Loading...
HomeMy WebLinkAboutExcavation for sewer main and water main 800098 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER y STREET CUT PERMIT DATE: 06/23/08 GIS ID: 32400085 MUNIS APPLICATION# 200800937 FEE: 25.00 »"': ' EIRATION DA TE: 06/23/09 f� APP LICANT C A NT t ;G NAME j:,: LOCATION J&H SLATER CONST CO °' D�TESS= 855FET KfJ ADDRESS: 75 COMMERCE WAY AD ,... ' ERSEN::LOIS H SOUTH WINDS 4"SH 40.rD IIV�STREET U H.�n W' S P 1I'�D O H CT O 0 NE 60 74 86 - - R, OS 2 8 52 52 .: WO RK RK DE SCRIPTION:S C RI PT I ON• . E X CA:: ajj:<:. z Q. s ER P� IAI1`�jP LAN >„::. s .gin. AP PL ,.?...... ICANT AGREES TO FURNISH THE Tf�WN OP��:�'��• "1 :.;'. ' '"'°�,'::.:.y, :. .,. ..: >.:.'<." � :. f©f7N ?;(�`F SO�TI?'REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN*E ?�1V �;IN�` _ 9�` %TOWNO. ;;�A TENANCE OR RE IN CONNECTION WITH THIS PERMIT AND THi'APPLIC�FT II $� T�WILL SIDE BY THE RULES AIND REGULATIONS FOR PERMITS AS OUTLINED IN THEaTOWN O '`SC(TI3;V�i1TFDZ'=s> T pEf I MANUAL. ISSUED BY DATE>ISP. 'CTEI INSPECTED BY 6/23/200812:06PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: &17710, INSPECTED BY: Bb WORK IN PROGRESS: C.,,+ IY7, 10 of v - - - AS-BUILT: INPUT:-- n:► DATE: /0.31- io 0 W/2007 Town of South Windsor INPSEMON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT P000 '78 Apple No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL . 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm �/ _!� �/ J � Phone No. Ste`SZ Address of Firm 01YR 9(6 .cle &4 Zip Code Location of proposed work vS Describe fully nature of permit requestedXLi9r//}-/ Starting date '610 4e�28 Approx.time for completion Call Before You Dig No. 2ty_�S'Z 3 JO 98Z PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY 'COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts Est.Patch Size(s) sf Est.PvL Thickness in. 1 Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price Est.Curb Cost$ Est.Traffic Unit Cost$ /hr 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. i AGREE URNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN SO rH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNE TION ITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMI AS UTLINED IN THE TPWN OF.WH WINDSOR'S STREET CUT PERMIT MANUAL. Signed- Date: y Title: Driver's License M PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08.doc ►►. ► ► ■°!!!!!!!!!!!!!!!!!!!!!see!!!!®sees IN I ■■!liiei!liiiiie����!!i!!!!!!ei!!i■ ■!!■■i�l�e��1;�!!e!e!oil�!!®®®!!!!!!®No !■ I!!!1®! on ,� e!lileleeeeeeeee!!e! ee!leeei11 ■!!i111!!!!!!!ee®!!e!■ ■e!elee!!Isleell "' sl- le!!e!!!a!!a!No !!!e!!!!®!■eelr a■!l�eo !■ no an le��e�eee�o■eeeeeell�leeeeeeees!■®e■ !e!■!a®o��:�eeeeeeel,iee!!ee!!ee!!e!■ seeslC®�vi!!e!eleeeelle!leeeee!!e!e®■ ■seelee.eeeee!leeee®e�n���°leeelee! ■!!!!!!e!llee!!!!! mom ■!®®!■lleeil�!!!!!!llileeiei!!®!®!�!■ ■®!!!!!!!!!!!!!!!!!/t!!!!i!!!■®lase■ I/!!!!o� R;ii�!!e!®!®oile'eei!!!i®e®le!!ME ! i!!e■l�e�°!■®!®®!!®else®®■iese!!!ee■ ■e►�eer���ee!!!■!!!eelleeeelee■e!!®!e■ m so eei■ele°ie®!°!e!!!!slleee!!ee!!e!!i ■!!l■ei!!!1!!e!llneie�e!!!!!leleilNo ■■e■■!!!eleee!!!elei!!!!!leeiele!!! ■!e!!eleeeeee!!e!!!e!lees!!es!!!!