HomeMy WebLinkAboutStreet Cut Permit 70 Griffin Road 900043 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/04/09
GIS ID: 39000070 A.,
MUNIS APPLICATION# 200900436 ,s f..r y FEE: 25.00
, ;< s r, RATION DATE: 05/04/10
APPLICA •Y `` x "H LOCATION
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NAME: B&S CONSTRUCTIbL� RIF ROAD
ADDRESS: 564 NEW BRITAIN+ RARDINO&GIOVANNA
HARTFORD,CT 0606 °` TPER,'
AGATE ROAD
FIELD,CT 06109
PHONE � � �� s'� � � �,�� # }�� � ;
WORK DESCRIPTION: EXC Tlfv "A :y
APPLICANT AGREES TO FURNISH THE T V 4 TTI . " .� 7 iT. F13,&4D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANISI�d Vi0�:1vIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE R �TT iS I }�TI�TD 4�L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF PIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
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5/4/20098:43AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: �
� -�. CONTRACTOR:�,L3
LOCATION:—_'71 �' ./
TYPE OF WORK:_
-=--= --DATE INSP NEEDED: DATE INSP: S D
-._ INSPECTED BY: f
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W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT 900c,43
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date: _
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of firm L L Phone No. (?60) q ga 7 6
Address of Firm 1 � ` Zip Code-A./ _
Location of proposed work
Describe fully n�ture f permit requested ; t'` t
ae VYI)AA UililA-A—MN
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Starting date ( Approx.
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App ox.time for completion
Call Before You D No.Mjj10)l5'4 Existing Water Supply: Public Water El Well
Existing Sewage Service: ❑ Public Sewer [] Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
000 No.cuts t
Est.Patch Sizes) sf
t
Est. Pvt.Thickness 4 in.
Est. Patch Unit Price$ S54�/sf
I Est.Patch Cost$ Gcr->.'90
Est.Curb Replacement td/A ft
i fig' n 6, Est.Curb Unit Price$ rJjA /ft
i AK-II -M Est.Curb Cost$
I ) /a5/ag Est.Traffic Unit Cost$ mr
Est.Traffic Control
3 i I N 19 .f 13 QQ,°r Amt.of Deposit$ 3ccr->. �
f
t Total Due IS ate,
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( )Cash ( Check#
Applicant is responsible for contacting Paid By SsN1n�eta
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 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
PERMITS2AFED IN HE T OF UTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed -SF- Date:'
Title: f Driver's License#: 05 1
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
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