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HomeMy WebLinkAboutStreet Cut Permits 50 Vintage Lane 1800122 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/28/2018 GIS ID:92370050 s � FEE: 50.00 MUNIS APPLICATION# 201801548 AF EXPIRATION DATE: 08/28/2019 APPLICANT v NAME: TELE—NETWORKS 0 . rye IN 4 a 4 LOCATION ADDRE0 VINTAGE LANE ADDRESS: 31 BAKEWELL COUZT {� Ew^I1+TT 1 CHILL HEATHER&DUSTIN io , VSk t� f t i. ?a x } r s , rsa try trytt 0 VINTAGE LANE CRASTON,RI 0292 ,art �s, £` E PHONE 401-461-8420 x z sat y} lp S1 WORK DESCRIPTION: INS" ' t� EI?LAII�TO`GAYT tr,r : 0. oe ,°f e ,ybr :y r.FS s Five APPLICANT AGREES TO FURNISH THE TO MOF S'�UfH WII (jI I7NE 1M0[JietT 1F B ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Alr XPENES INLIE]4I��S+�ICE pRMpINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TItA1'L�IQANT ISAITI`IEiR 4t�!THr 1 L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 01a501J'Ih P WIDSOR'S^ST T QUTa F,IMITMANUAL. ti ISSUED BY DAI'EyINPETED INSPECTED BY 8/28/2018 2:54 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i f rfSlii. A Z 6 k x h .ly. i lv�1 44 f imh lft e� 3 , t 7., v[ ` '� YJ J YFr hY� tF r4 R a Ty 4 :. aF AYH rsr '� Y 1 kXS [ Ri` kyUs F 1 hrcr'F h cs 5C r h r�, 1'f�r s ..L'�ib�5 r� X., r.s`iy l^ Y 3` f 'RS tst H ti'"� k+K kn•r' ii y[ , T®WI vF SQUTH'WNDSQR INSPEC'DON REPORT PERMIT NO.: ' CONTRACTOR: 'T�-l�t"" /G'OIV LOCATION: (cx TYPE 4F WORK:vi,! '-.s 11)04 l0 6_ DATE INSP NEEDED: DATE INSP: If? INSPECTED BY: WORK IN PROGRESS; SEPTIC TALK PUMPED, SMASHED, FILLED WTfNESSED ❑YES ❑ NO' k AS-BUILT: INPUT: DATE: 5/m690y/fb ms 2a14 TM of South Windsor-INPS9=N RWRT 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 } FEE $50.00 Name of Firm l �w 04—,S Phone No.(4_d 3 Address of Firm (E a- C 5 OJT 2S Zip Code 0 Z� g Location of proposed work o V( l act-e v1,- Describe fully nature of permit requested t'vA S� t c t(ric knG 'AT Starting date E61 S Call Before You Dig No -),d 0(0 t � PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED�ITWITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: Id No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut © Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing C� 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf I 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$ lhr 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 { Applicant is responsible for contacting the Police Dept.and C.B.Y.D )Cash O Check tf PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By [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 UT PERMIT MANUAL. y� p Signad: Print Nameam-e5 t/��6y- � Date: Engi ering/pe tufts/Street Excavation Permit 2017 5p yam, A� h 49 R4 S WC0415 ACC 1 4 Id 42 a f� N w 35 \ 6Lhe�' / .mod ` 20Q — / •625P3 •875p3 / •625P3�_ ew /- , yr