HomeMy WebLinkAboutRye Street improvements for ALDI Street vvVV7J`
PENT NUMBER TOWN OF SOUTH WINDSOR, CT
or ISTREET CUT PERMIT
DATE: 06/16/08
GIS ID:78609999
MUNIS APPLICATION# 200800886H.f ' FEE:
<:: 25.00
` 'IRATION DATE:
h 06/16/
-------------
A P PL I C A N T;
:
oNAME• JSLAERCONST:
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CATION C A
I O 75 NMMERCEWAY.ADDRESS:
RYE' `T E
SOUTH E WIND R�> ' , ,, :'':.
SOR C TQ O
4, �',�"" BOUT H W INDSOR
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SCRIPTION:
S C RI P T I O N•
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APPLICANT AGREES TO
FURNIS s ;
H THE
THET'E�WN pT�TOWN OF SOU S•CiJTH k '
SOUTH WINDSORt �vfll:.;>:
CONNECTION WITH THIS p FOR AN E f EA. c�.INC ? µ.,>,:: I'.OF$ONdREQUIRED AND TO REIMBURSE PERMIT AND THL... TOy FQ MAI3�TTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OP S�T� >�11�1��. <r.. �w ;;'`::;,.
A .0bK: F B I AND.> ?ILI iBIDE BY THE RULES AND REGULATIONS
., EFCL7T-PERMIT MANUAL.
ISSUED BY
DA IISEC> ED"
1NSPECTEDBY
6/16/20081:00PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: p 4n p CONTRACTOR: 1, Y-
LOCATION:_ i
TYPE OF WORK: aad YO vi m e rN --Aid
=- _-- DATE INSP NEEDED:
DATE INSP: � �.9"o
INSPECTED BY:
WORK IN
PROGRESS:_
AS-BUILT:
INPUT: DATE:_ of
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL .
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm -/'16 %J 6/J Phone No.
Address of Firm_ - 30 ye _ r%a Zip Code (366
Location of proposed work ��L �(` T
Describe fully nature of permit requested
c)JSik�,aci E i7 As 7a 63/1
Starting date 72b-7 Approx.time for completion_ �2
Call Before You Dig No.
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
0
/ Est.Patch Size(s) sf
Est.Pvt.Thickness in.
S-� f�r EA 1.1,4 Est Patch Unit Price
Est.Patch Cost$
"f r 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$ c �
O Cash ((/Check# 6) �f
Applicant is responsible for contacting Paid By f d<g u-1 ,I s
the Police Dept.and C.S.Y.D.
I AGREE T RNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN O SO H WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNEC 10 WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE.RULES AND REGULATIONS FOR
PERMIT AS TLINED IN THE TOW F_SO INDSOR'S STREET CUT PERMIT MANUAL.
Signe . yJ� Date:
Title = ��'` �`� �-� Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc