HomeMy WebLinkAboutStreet Cut Permits 9999 Buckland Road (2) 1600171 -
TOWN OF SOUTH WINDSOR CT
PERMIT—NUMBER —
,
STREET CUT PERMIT
DATE: 09/02/2016 w
GIS ID: 15309999 FEE: 25A0
MUNIS APPLICATION# 201601191
„x FEE:
DATE: 09/02/2017
a
APPLICANTY4kti. LOCATION
NAME: TELE-NETWORKS
ADDRESS: 31 BAKEWELL CO IJ 4� ADDRESS ! BI1bk'AND ROAD
a OWNER SOUTI�',WINDSOR TOWN OF
CRASTON,RI 02921 r i 1 t
�r Sd LIVAN AVE
SOUTHVINDSOR CT 06074
PHONE 40I-461-8420 '
WORK DESCRIPTION: INS�A,LIa P7CrrCbNDITFR01VT I' '�#6 dT0= C3WF1t UPPLY LOCATED
INS]MY U`QRIAILQR COS
APPLICANT AGREES TO FURNISH THE'�TO ,i, I(�F OUTHwWIN1j2SC E?AMpI Ii�I OF Br<lND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY=�CpENgES Ir~URRD$y° IE T(?rW1 FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T%Fl.4IxI�LrCAFNT ISTAI IA 2 WI I I APED W�LZ ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWIV`OF SD;kJ 1?H WINL�SOI2'$STIT CLJ 1 IT MANUAL.
ISSUED B BATE INS ECED INSPECTED BY
9/2/2016 11:31 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
ti rf
4h t 3
at 4x r h,MRS
ay ?kvr 4 y
SO
` �: A'
�r
P (azY".•," 4 ,A� rrN•5 4 ,�.."�'.� 1"s Fs r '• h {
{ �
W
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT M: A,az9 7I CONTRAC MR:
LOCATION: 'l •
TYPE OF WORK: ,,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: CD
WORK IN
PROGRESS: 22111
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT: •
INPUT:
S/mofloy/k ms 2014 Town of South Windsor TNPSE=N REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
T l TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm Ne ll Wocv—'S Phone No
Address of Firm l�+s W , Pat;1K-' '�;+• rC&v I,d-ev1Ce (2,T Zip CodeOZgQ
Location of proposed work uccuand1 CA, �ZQ' e'AS}- ov� ".4"an Ce -fib Uy-c9(ee►'1 wkl k"'
Describe fully nature of permit requested A S 4-&I k I.PU C C0✓1dLV k+ Ql`^ �'�lQ (o �DWe{'
3 0 eeLl LuC6Lfed 1n51C.0 0'1r'C( {'cl
Starting date 'C�l Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN� A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: IJ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Qp Est, Patch Unit Price$ /sf
Est.Patch Cost$
\
Est. Curb Replacement ft
C—
„�� �p Est. Curb Unit Price$ /ft
Est.Curb Cost$
NEst. Sidewalk Replacement sf
t, Est. Sidewalk Unit Price
Est.Sidewalk Cost$
-A k Ave Est,Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Cep Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.S.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
i
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 C RMIT MANUAL. �,
Signed: ew PrintNamel�� ��fV` V, -- Date:
Stre Excavatio Permit 2014