HomeMy WebLinkAboutDriveway Street Cut Permits 123 Greenwoo (2) 800094 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER / STREET CUT PERMIT
DATE: 06/17/08
GIS ID: 38700123
FEE:
MUNIS APPLICATION# 200800897 25:00
ATION DATE:
06/1 7/09
APPLICANT<>•
LOCATION
NAME: BAHLER BROTHERS
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ADDRESS: 24 ,..;.... ;. ,
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JEFFREY D ">:€ ;;;�>::€�,;.:�:,. .><::... I��WOOD DRIVE
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SCRIPTION:
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APPLI
CANT AGREES TO FURNISH THE TO VN.;� WUTH:. s '•_`" '".-..
WTI+ I MOL t7F:Bf7Np REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY`1FET �SE , EF; p 'gOAJTENANCE OR tiiv
REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APT �TT"I .> Ifik
it>F�VIi '"ANp' TLZ>>ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S� IF I Ip R:,S"STM ,U'� LR1V I MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
6/17/20089:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 80009 CONTRACTOR:,h
LOCATION:
TYPE OF WORK:_ Lr
-=__- - --DATE INSP NEEDED: DATE INSP: t zli 7105
INSPECTED BY:
WORK IN
PROGRESS:---v��/c�� �'>� nr i
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL .
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm Phone No, 610 -.2030
Address of Firmer' �fL. S, C,c�, Zip Code CSC�(
Location of proposed work 42.3 (6/L L xVt,A-9ccp(J O Z.
Describe fully nature of permit requested_ Pry pit ye c sA4
Starting date /7- d 2 Approx.time for completion
Call Before You Dig No. -2-0.s$-2,y o 1(.7`y
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
Uus Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$. /ft
Est.Curb Cost$
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.B.Y.D.
1 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 I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08.doc