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HomeMy WebLinkAboutRemove and replace driveway Street Cut P 800120 TOWN OF SOUTH WINDSO PERMIT 1v�TMBER R, CT DATE: 07/1 STREET CUT PERMIT 6/08 GIS ID:72000017 MUNIS AP200801080 ". N# FE E: 25 .00.0 0 I o:fi RA T '. ION DATE:E• 07/16/09 .....:.::: : .. APPLIC AN r' :OC ATIO NN M&SPAVINGAND sE ADDRESS: .,, ;.' 435 BUCKLAND RO JZNOB DRIVE NT UTH WIND «� GE u'ILL SOR GT'i3b A,<'`:>> ,.'> : , IAM E&GE . ��... ,�::: ...,.A,.:,.:., RALDINE W RIVE KN PHONE 86 - < 48 1915 SOR CT 0607 4 4 .�.: WO RK DE SCRIPTION: f({` C RIP TI O N: M >O D RE .V �RsT APP LICANT I C A N T AG REES O FURNISH THE TC3WI :p THE T R. OWN OF SOUTH WINDSOR FOR ANYXP ? .1NIfT. ;BOND REQUIRED AND T ENES 1NQ O REIMBURSE CONNECTION WITH THIS PERMIT AND THE APPI T. IS1: ' ` - -RJR MAINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TO WN OF SZ1I�,I H:V S .$S�SI� 4RMT M��AL Y THE RULES AND REGULATIONS G liV�o l j� .... ..:: ; ISSUED BYLG- DATE IN PECTED INSPECTED BY 7/16/20082:00PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: R 00 I a CONTRACTOR:_ LOCATION:_ 1 rl l' TYPE OF WORK: ' \Ie- i- DATE INSP NEEDED: DATE INSP: �2 03 INSPECTED BY: 1D WORK IN PROGRESS: AS-BUILT: INPUT: C W\- DATE: / .L D W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STRECT EXCA /ATtON PERMIT + T77'4i TOWN O , SOUT F{WINDSOR Permit No. PUBLIC VtIORFSD`EPARTMENT TOWNHALL 1540'SULL 1/AN AV NUE K z.- -- a t n fF' -^ ;a> r3a+r--3e ¢� sf �, s 3 n, ` r 7 � Vitl� (rh�p�jj`SOUTili/INDSOR CST 06074f a 7' " W 1 4 3a ?fir ; f zu t, f- �,} '� tL �,'r n y y { '� - -k. . 3, h ( `�T3t[i V j - l , &U2 'I W S3 r ,t' ';,. i. M �s- t Name of Frfn ' { r first x S N �� r Atldress of F�m' t r s �'R � Phoneo� z � z r '3"a' { i S •y .> 9,f. i3 F -h f -}�r� +< , $ ,�' is.b -# s'i y,�'�, � _'`'zp 3" s ,~ ,.ems n.. t tLocatron f proposed-_W6fk, F b�s` 4 Y+. Y '. .' •. ..,= i { . , ,.; .r is i., .. _ _ .. - Y .y. - x ` Describe fully nature of permit requestedII Starting date `7 Q :.."1'-."�,.,-,�--,'"-�-*,"-I�"�'I".;,�_",�,_I.-�_�-,,�.`,'�,I�,�I.__,-,��-,-,,r­�I,l.,:,.-__,,.��..,-��.��-Z,,�_----"-1-,_,_,,--,�Zi--7��1��.��­_,,�-,,�"_-��,�1-,l,-�-",-�t-.�-,._-..""�"C.��--7_-­:�,.-.--�","�,--',�,-'_I�-�,'----�..-,,--�..-';---�"-`�,,,�,,._,-�-,_"-??­�-',:-�'-,,�,,�'t-_�'%��­��"�­,--,.­1,-.--��---,�,��_�,�I­.`,�!�­�,-,,_-��",�.�,--�_��-.,".�­.�,.,',,:-;,,,',�"��,.",,,"-;',_-"-�%�,,�',-��-,"--�_-­'-,-�7',;.,.­,,',_,-�-,,,'_.��?_-,,�"­--,"-�"-­"�.