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HomeMy WebLinkAboutStreet Cut Permits 98 Austin Circle (2) 1800016 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/02/2018 R 5.. GIS ID:05900098 FEE: 50.00 MUNIS APPLICATION# 201800397 EXPIRATION DATE: G , APPLICANT "; ' _ „2`4 LOCATION NAME: TELE-NETWORKS 1 ADDRESS `... �AU��T1N CIRCLE ADDRESS: 195 W PARK STRETTi w �r OWNER `�OCCO';PETER P PROVIDENCE,RI 0: 903A[STIN CIR 1 w �aOUTHSWINDSOR,CT 06074 PHONE 401-641-1683 r WORK DESCRIPTION: REPLA{LINGEXItiSTINti CATV r APPLICANT AGREES TO FURNISH THE OyVN O SOUT W1NDS0. fiH1,AMOTINT OIa BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES II�7CUItRED'$Y THE TOWII FOR 1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A�PLIANT IS FAMII3R WITH AIip WTI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OhF REET CUT P.E1tMIT MANUAL. C �NOUTHMDSORII&S,T...,, I �BY DA ""IN` ECTED INSPECTED BY 4/2/2018 8:40 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** f i 1 x y f pp h 1 r 5 C S 1 rs e yr! 2 € " r K 0" $ s u {�K, :I, k at r Y • 1• TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 00 (0 CONTRACTOR: Te e-' -- LOCATION: TYPE OF WORK: l P_ ; 1 al_i r,,0- DATE INSP NEEDED: DATE INSP: INSPECTED BY: /3 0 WORK IN PROGRESS: i i 3 E SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO' I AS-BUILT: INPUT: DATE: 7 i S/molioy/forms 2014 Town of south windsor INPSOM6N REPbRT 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 46074 FEE $60.00 Name of Firm `e �'P W-e_ W or�_j Phone No.�1' fO 4'1' 16 &3 Address of Firm 111 PACIL S�. CC6\/ ehCe � Zip Code 0y1()!R Location of proposed work Pr U 4-1- ✓1 C 1i Describe fully nature of permit requested_CULAL O rl `Pk tS tel ci Ct l y Starting date 3 o r Call Before You Dig No 20 td i 30 2 2-Z PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: �10 Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut 0 Existing Driveway, No Changes © Proposed Driveway Widening 0 Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: O Public Sewer 0 Septic O Show sketch of proposed work or furnish Indicate North This section to be filled out by Town ' two copies of separate drawing C� No.cuts pu 0 Est. Patch Size(s) Sf Est. Pvt.Thickness in. Est. Patch Unit Price$ !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$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations O Cash O 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'S T PERM NUAL. 'n �� Signed- AA-1 Print Name�l��cc)�u�05& Date: Engi ering/per is/Street Excavation Permit 2017 I � � Oa*n=ateo.OX01201815154