HomeMy WebLinkAboutStreet Cut Permits 45 Connecticut Avenue 1800094 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/11/2018 1 s
GIS ID:23400045 F FEE: 50.00
MUNIS APPLICATION# 201801197 ;CPIRATION DATE: 07/11/2019
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APPLICAN t; x "r } LOCATION
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NAME: TELE-NETWORKSCOITECTICUT AVE
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ADDRESS: 31 BAKEWELL CO U � x i QE � $�JDYC v TE HOOVEN INC
CRASTON,RI 029211 N ` `'y Jk271 �PA"�K CENTRE DR#700
LIA TX 75251-1518
PHONE 401-461-8420 4j
WORK DESCRIPTION: INS-A�kb,LsI1�C L�.A 317Gf5G`, Vta 'Uzx r�t F K
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APPLICANT AGREES TO FURNISH THE , OWN OF-S.`�GI .41�IOU1 iTIiFB. ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN1' KPEI�ISEd
�S INrfRRI;A: Y 'TIE YTOrV1�N� ORAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THEI' ICAN IS I AIVIIARi'�A W1 ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN IT MANUAL.
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ISSUED BY D ETED INSPECTED BY
7/11/2018 2:39 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH*WINDSOR INSPECTION REPORT
PERMIT NO.: 9— o AlCONTRACTOR: ��~ NOI�D
LOCATION: . �� 0 2 oiec fit a(d 14 ve I
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TYPE OF WORK: 1 I; /? AV
DATE INSP NEEDED: DATE INSP: S r
INSPECTED BY. t :>
WORK IN
PROGRESS: :3m 'e cc r^ C
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES [I NO-
AS-BUILT:
INPUT: Lei DATE: ' C1
S/moAoy/forms 2m Town of South Windsor.INPstcwN REPO'ffr 14
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 $50-00
Name of Firm � �U,Gly- 5 Phone No. �p i 4�T �O
Address of Firm W, 0,11-C S 6 J(CLjvl Zip Code 0'z9U
Location of proposed work 5 �7�►�C 1 C v A -C
Describe fully nature of permit requested W SA-C' 1 1 L C\C knG 'A
Starting date '7. 1) 1 1 Call Before You pig No )�dk
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: °( No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: Cl Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing Cf
PugG�'(� No.Cuts
0 Est, Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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$
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
{ )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'S TREET T PERMIT MANUAL,
Signed: Print Name. S � Date:
Engi.eedng/p rmlts/Street Excavation Permit 2017
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Planner: DENISE MAZZOLI