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HomeMy WebLinkAboutDriveway Street Cut Permits 10 Pond Lane 800115 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/11/08 GIS ID: 73500010 . FEE: MUNIS APP LI C ON# 200801051 25.00 �.. IRATIO N DATE: 07/11/09 APPLICANTLOCATION NAME: TRADITIONAL PAVIN .> y6 1 �tES I€1$OND�,ANE ADDRESS: 257 GRACEY AVENUE ' U�E*R1tiI1IEi DOUGLAS&ELIZABETH MERIDEN CT 0645 . I ...3.:.:;y: 1 %rs! .4; ND SANE rOTH yVTDSOR,CT 06074 PHONE WORK DESCR IPTION:O N: D RI M1 iGa APPLICANT AGREES TO FURNISH THE T(.W.-N-}I TH I S 1 A 10""``'' . ",'9 .`T +TT©F$O1VD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR '10 ANYXPTS MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APl'Lll�AN1YRIi'A�; Vlth ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S( JTIIIbSI ° STRF C IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 7/11/2008 10:57 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 4 M TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: S 00 /�S� CONTRACTOR:�Y\ LOCATION: l 0 TYPE OF WORK: \j emu DATE INSP NEEDED: DATE INSP: 4©12 INSPECTED BY: b WORK IN PROGRESS: PST L.O k s oil jV 0 AS-BUILT: INPUT: �_ DATE:_ W/2007 Town of South Windsor INPSECTION REPORT 07 avof ojUs-i APPLICATION FOR STREET EXCAVATION PERMIT ov 11,5-- Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL . 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 n1 Name of Firm Phone No. Address of Firm Zip Cod Location of proposed work r Describe fully nature of permit requested o r (� Starting date I ZOL Approx.time for completion Call Before You Dig No. PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY 'COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or fumish This section to be filled out by two copies of separate drawing n Indicate North Town of.South Windsor No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost S Est.Traffic Unit Cost$ Ihr Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( )Cash ( )Check# 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS O INED IN THE TOWN OF SOUTH WINDSOITS STREET CUT PERMIT MANUAL. Signed Date: Title: Driver's License M0 S �, L-,YCZ2 PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08.doc