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Home My WebLink AboutStreet Excavation Permit 66 Orchard Hill 800203 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER hyt.,... STREET CUT PERMIT DATE: 12/01/08 GIS ID: 66900066 MUNI FEE: 25.00 S APPLICATION# 200801883 ;">•. wr`.;:, 'ENPIRATION DATE: 12/01/09 APPLICANT I: ;� i ':,LOCATION NAME: FOLSOM CONSTRiCIT ` j ' S ° sORD HILL DRIVE ADDRESS: 138 RYE STREET 0 MIYU , J-,_3 f GI4O CAROL S SOUTH WINDSOR,YC'r`'j647 " F`' f , 0} D HILL DR ITi$..,VINDSOR,CT 06074 PHONE 860-528-8928 kE WORK DESCRIPTION: REP ,I`irTC). C�t�DWA.� ��'�� MAIN B �K APPLICANT AGREES TO FURNISH THE TOVt 'OF'Sfl : ksS.(P1:.A1kI1NT:,F „ FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI.;EX S ? j TO ::FOR:MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THB'`ApPI s�Ct�NT I3>1~A I: 3° VZ I ;; Nb LL ABIDE BY THE RULES AND REGULATIONS FOR PER�IMITS AS OUTLINED IN THE TOWN OF 5 1J P ;.-SRt'.S.STg BUT P«ERMIT MANUAL. 10 ISSUED B�r DATE INSPECTED INSPECTED BY 12/1/200811:09AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: (D , CONTRACTOR:_ r/) 15 D LOCATION:_n G, ✓� ,��1 �] TYPE OF WORK: j -DATE INSP NEEDED: DATE INSP: INSPECTED BY: FD WORK IN PROGRESS: ��-� c � f�- Sew,'�� o� �� C,�6 4-n c wt ® c. wb r" e_ v`.s hvts ,�.vt,� � � v C� a � cid�►'ie � C.c� tc Dlru �t f�Jc c� G G-`� � C;�v,� roc �Oa cV 1,1"Al �n So ai AS-BUILT: INPUT: Ov' DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 200 66 3 APPLICATION FOR STREET EXCAVATION PERMIT 8 W") 03 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 _ FEE $25.00 Name of Firm `r �I d 1 Phone No. Address of Firm / 3 S f y� �L l� n s�-✓ G Zip Code Location of proposed work Describe fully natur�of perm*requested e a r Is w��ti-2 �t'� " � N ✓( r', G Starting date—Z.4 1 0 Approx. time for completion C Call Before You Dig No. PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or fumish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement It Est.Curb Unit Price$ /ft Est. Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ O Cash O Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D. 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 STREET CUT PERMIT MANUAL. Signed: Date: Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08.doc 1 I ■■e■■aee■eeeeee■ee■■■e�i�I�l��e�e■ ■eee■e®eeee■■s■e■e■ee■oil e■■ees■e■ ee■■aeeieeeeee■ee■■■��ee�II■■iees■■■ _ ■ee■�eee■e�es■■ee■eeeee i®■,i�i■■■eeee■ - INN ME ,' ■iiiii■�leiiiiii■ii■'ii�i,�ll■iieii■■■ e■iiiiiiii ■ii■■■iii■S�elliii■ii■■i ■■■■■■� ■■11�■ie■■I�e■■� e�NMI ■■ mm,,Fm-mm No ■■i■■■L IIiI��S��■�we�!■■■■■:i■■■■■■■■■ e®ee■■■11■ ■■■■■■■ ■i■i:e®IIII■�i®ii■■11■■iie1■■■slit■■■■■■i i�.i■■■i■■11■ii■■I■■ill■■■■i■■■■ ■■i■■■■11li �i■■■e■■11■■■■!I■■i�I■■i■ii■■■ ■■■■■■eli®erli■■■■■11■■■■el■■■elii■■■■■■■ ■■■■i■SII�■el■■i■■■Ili■■■el■i■■Ii■i■■■■■■ ■■■■■iMlle■■i■■■■■■Y■■■■eI■■■,el■■■■■■■■■ No 0■e■■■e�ll�■ [M1 mom ■!■®ee■Lleee■�!,■■ iee■■■■®e■ ■■e�i��l■■■■■!ee®��e■e■e1e■1��e■■ee■e.■ ■e®■■■ 'e■►1■■e■ee��■e■■■�■■e ■■e■■■ee■ e■■■■■Alia■�I■■■■!!11■■■■!I■■■Y■■■■■■■■■ ■■■i■■►ale■el■■■!■llli■i■ iii■el■■■■■■■■■ ■■■■■■ '�I�I� I■■i■i■11■■■■■I■■■■e■■■■■■■■ ■■■■■■■"JN■;il■■ii■ill■■■i■1■i■del■i■■■■■■■ ■■i■i■ low■■■■■i■11■i■ ON on ■I■m OEM Is Is Is MIN ■iii■■■ii■■■ ■■i■■■■��■i■vs��®fimom■S1 ■■■ii■■■ ME■ilk■■rr�■® �1■ei�lie■i ONE IN ■■■■■e■ ■e■■!■■tie■e■■■■iO�■■■■e■ili■e■■■■!■■ no ■■■■■■■I�■lini■ii�ie■iele■el■■■■■■■■e■ ■■■e■■■■e■e■■e■e■■■e■