HomeMy WebLinkAboutInstall water line Street Cut Permits 15 800142 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/14/08
GIS ID: 62400150 FEE: 00
MUNIS APPLICATION# 200801250 EXPIRATION DATE: 08/14/09
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES A1RESS 1S0 NEVERS ROAD
ADDRESS: 90 BROOKFEILD STREET OW1I SOUTH WINDSOR TOWN OF 41
SOUTH WINDSOR,CT fI6074 lERS LOAD
PHONE 860-528-9500
SOtiJTH VINDSOR,CT 06074
WORK DESCRIPTION: INSTALL 21NC W T R P M A S T*iL TO BARK PARK ON
CHIEF:RYANS 'AY
APPLICANT AGREES TO FURNISH THE TQWN OF SbUTIINDSOIZ I AIVIQUNT OF BfSND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI EXPENSES INGU27 BY TH1a TfSVVN FOR V1AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAM:I'LIAR V�?ITH�1ND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WTTD R' STREET CUT PERMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
8/14/2008 12:00 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:__ " 1
CONTRACTOR: r_ �-'��a �� �,;i.� CCU ' � ,11f`i � �yC'� 0>'E�C <
LOCATION: C� �
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP: l .J y 0s
INSPECTED BY: _80
WORK IN
PROGRESS: l � L sasz �c
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INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
Jc("F 0'12 Y O 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 $25.00
Name of Firm IV v,�il A?1�t�/yTi9L S/rC S• /j/ src CWC Phone NoA'#A';1 6J1 - 3//�
Address of Firm fe 8 ea6kuc�rz t6 Si _ So G Zip Code
Location of proposed work 14 ie
Describe fully nature of permit requested Ct 'L<itJ GJat
�2cx 7,4c OR— le o.m
Starting date Approx.time for completion f
Call Before You Dig No.
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
&t k Po, No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
� 3
{ Est.Patch Cost$
d
i Est.Curb Replacement ft
o C-
Est.Curb Unit Price$ fft .
Est.Curb Cost$
Est.Traffic Unit Cost$ Ihr
' Est.Traffic Control$
LA i.
Q, \ Amt.of Deposit$
r1U7 p r�� Total Due$
Mt- r"(h L�,U I — ( )Cash ( )Check#
wo SAL,
Applicant is responsible for contacting Paid By
the Police Dept.and C.S.Y.D.
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 O INE I HET OF UTN WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: C S Driver's License M
PERMITS ALL E KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc
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