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 04 No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf r —► L d`ny.5 fed Est.Patch Cost$ f Est.Curb Replacement ft r Est.Curb Unit Price$ /ft a Est.Curb Cost$ 4C—P�J 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' STREET C PERMIT MANUAL. y� ,( SigntExcavatfi am•V Print Name �r � � Date: Str n Permit 2014