HomeMy WebLinkAboutStreet Cut Permits 119 Quarry Brook Driv 1900152 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/22/2019 F
GIS ID: 74100119 FEE: 50.00
MUNIS APPLICATION# 201901860, EXPIRATION DATE: 09/21/2020
7 x J
:r 2
APPLICANT
LOCATION
NAME: TELE—NETWORKS ADDRESS 1 .119 QARRY BROOK DRIVE
ADDRESS: 31 BAKEWELL CO>1RT 4 r `. QWNR IYILLER BRUCE A&JANET B
` n A 11 Q hRRY BROOK DR
CRASTON,RI 0292,q
PHONE 401-461-8420
s 7 1>
c;
WORK DESCRIPTION: REPLF4CINXISTINCrr'CATV.
ni.ii
kh
APPLICANT AGREES TO FURNISH THE TO1 OF SOitTH I1rID81JR`THE AMOCJIVT QF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN EXPEI*rSE INCURRED BY THE O q.;FO3 5 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC APJ'LICANT IAIvIILIARiJITHiI �WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR':S STRTtET CUT ?ERMIT MANUAL,
y� E',
I1
ISSUE BY DATE'MSPECTED INSPECTED BY
8/22/2019 3:20 PM PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
7'• Y:
1 f
i
i+
f r , e
y f`
yf
F}
•.t y t1 Z
3 M
x xx 4
t p t % ri i i
tr
r f r r
i
TOWN OF SOUTH-.WlNbSDR IpS��N REPORT
PERMIT NO.:• LI CONTRACTOR
LOCAMON:
TYPE OF WORK,
DATE INSP NEEQED: DALE INSP:.
INSPECTED-BT':, � :
PROGRESS:_
SEPTIC TANK PUMPED,SMASHED; FILLED _..,_WITNESSEDWITNESSED ❑YES Q NO'
AS-BUILT:"
INPUT.
DATE: -
S/moBop/fiQm�s 2014 Town of Sou[ Windsor INPSL'Effl?N Mpd(T 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl, No, TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
(( TOWN HALL1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm Phone No. s d yq 231>2
Address of Firm sW 94f- eV1Ce Zip Code O ZA 0
Location of proposed work Jjq r v a f IWO '
Describe fully nature of permit requested Gl n '(V(S n 5 C k-1 V
j
Starting date �' �� Z()� Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED VVIITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 9 o Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out 4y Town
two copies of separate drawing
Na cuts
ham( Est. Patch Size(s) sf
i
Est. Pvt.Thickness in. E
Est. Patch Unit Price$ /sf
Est. Patch Cost$
r
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$ I
i
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
{ ) Cash O Check#
Applicant Is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOSSITE 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 S REET CUT RMIT MANUAL. nn
Signed: Print Name— W V-es omljy'� Date:
Engineering/ r Its/Street Excavation Permit 2017
UNIT M
ss Fl ber NOd° S �809 PS S
wB62 Wg090� U
0
� `` PS S�B6202
zoo' Q
.........-. 1�soop3.
.,� R2 OO•\ D SWB6228
R FMBIGPJ
119 !129 3 B6202
.500p3 2 .••jp p 25.0125X 54.0137.0
\ '•.,, R1 _ 17.0 29.0/2L0
Atat`•\ `ek 653,
53.
125' .500p3 I CSio 12/7
�(2 •• .,SOB' R2 80.9 - F SW
•�, .500A3 ••� 3 FMLJ
33
R1
- •. 031.0
149 17.0/17.0
5WB62i9 ?Oq r•
FMBiGPJ 6�S,p 1 139 722'
B6202. 11 '7 t_ 0612.
0 54.0137.0 '• .�„�, Via• 81.4
0 32.0129.o w ;
2 War /R�i R1
312 • 6p5p3�_ 26 '.•
7 • t7B,'
i• N :
• ` ; R2
�• SWB6228 ••• 5p0F'3
44 ••• 26
• 200,
• � 2
:
R1 • [' A
SWB6224 126 2J 136
Q �••.
• 6 : Z` R2
36 / C
SW86224 ; m`� ; �v
148
-FMLIG7J-AI4 • '
Notes:
e Date Created:0810112019 13:52:15