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HomeMy WebLinkAboutDriveway - extend parking area Street Cu 800105 PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT STREET CUT PE DATE: 06/30/08 " PERMIT GIS ID: .s{ 25800446 MUNIS ATION# 2008 00981 0 9 8 I FE E:E• 25 00 IRAT IO N D ATE:PPL .� ,., 06/30/09 ICAN:T N a i. DALY P IN G -0 AD C A T I O D N ADD RESS: s• 2 0 s HST F<' <. i.•.'`., STREET « ..: 4�4. f . MILL ORW }' �L ,. ROAD ICH CT R. 063 € V ANA L .G H M L A&SHAR 4. 1?3I ON T ..�" L:. L P H RD O E W TJ H l S OR CT 06 066 66 WORK DESCRIPTION: C RI P IN: O : RI V� :... :....:. APPLICANT a�.:....... ra" AGREES �>TO FU RNISH I S H HE TC1. T WA3': HE TOWN � T�: OF SOUTH , WINDSOR FOR ANY�F:XPT�c1SE�'>` ':. .. •,i;...>�<..::: �'BQ1VD REQUIRED CONNECTION WITH THIS PERMIT AND THE AI''LitaTVIS Q RED AND TO REIMBURSE .: R, 3AINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN OF SCfI H`` :' ";' AIAR'WITi" WTI T ABIDE BY THE RULES AND REGULATIONS �TR',SI RIE TII PEIIIT MA ISSUED BY D MANUAL. c� DATE INSPECTED "y' ' 6/30/20082:27PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ()D CONTRACTOR: paw \fl LOCATION: -- �') C� }- 9B TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 1 c/a a f- INSPECTED BY: WO WORK IN PROGRESS:_ i1 u L-00146 r�Y AS-BUILT: INPUT: DATE:_ U, (` W/2007 Town of South Windsor INPSECTION REPORT 07 06/23/2008 MON 15:35 FAX 860 644 7280 South Windsor Town Hall l&002/006 APPLICATION FOR STREET EXCAVATION PERMIT 00 IDS Appls No. TOWN OF SOUTH WINDSOR Permit No_ PUBLIC WORKS DEPARTMENT _ + TOWN HALL . 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Iv "Ile-. Phone No. Address of From 7'r` /Uorr�,` C7— Zip Code Location of proposed work LA y Ly Vk\\ ?, Describe fully nature of permit requested � Starting date 3 D 6 Y Approx.time for completion e/ Call Before You Dig No._-- -c (��A oZ l ti©o q t o 1 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 13 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnts* This section to be ft[led out by two copies of separate drawing Indicate North_ .... . _ ..Town.of.South Windsor. No.cuts Est:Patch Size(s) sf Est.Pvt.Thickness in. O� _ Est:Patch Unit Price$ /sr Est.Patch Cost$ I t Est Curb Replacement ft X Est Curb Unit Price E� "+ Est.Curb Cost$ d Est.Traffic Unit Cost$ fir Est.Traffic Control$ Amt-of Deposit$ Total Due$ ( )Cash ( )Check# Applicant is responsible for contacting Paid By the Police Dept.and C.R.Y.D. 1 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 OUTLI D THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date:_ ( -02S5__o Titre: Driver's License#: PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES Street ENraavation Permit 08.doc