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HomeMy WebLinkAbout350 Pleasant Valley Rd - Tele-Networks - Permit, Inspection Report, Application, & Drawing2006017 PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT STREET CUT PUBLIC UTILITY DATE: 03/03/2020 GIS ID: 72900350 MUNIS APPLICATION # 202000355 FEE: 50.00 EXPIRATION DATE: 03/03/2021 APPLICANT LOCATION NAME: TELE-NETWORKS ADDRESS: 350 PLEASANT VALLEY ROAD ADDRESS: 31 BAKEWELL COURT OWNER: 350 PLEASANT VALLEY ROAD LLC 3241 MAIN ST UNIT D CRASTON, RI 02921 PHONE 401-461-8420 WORK DESCRIPTION: INSTALLING CONDUIT FOR CATV (COX) APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIND %%��OR' S STREET CUT PERMIT MANUAL. tom. M nllno 71/gl - � . \�-C:�c' 1b ISSfIw w DATE INSPECTED INSPECTED BY 3/3/202010:38 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:.4/'fJC01__"7 CONTRACTOR: LOCATION: 3S0 JP1ca,5,5F,aT TYPE OF WORK: r,4-PV (lna- DATE INSP NEEDED: DATE INSP: 7122 apae INSPECTED BY: WORK IN PROGRESS: TGie 5M14A Ga h ,A 3Sy In�ras��+ f ADD,. R„i AA, e�t, /,"z - "01 v_ A fl, N� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS -BUILT: INPUT: DATE: S/molloy/forms 2020 Town of South Windsor INPSECTION REPORT 20 Appl. No. Name of Firm If 1-f Address of Firm Location of proposed APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $50.00 L 0 W'f �-J Phone No. qoI GCiI' tG- 1N. QraN tkC-f r r( Zip Code 6V0e Describe fully nature of permit Starting vtf Call Before You Dig L 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: P& 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 two copies of separate drawing Indicate North This section to be filled out by Town No. cuts dl� Sic 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 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' 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 STREET CU RMIT MANUAL. '',,tt,,AA,,,,'' ,/1 r/, Signed: W Print Nam eJrtf` �! Y1�6✓ti Date: /�Zb Engineer' g/per its/Street Excavation Permit 2017 m 1srs Oe U © wr^ / e�i <rrerWwelc 'e,,'S" �s Yu Bl 1 2 w l6rp ttt -n��� nus VV ® A( Fqs B�nBBB .s 9ti7 � % O mi-0 ® t m EST ®IS Y.• FI' e SWB2533 ®© ••, KJ3 � 11115 Q mn V T uouw' enEl ®1�\ �r ars mne �(u 4 Li Semr eeo ltiI c) �a Ea n Notes: ClA+ /o13�N5 Dale DreatW 11)271201910:43: 35