HomeMy WebLinkAboutStreet Cut Permit 31 Elm Street 900024
PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT
STREET CUT PE
RMIT
DATE: 04/13/09 # '"
GIS ID:30600031 '�
MUMS ' `�
APPLICATION# 200900319
a FEE: 25.00
<w; IRATION DATE:
APP 04/13/10
LICAIT
NAME: JAMES THROWE D .F, .LOCATION
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ADDRESS: 97 RIVERSIDE DRI s ` `:`:, x ' EM TREET
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VERNON ROCKVLLC "ateT �H NICOLE L&
JTREET
PHONE
860-289 `
-0095 y. 0 HINDSOR CT 06074
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WORK DESCRIPTION: EX
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APPLICANT AGREES TO F
THE TOWN OF SOUTH WINDS OR FOR O UTI .4 r
OR AN�i'vv X .. . ' ' .
CONNECTION WITH THIS PERMIT AND TH ND REQUIRED AND TO REIMBURSE
a +`. I kJNVIVIAINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN O�F``�� � ��� t
ITI: ILL ABIDE BY THE RULES AND REGULATIONS
e UTT. MANUAL.
ISSUED BYE.
ATE INSPECTED INSPECTED BY
4/13/20099:29AM *** 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:
INSPECTED BY: AD
WORK IN
PROGRESS:__
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AS-BUILT:
INPUT:_ J DATE:_
W/2007 Town of South Windsor INPSECTION REPORT 07
2r9oe�31� APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: Flo
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm IC41 � lie- rb, Lo Phone No.
Address of Firm IT ,w - V-4NIn Zip Code 0&19.6
Location of proposed work 1 -
Describe fully nature of permit requested 6,\7rv, cc.r,be_L 4n
Starting date 1 y 00 R (0) Approx.time for completion G
Call Before You Dig No. aoUS 11 y0 /6 37 Existing Water Supply: ®Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts EJ Est.Patch Size(s) Z4- sf
(yn Est.Pvt.Thickness Q— in.
�A Est.Patch Unit Price$—j�/sf
d Est.Patch Cost$
Est.Curb Replacement NIA ft
Est.Curb Unit Price$ `— fit
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$ _
Ant.of Deposit$ ��•
�1 Total Due IS Z�
WcidP M A,,A on O 1' l�'G� ( )Cash ( )Check# 633 S*'
Applicant is responsible for contacting Paid By t),0%3 S' S,�f l(�
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
PERMITS AS OUTLINED I , HE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: --- Date:_/3 140 CJ
Title: Driver's License#: S�Cy
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
Linda,
We need to refund James Throwe$600.00 for a street cut fee that he never made.The permit
number in munis is 900024, the application number is 200900319. Please let me know if there is
anything else you need. Jeff Doolittle said to just send an e-mail to you. Please let me know when
the check will be ready he wants to pick it up.
Thanks
Catherine Molloy
Administrative Assistant
Engineering Department