HomeMy WebLinkAboutWater Street Cut Permits 86 Oak Street F L9® 75Z
BOND TOWN OF SOUTH WINDSOR - "
Am Req. PUBLIC WORKS DEPARTMENT Date
TOWN HALL
N tn't on File 1540 SULLIVAN AVENUE
Permit No.
SOUTH WINDSOR, CT 06074
Date of Expiration Permit Expires
APPLICATION FOR- PERMIT
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Name and address of applicant CL 5 Caws 7`60 .//I,,Phone No
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Location of proposed work R-6 ej X7 Af
Describe fully nature of permit requested
Insurance on file with Town yes no Date policy expires
Name of Insurer
oApproximate time for completion Desired starting date "--/: a 71
Call before you dig ticket 11o. //
aShow sketch of proposed work or furnish 2 copies of separate drawings
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QApplicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG.
I agree to furnish to the Town of South Windsor the amount of bond or deposit 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 (Pavement Cut Regulations.)
Signed
APPROVED: DATE APPROVED: DATE
Supt. of Highways Pj;: Town Engineer
FOR INSPECTOR: Date work started Date completed
Su dent notification received: yes no Type Pate
Perm ;Temp.
Unusual conditions encountered
Material slips attached: yes no Dated for Permanent repair
Signed
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SAW CUT 8 SEAL JOINT
I"(COMPACTED) CLASS 2
BITUMINOUS CONCRETE
--�1- EXISTING PAVEMENT
f---- ' - , 2"(COMPACTED) CLASS I
&G'9 ' I a BITUMINOUS CONCRETE
:cam: �: � I �•
o �o: i o• 6-(COMPACTED) PROCESSED
` 'Q TRAPROCK BASE
ll b4� j 6"(COMPACTED) PROCESSED
GRAVEL SUBASE OVER
COMPACTED SUBGRADE
12 TRENCH WIDTH 12" NOTE : ALL SAW CUT a SEALED
JOINTS TO BE EITHER PARALLEL
( VAR-IES) WITH,OR PERPENDICULAR TO,
SEE TRENCH SECTIONS THE CENTER-LINE OF THE PIPE.
PAVEMENT PATCHING DETAIL
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