HomeMy WebLinkAboutStreet Cut Permits 9999 Chapel Road (6) 1900142 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
� 1^�
DATE: 08/16/2019 Ix
GIS ID: 18009999 <1
FEE: 50.00
MUNIS APPLICATION# 201901772 EXPIRATION DATE: 08/15/2020
S r
APPLICANT LOCATION
NAME: TELE-NETWORKS `
ADDRESS99 CfIAPEL ROAD
ADDRESS: 31 BAKEWELL COURT (SWN1yR = TOWNtF SOUTH WINDSRO
k4U SULLIVAN AVE
CRASTON,RI 0292t
fi
PHONE 40 i-461-8420
WORK DESCRIPTION: RE1#LAOINISI I�I*TG CATVHA� L RCiAfI ! T MARC CIRCLE
APPLICANT AGREES TO FURNISH THEtI OWN DF SOU I W+I*TT�S(}R' HE AM�UITI?BAND RT QUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR API"E3CPE�I ES WCCIRILD$y fiIE TQWNAOIIIIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE A 1"1?LICAN I IS`FAIYITL'TAR WI�II A '1�!IL L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN(3F SDUTI WINDSOR',S STREET 44U T PERMIT MANUAL.
ISSUM BY DATE INrEED INSPECTS BY
8/1 6/20 1 9 2:20PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL, TIMES***
1
r 1�
1 `}
�y 4
H on.
i, { kr
A$
la
ltl
U
R Y
TOWS[OF SOUTH:WIND OR N REPORT.
PERMIT NO.. • CONTRACTOR.
LOCATION. '
Li
TYPE OF WQRK:
DATE INSP NEEQED:
• E
INSPECTED
WORK:IN
PROGRESS: � v ';,.� . � �/ �-� ��.t ;->j��,�• - . _
SEPTIC TANK PUMPEQ;SMASHED, PILLED WITWESSED ❑YE5 Q ND
r
Ulf` DATE: -
Windsor•1NFSEl INN IMPORT!4
..
rF
5/molloyltrms 2014 Town of South
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 $60.00
Name of Firm 'e - `'t etwor- Phone No. 06 �` ��l' 1 G aP 3
Address of Firm NS W. eew S !U v i nC-P— lR: Zip Code 29D9
Location of proposed work eh6lpel t7d IS1. AA4r( Cl r,
Describe fully nature of permit requested rep c i h PX.U'-ff ki S CATv
i
r
Starting date � '1 Call Before You Dig No A19 3060?S
I.
I
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT 15 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: Z No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes I] Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
i,�•G Est. Patch Size(s) sf
i
Est. Pvt.Thickness in. i
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
i.
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
i
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft 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;7!!�MANUAL, cc
Sign ' Print Name 6me5 61qm Date:
Engl Bring/pe Its/Street Excavation Permit 2017
I � a Isu, �•
-•.
ETIl1N RM • Et'E6
oA
El
%DVZD ; th2l • : j
nzrAr: • 47
F13U1 ♦ •
2MUa3y2Z3 • : 4 1941U1
♦ .� • RI-R3 Q
• •� • BLDG 826
1
SW66408 / :� •. ' SWB6401 BLDGn 0
°
m8imr •f4a 23(6U,
r.m):rxer ssmre Oj;•� �- EI£12 /.'-•
..a d�i• ns Ine 11 ♦ � � BLDG IIS
at.LtF1FZ,Ml
23 lau)
El
• 25' 3hJl,G313 W -.1
♦am
4M I14U1
,k14Xh1-N ,
SWB6407 MI6 9LDGM
♦® ® O • • O
1
6 •
Silo da
F� '+1q, • �• BLDG 427
Rp � �♦ y U
\ ♦• ® • U '23*{0U1
♦ �
44 22 IaUI
7'E' • 5122 51.56
�> ti
3n 26 ; 2 . D•D.t
2s•
'•. ;
BLDG 16
wi ••� • BLDG d2 Y
� • P4'I
49, �••
SWB64 ®• •• • ���b�. ;
b Q
20• 4134 S�B69 ® ® a2au2)
W
1{4 .,•� c BLDG AS
B
d2 D -12Al
�Q
44a F 3 �o�
4033
423 A
nD us4l 2294
3RP a �3�
' 0.D 4• � � b ,� �'� ,g ��'a°
,SSR92' ,Si4ID ,��y �k°9•
34 .• j'' SWB1209
C41SI U} 21a99 J
my aE 4e 2293'•
¢0 1 ao MA un
Z1931 M
Notes:
Dale Created:07/30/2019 12:51:41
e