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HomeMy WebLinkAboutStreet Cut Permit 47 Deming Street 900060 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER" " STREET CUT PERMIT DATE: 06/05/09 N7 �r P GIS ID:27600047 /4 �` ' �" � FEE: 25.00 MUNIS APPLICATION# 200900612 e 'w TIO_ N DATE: 06/05/10 10 APPLICAN` OCATION NAME: HOMEOWNERI� \ S G STREET ADDRESS: SOUTH WINDSOR R ,�• O RIAN S&CHERYL S P G STREET H SOR,CT 06074 PHONE , WORK DESCRIPTION: INST L YA oc, H BASIN a s APPLICANT AGREES TO FURNISH THE TOOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AP C I I ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO T RMIT MANUAL. O Ohl ISSUED BY ATE 1N PE TED INSPEC ED BY 6/5/200911:08AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 000b 0 CONTRACTOR: +JV)rneat)UlP_ Andu a_X-Ae LOCATION: TYPE OF WORK:_ AJ DATE INSP NEEDED: DATE INSP: t>ho ZO) INSPECTED BY: WORK IN PROGRESS: ho �sI dA I�oK-� SraEY. 6 r e ar 4 eve, sat SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: L 17- 10 01 W/2007 Town of South Windsor INPSECTION REPORT 07 009 006 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC.WORKS DEPARTMENT �� 1540 SULLIVAN AVENUE Date: 6 SOUTH WINDSOR,CT 06074 A FEE $25.00 Name of Firm A ��t) Phone No. .Address of Firm Zip Code Location of proposed work 7 iM-V1 , Describe fully ature of permit r ested X u'�, on .K 4w Starting date_ i " Approx.time for completionv� Call Before You Dig No.- Z022 Z 0Z 7j?�3 Existing Water.Supply: ❑Public Water [`Well Existing Sewage Service: 10 Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFICCONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate.North Town of South Windsor G 44-cz�" . No.cuts Est.Patch Size(s) sf J Est.Pvt.Thickness in. Est.Patch Unit Price$ isf Est:Patch Cost$- - Est.Curb Replacement ft ,gyp 4 Est.Curb Unit Price-$,---- Est Curb Cost$ �str Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of:Deposit$ Total Due$ ( )Cash ( )Check# Applicant is respondibie for contacting y� S' rCt.i Paid By the Police Dept.and C.B.Y.D. a 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 PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed, Date: Title: Driver's License#: O Z20029 '7 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. yTK E$ \ ILFC 1APPROX I F . I SL PE I I e� I 12 ILL I 1 F F 4 I 13 ° 14 15 ® B5 111 - - 86 STREET - - i _ 580-201-00.001, E o... .. . .... SNE 318 F APPROX�" AD1/ G - SN E T i POST E �� /� 2538 OR LOPE LIMIT I €� C. SNE ® Tr ,Y_,; I : i BUSM 53 a8, 22 GRASS BIT / RA S , RASS 8 i "D'oaWo( �4-1�. ; IT. GRASS I CO, I 43 A-PPROX ST ET LINEit Ste 67 i Ic I st fr. N 47 A NDRIA.N S. KEBALO, e tol I /F 2 st. fr. )NELA. OO ©O N / F WALT DULY TYPE "C" CB MARGARET B. JACK X F.L. 82.0 LISTING C TO BE MOVED. IN ETTING .175'-15"RCP INS TO B CONNECTED 360' 8" UNDERDRAIN GA S=O.OIO NEW BAS N DE "'/-" CB F. 83.0 R L. 80.2 I I BIT. CONC, DRIVEWAY 41 BIT. CONC. DRIVEWAY I BIT. CONC. DRIVEWAY I