HomeMy WebLinkAboutRemove and replace driveway Street Cut P (2) 800183
PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT
STREET CUT PERMIT
DATE: 10/21/08
GIS ID: :<:.
33600845
MUNIS APPLICAT "y. ``" ' :^ION# 200801641
.�,.> FEE:
25.00
RATI ON DATE:T E•
1
2 1 r'r l 9
APPLICANT"' :.
CENTRAL SEAL «:... :
INS C,p.: LOCA TION
ADDRESS: 150 SUNS
a x FOSTER STREET
ET RIDGE I
EAST HARTFORD C T: 61 "z �IR ?TT'T'ON WALTER E&CYNTHIA V
PHONE
t4 FO.S*'ER STREET
• f � �, � � SQUTH' ' WNDSOR,CT 06074
� s
WORK DESCRIPTION:
REl ( P�CF7� nf '
Wf A
APPLICANT AGREES TO FURNISH THE ID pP.SQ f
THE TOWN OF SOUTH WINDSOR FOR ANY.EXPENSE ,
.BOND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE°.. '`
E1�� 1f3O :Ft7R MAINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN FPrIcr I ,.IvITI:`1ND SILL ABIDE BY THE RULES AND REGULATIONS
'M �3IIp � +�+� STI E1CUT;P> RMI
Y`6D �I TMANUAL.
ISSUED �f
BY Mrs t� �;.�..� >:.a:•.
DATE INSPECTED
1 0/2 1/2008 2:22PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED$Z'
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: d0 ( 3 CONTRACTOR: C e -W'4
LOCATION: S�
TYPE OF WORK:
-DATE INSP NEEDED: DATE INSP:_ /Dl2?/o 1
INSPECTED BY:_ 133�______
WORK IN
PROGRESS:
AS-BUILT:
INPUT:_ DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT SOS� 3
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1.540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm 4L:'i'r�iFv.G�.t�G /�iG Phone No. d
Address of Firm /sa USE � E Q, Zip Code Gi
Location of proposed work. ' d r7e;e dr, T'
Describe fully nature of permit requested �EIy(4,Le IBE0.446F 9/Z�UE6r/�y
Starting Approx.time for completion :: y4gE
Call Before>You Dig No. _
PLEASE NOTE: THE DEPOSIT.FOR THE PERMANENT PAVEMENT PATCH AND CURB:REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PER, PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES`IN PATCH AI2EA,'CURB
LENGTH,TRAFFIC CONTROL-.AND THE,TOWN'S CONTRACT COSTS:` THE PERMANENT:PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled.out by
two copies of separate drawing
indicate North Town of South.Windsor
No.cyts
Est:Patch Size(s) sf
Est.Pvt.Thickness in.
Est:Patch Unit Price$. fsf
�7I2/UEdr/�/ fst.Patch Cost a
Est.Curb Replacement it
Est'Curb Unit Price
j f Est.Curb Cost a
Est.Traffic Unit Cost$ 1hr
Est:Traffic Control
Amt.,of Deposit a-
Total Due;
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept-and 0.6.Y.D.
AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR. OR ANY EXPENSES INCURRED BY THE TOWN:FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS P IT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS O ED, T E TOWN OF SOUTH WINDSOITS STREET CUT PERMIT MANUAL.
Signed: Date: Q �Ilof :
Title: Id^ oZ-J Driver's License#:
PERMIT SHALL.BE KEPT ON,JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc