HomeMy WebLinkAboutStreet Cut Permits 73 Debbie Drive 1800093 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 07/11/2018 3 ti' Sty
GIS ID:26700073r FEE: 50.00
MUNIS APPLICATION# 201801196 I3XPIRATION DATE: 07/1 1120 1 9
APPLICANT '� .,., �'tc ,N E, yfi �� ;
LOCATION
NAME: TELE-NETWORKS s ADDRE xDE13IE DRIVE
ADDRESS: 31 BAKEWELL COUIT E i 2y 7 r'� jNEy IREZET CHRISTOPHER&ALISA
CRASTON,RI 02921� a 'zt733IE DRIVE
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gr4i' It ��£ '•. ;tj �r M3tsj`'4yt'zsl VZa u C11�J`IzI INDSOR, CT 06074
PHONE 401-461-8420 c '�
WORK DESCRIPTION: INSI lalm-A 7�1I A s ING C TV''3 ��h x� r "r y yy r
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APPLICANT AGREES TO FURNISH THE OWi\tt7E S i TH INI3so's, A11 OUNfi QF2B ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Aft' BENS � +if'UIt D B 'TkI �QW}�1y OR��VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tfliti, f1 (I A.N`l Do A' V�I I H� VwI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O tSbl"f1I WII�ID64R,'„`STRLT�( PRIVIIT MANUAL.
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ISSUED BY DATE INFETED INSPECTED BY
7/11/2018 2:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: D CONTRACTOR" :21 e- /ue 7'p-b(ks
LOCATION:_--23 ` 7 7
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TYPE OF WORK:- _. G'A rAz
DATE INSP NEEDED: DATE INSP: 3 a7
INSPECTED BY: 6 b
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WORK IN
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES [] N0-
AS-BUILT:
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INPUT: (': DATE:
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5/m6iioy/forms 2oi4 Town of South WindsorimtkwN REpogr 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 $50-00
Name of Firm ` �l)j oV S Phone No. `�6 l L 41� � ( Y 3
Address of Firm ( S J_ Pf-6� C 2T Zip Code 0 2 C?
Location of proposed work P-Q 1 of
Describe fully nature of permit requested 1 S } �l' �CSC V)G 'A
Starting date 'i" 47 IT Call Before You Dig No -)6� t
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES.fN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED
IN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water []Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be fllled out by Town
two copies of separate drawing
(�f No.cuts
0 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ /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 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulatlons
{ )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 ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR' STREET UT PERMIT MANUAL.
Signed: / Print Name �5 _ Date:
Engine ing/pe its/Street Excavation Permit 2017
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Construction Note; Temp in,
. Place, Please Prioritize!
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Replace 189 ft. of UG feeder cable from output of the
\ 11/2 tap at Hse#77 Debbie Dr. to input of the 4/2 tap
at Hse #73 Debbie Dr. Tech Darren McDonald \�
860-250-3437----- please replace 189'of feeder,
IPB 91Gxi �R, ` a cable is bad from 11/2 tap to 4/2 **"TEMP ON -
GROUND***. Node SWD06 ---- ESR000002714042
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Date Created:0210012018 08:34:00