HomeMy WebLinkAboutStreet Cut Permits 96 Quarry Brook Drive 190M1 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/22/2019
GIS ID:74100096 FEE: 50.00
MUNIS APPLICATION# 201901859 EXPIRATION DATE: 08/21/2020
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APPLICANTh L4CATIDN
NAME: TELE-NETWORKS ADDR); S a96'QLJARRY BROOK DRIVE
ADDRESS: 31 BAKEWELL CO-UR1T'�` OWNER BAZZI ALI M
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s 96'QUARRY BROOK DRIVE
CRASTON RI 0291 k f k
PHONE 401-461-8420
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WORK DESCRIPTION: EPLACING IuSTING CATS x
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APPLICANT AGREES TO FURNISH THE TORN OF SOUTH IdR THE AIVIOTIIV�QF}30ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPEI+TSES INC` INTENANCE OR REPAIR WORKIN
CONNECTION WITH THIS PERMIT AND NEAP R W :`TH( II)VILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN`OF SOIJ T I WII�TDSOR'::S sm.T;:T CUT PERMIT MANUAL.
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ISSUED BY DATE' NSPVtTED INSPECTED BY
8/22/2019 3:15 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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Town OF-SQUTN"WYNDSDR IpSplWool REPORT
PERMIT NO.: dowlOCTlR:
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TYPE OF WQRK: p
DATE FNSP NEEOED: DATE INSP:�,
INSPECTED,M -r�,a
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PROGRESS: MR -�
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SEPTIC TANK PUMPED',_SMASHED; M-190 WITNESSED ❑'YES C NO'
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INPUT.
DATE:
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5jmcllayltr ms 2014 Tom of South Windsor•MpSE Mdt4 9ERbW 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 $50.00
Name of Firm Phone No. qbr'
Address of Firm 5 Zip Code
Location of proposed work_ lCIA rc 01Vd C
Describe fully nature of permit requested C 461 n >°X t �' 1 h g _ Cprf
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Starting date 2 Call Before You Dig No ROY Y4! 3
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PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 2�`No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water []Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
p p� G✓I/� `� �'� No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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 JOSSITE 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 ST 1=T CW7ERMIT MANUAL.
Sig Print Name U`rn t v �h° "9 Date: e
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En ineering/p its/Street Excavation Permit 2017
UNIT 19 INC
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Notes:
Date Created:08/1412019 15:00:14