HomeMy WebLinkAboutDrain Layers Permit 438 Pleasant Valley (2) 800127 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/29/08 `
GIS ID: 72900438
FEE: 25.00
MUNIS APPLICAT ION# 200801142 f<':
PIRATION DATE: 07/29/09
APPLICANTLOCATION
NAME: J&H SLATER CONS'T CO DRES �1 8�LEXSANT VALLEY ROAD
ADDRESS: 75 CO .w,:: .:.:.:>::
' �E WIJOD.VRIGHT HOMES LLC
SOUTH WINDSOR,C IY 06074t ,3 3
389.SLATER RD
$v 'n
•'..
UI :WINDSOR,CT 06074
PHONE
860-528-5252
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WORK DESCRIPTION: EX AV,kTgjo, ,WlION
S
TO 5 `$ fl>#
APPLICANT AGREES TO FURNISH THE'TOWN C F.&OiJI7 . ,..;..; .q "` '" '
? AMOUNT OFQND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Y PEI�I
AIR J B Tp J R MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THi AFPICIaI ISAIII fH A #I);>;WIT ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O S i T WTNI R-S E ..0 :'i LRI ITT MANUAL.
ISSUED BY DATENSCTED INSPECTED BY
7/29/20089:25AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Jt)04 CONTRACTOR:
LOCATION: to I rvt V l
TYPE OF WORK:_
DATE INSP NEEDED:
DATE INSP:
INSPECTED BY: Bb
WORK IN
PROGRESS:_
12 1/7
AS-BUILT:
INPUT: DATE:_ i a
W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT P c"),,�7 6 'I
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL .
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25./00
Name of Firm �� �% �Or��,� UL-i Phone No. 2—S
Address of Firm Zip Code
Location of proposed work g Z 1L�S f' V
Describe fully nature of permit requested-
Starting date Approx.time for completion 2L� //C-S~
Call Before You fig No. 06d 8
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish
two copies of separate drawing This section to be filled out by
Indicate North Town of South Windsor
No.cuts l �
Est.Patch Size(s) '16sf
Est Pvt.Thickness fir/-in.
Est.Patch Unit Price$ g 20 a !sf
_ Est.Patch Cost;
l:l'11f("' c� •� l � Est.Curb Replacement ft
Est.Curb Unit Price$. !ft
Est.Curb Cost;
Est.Traffic Unit Cost$ /hr
Est.Traffic Control;
Amt.of Deposit;
Total Due;
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.S.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONN TI WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMI S A#OUTLINED IN TH WN OF SOUTH WINDSOR'S STREET CUT PERMITANUAL.
Signe5' Date: .71Z-'?
Titie:l / Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc