HomeMy WebLinkAboutReplace existing sidewalk slabs Street C 800198 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/17/08
GIS ID: 861000519?- " FEE:EE: 25.00
MUNIS APPLICATION# 200801814 8"IRATION DATE: 11/17/09
s
APPLICANT LOCATION
NAME: CHILDREE DON j Y � RFS1 STONEFIELD TRAIL
ADDRESS: 89 COMMERCE WA-Y Fey f ODD'RCQBERT J&KIM L
S WINDSOR,CT 067 I1 2 >:,«:�,r FIELD TRAIL
:
H�IN SO D R,CT 06074
PHONE4
y f f
WORK DESCRIPTION: REPACE EI .I mmo.- � ,AB
APPLICANT AGREES TO FURNISH THE TOWNS.-OOUWDS ?R 1I AMfJNI OF BtJND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC � ESSxFiQTk .'. ';IFI >IQt::FO `1VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE``I'P7 Ct1I I T Ai.1 IIk FAfrVITH-AND k�TLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF'S U IAsR S ST E iJT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
11/17/20083:22PM *** 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:-_L
INSPECTED BY: 6 p
WORK IN
PROGRESS: Ac
u
yDOD (h Mix ���� c� S Told
Irv_
AS-BUILT:
INPUT: c VV\-- DATE:- ` I� "
W/2007 Town of South Windsor INPSEMON REPORT 07
L�G� i�t4- APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm AIV,( l/L Phone No. y--
Address of Firm Zip Code
Location of proposed work
Describe fully nature of permit requested
Starting date — — Approx. time for completion Z—
Call Before You Dig No.
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ /sf
- A Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est. Curb Cost$
Est.Traffic Unit Cost$ mr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOU WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTIO I H THIS P T AND THAT I M FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS A OU LINED HE WN OF S TH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
J �
Title: Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc