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HomeMy WebLinkAboutStreet Cut Permits 125 Edwin Road 1800019 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY 4/ 1 .... DATE. 0 06/20 8 GIS ID:29700125 FEE: 50.00 MUNIS APPLICATION# 201800429 A, EXPIRATION DATE: S APPLICANT rr LOCATION NAME: TELE-NETWORKS ADDRESS 125'EDWIN ROAD ADDRESS: 31 BAKEWELL COURT OWNER 125 EDVIN ROAD ASSOCIATES LLC CRASTON,RI 0292 , �' 125DVVIN ROAD SOVDl WINDSOR,CT 06074 PHONE 401-461-8420 WORK DESCRIPTION: INSTAI,I,I]�TGr 3" ONDtJIT FOR CATV r., APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINbSOIZ THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC EXPENSES INCURRED.;:BY THE TOWIti1 FOR 1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPII.CANT=IS FAMII IAR WITH AND WIT L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OR SO I H WIN SOR'.S STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 4/6/2018 3:03 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** F R Jr e � { 4 y C• k. 7ti y t Fit} F k f ;l 1 -i t s • k k ' vr i 1. 5. i I f TOWN OF SOUTH WINDSOR INSPECTION REPORT I . k PERMIT NO.: CONTRACTOR: LOCATION:_ l Q 5 EA w i W 6 0,8 •_-... i TYPE OF WORK: sS. 1 I �' } / i. i DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS:__ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ N0 AS-BUILT: f INPUT: V DATE: ?J r S/Molloy/forms 2014 Town of South Windsor INPSf5CMN REPORT 14 i APPLICATION FOR STREET EXCAVATION PERMIT Appl, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 060714 + FEE $60.00 Name of Firm �� I�Q'�W���� Phone No.� dl )�O�(JI �T Address of Firm Zip Code 6Z.-I0 Location of proposed work l Z�� 1.0(W I''1 Describe fully nature of permit requested tr)Cj i Starting date 5 I Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ZNo Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes CJ Proposed Driveway Widening © Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish indicate North This section to be filled out by Town two copies of separate drawing No.cuts d 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. f i Est. Patch Unit Price$ Jsf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ Jsf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ Ihr 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 STREET CUT PERMIT MANUAL. l Signed; +� Print Name - � Date: l Enginee ng/per 'ts/Street Excavation Permit 2017 i Z SWA08-66 W FML1GYJLAM Q C-91 7 1 Al— ` 26.2R7.S 69.M7.0 Y� MOM.0 75,W14.0 932' 994' "A Ire n.o o.0 11 ea.9 r ts.z o.9 4 ti C-NIA 315 JORGENSEN ENGINE ®3908 C•55 N / 25' e 4� 102' 4098 23 �' 190 30c2SWA08-66 1 � 4084 1 3 525P3 23 C1 125' 4492 r 23 •625P.3 120, 25' s25P3 1 20514 C-145 ! 17 JASON SODA �1 b E C-82 C-N/A f xl n E �a DP C46 f 21259 I ® o t ! C-32 �I KEN SODA F f N HI HEAT rft6• I 173 3Z9 ! 153 3&5 I / 818' 2&4 13.8 625A3 0.0 12.0 14 f 90' ! 0� C-125(3U) '1 1-3 I f Q f �! Node:SWA08 Planner:THOMAS DERWAY MP Project Name:ANDRE CHARBONNEAU&SONS Planner Phone: Project Address:125 EDWIN RD CIR#153068 ax City,State:SOUTH WINDSOR,CT Designer:TRUENET DG