HomeMy WebLinkAbout295 Rye St - Permit, Inspection Report, Application, & Drawings1900126
PERMIT NUMBER
7: 08/05/2019
GIS ID: 78600295
MUNIS APPLICATION # 201901682
TOWN OF SOUTH WINDSOR, CT
STREET CUT PUBLIC UTILITY
FEE: 50.00
EXPIRATION DATE: 08/04/2020
APPLICANT LOCATION
NAME: TELE-NETWORKS ADDRESS: 295 RYE STREET
ADDRESS: 31 BAKEWELL COURT OWNER: ALDI INC
PO BOX 460049 DEPT 501
CRASTON, RI 02921
PHONE 401-461-8420
WORK DESCRIPTION: INSTALLING 2" CONDUIT FOR COMM
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 THETOWNFOR 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 ATNDSOR'S STREET CUT PERMIT MANUAL.
8/5/2019 11:52 AM
DATE INSPECTED
***PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
5/malloy/forms 2014 Town of South Windsor INP55MON REPORT 14
- 1=TTrTncnR. CT
TOWN GFSQUTN WI111DSOR INSPECTION REPORT
PERMIT NO.:. Z D/
CONTRACTOR:
.00ATIOIV:,���
TYPE OF WORK.
DATE INSP NEEDED:
INSPECTED BY:
MAKIN
DATE INSP:.
SEPTIC TANK PUMPED; SMASHED, FILLED
--_ WITNESSED ❑ YES ❑ NO
AS -BUILT;
INPUT:____(_
DATE:
S/mailoy/Porms Z014 Town of Saoth Windsor INPSEWON REPORT 14
vpl. No.
Jame of Firm lt'If
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
NC'�tNO(�CS Phone No. iWO 641 '1493
W .(Jar K S rout e vie 1z2 Zip Code O 2gO
inrk ZWS 9-4'e S+.
Describe fully nature of permit
Z" ('on
Starting date a' S U(9 Call Before You Dig No 2J IR 310 33 1 7
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 WIT IN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 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
two copies of separate drawing �/�
r DO L✓" "" 'C
Indicate North
This section to be filled out by
Town
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
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 regulations
() Cash () Check 0
Applicant is responsible for contacting the Police Dept. and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Paid By
WINDSUR 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 REE/TfJ�UT�PERMITMANUAL. /,A,f,p ,/1
Sign Y ° 1 Print Name'U�IV ll Sy q y' t9A Date: y A 0 � 2d t'3
Eng Bering/ rmits/Street Excavation Permit 2017
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Date Created : 07/26/2019 10:11:18