HomeMy WebLinkAboutStreet Cut Permits 65 Rye Street 1900141 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER r STREET CUT PUBLIC UTILITY
DATE: 08/15/2019
GIS ID: 78600065Au
;: FEE: 50.00
MUNIS APPLICATION# 201901769 zr`�, fi IPIRATION DATE: 08/14/2020
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APPLICANT W } * LOCATION
NAME: TELE-NETWORKS ;Y r ADDRE 6SRYA STREET
ADDRESS: 31 BAKEWELL COiIR'I� F r Q RVCE MANEELEY REAL ESTATE LLC
STREET
CRASTON,RI 0292
PHONE 401-461-8420
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WORK DESCRIPTION: INSTAI-IIII G "CONbUIT FOR G�QM1 �CATIdNS UERIZON)
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APPLICANT AGREES TO FURNISH THh I OVl/I�1 OF SO 1l H W 9oR THE r1MQU iT fJ $> ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY" CP NS S C 7m I3Y*IC E;P WIa�,; OR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tit,q.P FAMIm WTIT Al�pt�!I> L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN(1k SOUTH WTND80R',5,'STREET OjJT PI2IVIITMANUAL.
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ISSUE BY DATE°INSPECTED INSPECTED BY I
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8/15/2019 4:19 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN..OF-SOUTH'.MKIDSOR.IySpFCionN REPORT
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PERMIT N - - i
!LOCATION: •' J
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TYPE OF WORK: 1 , �
DATE II1(SP NEEDED: = DA1E INSR 2
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INSPECTED
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PROGRESS.
SEPTIC TANK PUMPED,SMASHED;FILLED wrMESSED ❑-YES CJ NO
AS-BUILT:,;,
INPUT: - DATE:
S/mal[oy/fOr�s�a Z814 To=of SOuth Windsor'lNPSj:RON REPORT 14
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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 $60.00
�-el�- c��—�W�{ ��Name of Firm Phone No.�YOl �q(" I
Address of Firm lots W , paacof C-2 Zip Code o2gi
Location of proposed work to I?-`{e , "K-C-e
Describe fully nature,of permit requested l fA� � i i't G 2 CJv1 y i 46C f°vr►�tnVi V t`I c Cat t d h S
Starting date g- i`�" ?��cl Call Before You Dig No 3a 4 S� Sl
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PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE i
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR,
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ZPavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes CI Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
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Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing'�-�
0 No. cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ !sf
Est. Patch Cost$
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Est.Curb Replacement ft
Est. Curb Unit Price$ Ift
Est,Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cast$ 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 CVTj PERMIT MANUAL. P
Print Nam Sign
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g ,,,,,'`- ��Q�e S �� Date:.
Engin ring/per Its/Street Excavation Permit 2017
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