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HomeMy WebLinkAboutStreet Cut Permits 9999 Chapel Road (9) 1900141 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/16/2019 F ,? GIS ID: 18009999 <X 4, FEE: 50.00 MUNIS APPLICATION# 20190177221EXPIRATION DATE: 08/15/2020 s APPLICANT `j�ij,r0 ' <' �' LOCATION NAME: TELE-NETWORKS �E` ADDRESS99�CIAPEL ROAD ADDRESS: 31 BAKEWELL COJMT 4p ; = !OWN F SOUTH WINDSRO k4U 7StXLIVAN AVE CRASTON,RI 0292t PHONE 401-461-8420 5,.. Y � e4 } a 4 r a h WORK DESCRIPTION: RE&AINIISI LNG CATVH�I' L RCiAI / T 1VIA RC CIRCLE u y , APPLICANT AGREES TO FURNISH T IMTOWN OF S�Oi7 I I TDSC} HE AM�UI T P BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AII�E�{PEl•ISi£$�I+FCC3RILD$Y TIDE TQWN,I pI2�111AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND Th-E A,1"MICANT IS FAMILIAR WISH AI 'UVIr L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN(F s,86-- �WINDSOI�,.',S,:STREET G4U T PF {KNIT MANUAL. zWeill ISSU BY DATE IN�'PEMtD INSrECTED EY 8/1 6/201 9 2:20PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** I q � � 1 1 {h z tCg Y:..� 1 3� yy >r on. � 1 r� arY tt W.. "i r s 420 f TOWS[OF SOUTH:WEND OR INSPEG` N REPORT. PERMIT NO.. l 9�� lv� CONTRACTOR. LOCATION. " Li TYPE OF WORK: ! ' TE INSDATE INSP NEEQED: DAP:. %���� E INSPECTED-BT: �, . WORK:IN PROGRESS: q v SEPTIC TANK PUMPQ;SMASHED, PILLED WrMESSED ❑-YES Q NO AS 8l1ILT:,� r Ulf` DATE: Windsor•1NFSL INN IMPORT!4 •• rF 5/mollcylb ms 2014 To=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 $60.00 Name of Firm 'e - I'let or�.$ Phone No. 06 G a�3 Address of Firm NS W. ekwK S fU v i nC-P— lR: Zip Code Location of proposed work eh6lpel t7d IS1. AA 4r( n r, Describe fully nature of permit requested rep c i h � PX.U'-ff ki S CATy i r Starting date Call Before You Dig No A19 306 ?? ; 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 Est. Pvt.Thickness in. i 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$ i Est.Traffic Hours hr Est.Traffic Unit Cost$ Ihr 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!T MANUAL, cc Sign ' Print Name 6me5 61qm Date: Engl Bring/pe Its/Street Excavation Permit 2017 ♦ 1• I ♦ 2)ETIDTY RM • FDE6E6 oA •400 021,• • El 2h2L • � j "A'6 Ono flxv) • zea9.e2azpxvz • t ne]U, • •� • BLDG 126 •• • Lao r � SW86408 / :� •. ' SWB6401 BLDGn EI g �8,2T •f14 21 19Ut �•q:FMr ssmre Oj:•� �• EI£12 1 ♦ nz FM1e „ ��♦ � : BLDG 95 Oo • 1• 404(t3U) 17 >y, 23 atdtF2Fx.M, t+ry ♦ •24s• "I U) • ® LJ ElC6 •9m 4M NeUI • ,XMHA N 1 'x sws6407 M,4 B1DGM ♦® ® © • A• O 1 6 ; Silo pff Rp � •• a U \ •• enam23{9UJ 21 hUl .� 44� � . 5122 61.s9 �> L ]n 26 2s• '•. ; BLDG tid wi •• • BLDG d2 Y mJ • P♦'I 49, '• = n ••� p SWB64 ®'�a,• ��Ab�S 20 4074 We� ® B7-0 7) O W 1{0� .,•� BLDG tlI C 8 d2 D -12 ¢Q 449 4033 43 A 53n 27947 2294 3RP u 4M2 1SSa92' ,Sidle ,��y �b :u .• i SWB1209 6I20+ 76v C41S,M]i z1999 2293 �. ao ao rAl + Notes: Date Created:0713012019 12:51:41 e