HomeMy WebLinkAbout295 Rye St - Permit, Inspection Report, Application, & Drawing 5-11-20202000067
PERMIT NUMBER
TOWN OF SOUTH WINDSOR, CT
STREET CUT PUBLIC UTILITY
DATE: 05/11/2020
GIS ID: 78600295
MUNIS APPLICATION # 202000697
FEE: 50.00
EXPIRATION DATE: 05/11/2021
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 3" CONDUIT FOR CATV
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 R'S STREET CUT PERMITMANUAL.
ISSUED BY
INSPECTED
5111/202010:33 AM ***PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: b�'� CONTRACTOR: 7el-e
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED:
INSPECTED BY: 6n
DATE INSP: a7aOx
WORK IN (
PROGRESS: 1Z . e N)ei G-Vrk's + n S�t //, �Cd ��-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS -BUILT:
INPUT: DATE:
S/molloy/forms 2020 Town of South Windsor INPSECTION REPORT 20
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_ (' 6f Phone No. *e I' 6401' I (D 9_3
Address of Firm_ 11 S.V Pa�� S . PCaVt -eAC-Q , t�—� Zip Code o zqo 8
Location of proposed work (ZIt S's,
Describe fully nature of permit requested iVtC}1CIlinR �" C�h lr r CAT
Starting date r'-/ 1- Lo2O Call Before You Dig No jo" IQ0 Z 125
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: �Xho 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 drawinq4y�Gk"
` RrLt 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 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 JOBSITE AT ALL TIMES Paid By
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 CUT PERMIT MgNUAL. (�
Signed: ✓//C// / PrintNameja �s �K1 �A Date: b i I �LJ
Engine ng/per Its/Street &cavation Permit 2017
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Notes:
+ 10
Cale Created : 051061202015: 42:51