--"�_-,.,,,I,�"�;-...-.�"",.._-,..�--­v,:-,;�,­.�z-,e,,.:,L-,,--_.­-,­­.�-,,I_;.-­­i_­,_.:,-,��,Z,-,,­",,�`I,,_-_,.��',�,-._"­­�-,,_,-,--,--.�l*,-.,.'"1_��,_�_"-,-_,'%'�fr-�,�,".��-,-­--_,I�g.,­,,s,�___,_,,,�,,.--�'-1-,-­-,_7 App©x time for cornpletron � Calt,Before You Drg Nod Traff'icServtces Control'No. Sho�+r sketch of proposed w oic or furnish t two copies of separate drawing ? Timis section`to be filled out by .Indicate Notch d-,Town of South wndsor Pavement Cut ` �_ ��a NO-V Uts 7. t Est'S¢e of Perris Patch(s) f . J f ! a # 4; h �� s tT.� r�' '`t 4- i._ - t _ a,�€%_"..I ; i.c � i� ."3 .v.. -e sW g ,Y , Est.pvtThrckness 9 t tj xy —D` _- t a _ a r +t -k"s 't-:>� -� � y '_m, s""� V �,r t-:. •r ti4. 9 s-*,'r z-' 9s 1 s "..y e. 4�'� .." r',.f d y F <�/i� Lt rt f x ,, i y€�#e - s ty .s tia $ 3cg. # -.2"4 -,+ 2 .-, �1 'Est.UnrtyP�1� �Pa ,$y} .5 ,;� �Yc ,: fiYJ�� ,t�# .i: "tr '#. .f' ..1}"� ,¢3r yF. s .yti `1 Y ` tij nC.sz `'y` Xz sail B �"T - } £ t S r 3 � 5 Jet � i � ds � r� £ j r r�1rt.'Of'DQ. $�t�� s � rr " #s F r, ✓ir x #�u " - t; r. `r, i 3 yam w ` t= 3 � h� *p� '4_' : ''-' . . ,ri a. "�-y ., i t�i. s '� �"' ""a. &a y - t` ,x h` '} ;;f.+ 's� 'tb ,"' ' 9 fix.., , '' - '%t -, &. �r h r P .`"..r z a t -z £ �'� t a s 5 '7.- r Y„ r s,i,- NT '. F , K.'s�I ;:S - .A.Y+.:' Y - f S 3 -!3 - .- -�♦q .3 > .# r - __ < _`! s., sf`.c x Y,� F} __ Er Total Due by q-y - 5 }i -..I ' f ., . �.: ( )Cash( )Check# _ . Permanent Patch' 11 r y No Cuts r ; Siz0_1e of Patch(s) rt _ 1. r a15i r z Fina176�l1�n17 J tIl £ > < A �-£ _. �� - ,, Amt DueyPayee f x x $ _ 4 e 7 1 �` y ,` ," ' Amt.xDue T©wn Y $ f , �Apphcan'irsrre���sib� fn € _ F +4 W �� ax ,l N1. � 'to � _..z�� �: r��-. .: r�a zv aa. _ rr "r - s the Police De f and CAB Yy©+ f���:f _=' l � Date: o f , j " 4 a t`k€R3 >-r k r N r , r�- „ T �.t-,2 V .,_' ,rr A b��• $� 4, , �h .-y' k .x.: �. s:-s i .r. , � 3 r X. S k- 3. k .- "?' r_.,:.: ... � }n s ,+- r sty sz�* .--rk` �°K.. . }14GE � O�FU IS K7 O f _. �OW�I f�.SOTH.W . > s�.` MA� looll < sTOOW O SO $E•Y ANY E ENSI= - OF". OND FtEQU1RED A II.D TO RE MSURSE{TH w .,, CON (ON{. <li THI"S;PERMI�'�D�TJ A7 °'" F�T�)W�N FOR MAlIV7 ENANC �aR REP�lR;GVORK IN s ' _ l_ �_ A. it 1 N T 1.e A�D�V1 C�ABIDE BY THE RUtES�iAND REGU�ATI`= PEtRMlTS AS 7,_z 'IN THEE �,-"''o S I UTH` INDSOR S T tEET CUT P MIT A,NUAL QNS FOR .,Izs� f r Signed � 'F � `fr � z Dafe Title ' « � f Dnver's License# f PERMIT SHALL BE KEPT ON JQBSITE AT ALL TIMES' fig ' k _ _ _ _ lti. .,.