HomeMy WebLinkAboutStreet Cut Permits 145 Natsisky Farm Roa (6) 1800024 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/13/2018
GIS ID:62300145 FEE: 50.00
MUNIS APPLICATION# 201800458 EXPIRATION DATE:
APPLICANT '` LOCATION
NAME: TELE-NETWORKS ADDRESS 145'Nt TSISKY FARM ROAD
ADDRESS: 31 BAKEWELL Co " ji OWNER f 5 AMEN' A JASON&MEGHAN
CRASTON,RI 0292I' 145142 KY FARM RD
6UTH XV F
WINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: INS AIILINCz'RE LACING G.
APPLICANT AGREES TO FURNISH THT0IVN dF SOUTH WINDS R,THI AMOUNT OFi BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI E3fPENSES INCURRED'BY T.E TOWII FOI MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THIS A'PLICANT IS PAMII IAR�yITH AND WIT.L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OE_SQJTH.WIIIDSOR':S STREET CUT PERMIT MANUAL.
ISSUED BY TED INSPECTED BY
4/13/20I811:05AM PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO,: 18000,ZY CONTRACTOR: 4e
LOCATION: c?ez as
TYPE OF WORK: L 1 i n6j �c
DATE INSP NEEDED: DATE INSP: �� �/a
INSPECTED BY:
WORK IN
PROGRESS: e �azt,1ed
SEPTIC TANK PUMPED,SMASHED, FILLED wrrNESSED ❑YES ❑ NO'
AS-BUILT:
INPUT: DATE:
Vm6uoygorms tam Town or south Windsor mpsb dN Reba 14
i
a 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 l FEE $50.00
Name of Firm I �w CTO Phone No. 4-0 i G 4'�7" � (O � 3
Address of Firm 0 S Vj. N,- C 5 6,jk Act 2 Zip Code 0 Z40
Location of proposed work 14C5 u A SlS elfM t
Describe fully nature of permit requested 61ALJ
Starting date Call Before You Dig No 4-0 1'0 �Q
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: E lO Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer 0 Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing 4-,.,_d
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in. j
Est.Patch Unit Price$ fsf
I
I
Est. Patch Cost$ I
Est.Curb Replacement ft
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 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.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 T PER MANUAL.
Signed: a✓u Print Name_ Date:
Engine ng/p its/Street Excavation Permit 2017
NATSISKY FARM RD �$
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o , .500P3 166 Replace 270 ft. of UG feeder cable from output of the 26/4
'- - - y tap at Hse # 137 Natsisky Farm Rd. to input of the 23/4 tap
157 - 50�3 ' R at Hse# 157 Natsisky Farm Rd. Tech Darren McDonald
�- 860-250-3437 ------ Need to replace 270 ft of u/g cable due
R4 ■', 23 152 to water damage and CLI. This span crosses 2 driveways
hGE;
1 and 1 sidewalk bore. Node SWD06 ------ ESR000002594442
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