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HomeMy WebLinkAboutSanitary Lateral Street Cut Permits 80 K TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. Con t actor MACC Y.M CO INC Location 60,60 ti-bR* 4 dare" 'ii, ' GLEE ;PCHEN Type Work NEW SAN LAT 8Py 33 Date Insp Needed --- ( Time Ins Needed Y;• ".a s, � ,, p . Inspected By ..F.i....L:.ry Work in Progress _ .��Yk ✓-00 77 lea J� J�- i' ;yfi`. ;�.. 'G!.�'. ..g•. 9.H,.k' ry,t!I�:Rv y'X5`'::+'..• .F' 4:is C ` i: a t e Permit No. 3907 Town of South Windsor, CT Date 03/29/2005 A •_,.;;.wt Street Excavation Permit Expiration Date 03/29/2006F, i INSTALL Descr p: NEW SEWER;,f AP2AT Applicant :i3.'Sp k l E Name MACCLAIN CO INC% . 0%"' "KI Mram'BEI ''"'.:::``•': ' Y DR,$.Vi Addr. GLEN LOCHEN BLOBS. GLASTONBURY CT? 0....033',::' Phone (860)633-603 6 :c`• { "',,:..fix rr., y. :Y• :. A PPlicant agrees!t'r3 :iti 'st thef"< t. h W' w' 'F s inSa them unt of bond required and to re' mhx se£ h T2 u o} dsor fax a p enses incurred by the Toc n pr ena r�,bxF .4 a S r i onnect on with this permit and that appiiita�• #ut � six .; bxkce b tzhe rules and regulations for permits d,s"< , 1 'i` d: `" '? a{. "' of` ndsor's Street Cut Permit Manual. ,�_n`'. x aF •Ss a yes f�.,�:, �,?�5,�,.P�: * * PERMIT S. Issued by 'p} e f ALL : Date Completed — y _ ____________— Inspected B _ - rirrL IUAI IVN FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR 7 PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 �/( FEE $25.00 Name of Firm r`►4C 1/.�A I LK IXV0 CO Address of Firm Q Phone No. Location of proposed work �°`' G(A f t,M V Describe fully nature of permit requested SM •� oa Starting date Call Before You Dig No. Q.Q 1 O l9 Approx.time for completion Traffic Services Control No. Show sketch of proposed work or fumish two copies of separate drawing Indicate North This section to be clled out by Town of South Wndsor Pavement Cut No.cuts / Est.Size of Perm.PatdXs) Al Est.PvL Thlckness 7= in. Est..Unit Price$ Amt of Deposit$ Total Due$ by ( )Cash( )Check# EXtsT IN� Permanent Patch MAN NO►B . ". No. Cuts � Size of Patch(s) Fin Bill' $tD Paeeb � 3 Amt.Due Town d �C' N6 B Applicant is responsible for contacting p a the Police De t.and C.B.Y.D. Date — 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 WINDS/IOR'S STREET CUT PERMIT MANUAL. 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L : I . : .......­­............�....._.__.........­................,­..........�....�. , . . � I I . ; � : -1...�....­­­­1....­­­­...........l.,......__�__....__­_........_..........­........- __­........­1.......­­ � i : : . ...................... _­­­­....�.....­_­­........ _ .;: � I I I .: II . I : _�........�......�...........�............­:........__.­­........."....­­..........­__'.......­­_.........�......,___....­_­....;...­­­­....�...;! .� ­ : 4: I :: ....­­­: � . : . . - � . . : . "I........ _.....­...._­­­­ ! . . . . ­� _­­­ ­.............�­...­­�......i.........­...........­ . . . ­ . . : . . Z_-__........._.......�.........� . ._ : . �...._....�............___........ I.,......� �.......�.....­1.........­ ­­­�....I——­ : ­­_........­­­­­...�...­­­......... ­­ ....I............­­; __........­­_­.......­_­............,....�......�......­­­.­.....�.....­­­­......................­.......1; : . ­.............._..........�..,­­......­­__........�___...__�.............� _..........� COA4PLITA,TION SPEET � � 10*N SE4 OTiov� O-P S-Oum V&U&ot c 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 f`t'OSpR,COS TELEPHONE (860) 644-2511 MacClain Trucking Co. June 20, 2006Certified Mail P.O. Box 356 East Glastonbury, CT 06025 Re: Street Excavation Permanent Patch Fees Permit#3907, 80 Kimberly Drive To Whom It May Concern: When the Town of South Windsor issued the above referenced permit to you, it collected a total of $2250.00 for the permanent patch deposit based on available estimates at that time. The actual cost of the patch work performed on this permit, however, was a total cost of$2028.00. Therefore, the balance of $222.00 is being refunded to you. If you have any questions, please contact me at (860) 644-2511, extension 244. Sincerely, ffrey Do le, P.E. Town Engineer cc: Melanie D. Crucitti, Director of Finance S:\ENGINEER\Joy\2006 Cut Patch Lctt=\Cut Patch Joy MacClain Ref2.doc REFUND OF DEPOSIT REQUEST FORM STREET EXCAVATION PERMIT Request Date: L /I/off Issue Refund in the amount of $ � From Account# 001-0300-0205-059 To: Permitee: Mar � (cli r) F)J r � . Address t% 1�? -�(� Permit �Jq�� J�C� jell Number Location ( U Number Location Number Location Number Location Number Location Submitted By: 21/c6 Na a Date Check Issued: Number Date Processed by Finance Name Date SIENGINEERTORMSIOffice FonnsTatch Refund Form.doc