Loading...
HomeMy WebLinkAboutStreet Cut Permit 444 Nutmeg Road 900002 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 02/09/09 GIS ID: 65100444 FEE: 25.00 MUNIS APPLICATION# 200900073 EXPIRATION DATE: 02/09/10 APPLICANT LOCATION NAME: BARBER UTILITIES LLC:: tURESS ': 444 NUTMEG ROAD ADDRESS: 35 PINNACLE ROAI? d, :TiER BI O JN DAVID ELLINGTON,CT 06fl29 9 4!FAT MINGTON AVE WHST HARTFORD, CT 06107 PHONE WORK DESCRIPTION: EXCAVL13AVC c x APPLICANT AGREES TO FURNISH THE I QVF ©F SC U T 3 t F.AM0 3NT` F I bND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI:. X. 5 ., ' ;:I' V . O MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APP>LtFIAV IND jTI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUT ,W I S'vvo�STREE _(OJT;E' IT MANUAL. ISSUED BY j DATE INSPECTED INSPECTED BY 2/9/20098:14AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** R h " TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 9 OCR CONTRACTOR: LOCATION: V1 v TYPE OF WORK: ' ) INSP NEEDED: DATE INSP: A �o d INSPECTED BY: BD WORK IN PROGRESS: IA)tA 'Ile AS-BUILT: INPUT: C vv\- DATE: 3 W/2007 Town of South Windsor INPSEC TON REPORT 07 a 60 3000 7.3 APPLICATION FOR STREET EXCAVATION PERMIT '� 00,';>0� ,Appl. Flo. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT C�- L S S 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR, CT 06074 �i << FEE $25.00 Name of Firm Q!- UTk U r1 PL C Phone No. 860_6?7Z-233 Address of Firm 1S /NA16T_LC, iaJ . �✓ Zip Code 04C U29 Location of proposed work 444 IVA-t-e-0, R01 j Nod), Describe fully nature of permit requested_ F_xc Al/ftlit Fag— :11 5 S C'?Vic t Starting date 1 , 911- 09 Approx.time for completion r- 0L9 05 Call Before You Dig No..I dCFj b y d d 33 S Existing Water Supply: ❑ Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts Est. Patch Size(s) sf s er-✓1 L Est.Pvt.Thickness in. E Est.Patch Unit Price$ /sf _.. Est.Patch Cost$ i s Est.Curb Replacement ft �i � <,,` �'V�'Z✓ i�,�1 V L✓ Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ c� Amt.of Deposit$ Total Due$ O Cash O 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 SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PE IT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN H . TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: C. �-' �l Date: of b 01 Title: 0 Driver's License#: 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 i 1 1• h 1 oil ■/■ii/■//!!S/®!�/!®///!/® ■19 ■ ■i■■iiii/iiiii�l■i■iii/iiii:/®Ilii�1e■ �®iiiiiiiiiiiii■■//iliiiii■:��iii®■ ■iiii■®®iii■®■i11iiii■®®!!®®���®i�i ■s�ililili■■®®lure®�!!!.®.!■�®®®ss� ���■ �!�®!!eriiii!!!!®i®iilli■®iiii/�;�!®!! ®!®!!®ii!■®!!®®®i■i!i!!!li�ilri®��®! !■!!!i®iiii�l!®!rl■®ROME iiliili!!i■iiii!■ ■liiii!■iiii!!!®ll ii!!i!!!!!!i!i!��!! ■i®l�lil�li!!!!!��®l Dili/�f!lliiiil�■ �!■ ■!!/!iliii!!!i1®!iilili!!!i!!■®s ! ■■®®i®i®sls�::�:illi/®iiiiiii ■i/i■ mm mom i®:®!!®®®i■®�liiii!■■i/iii!!i!o iiii iiiiiiiiiiii®il®®■!i■®i/iiii!!���!■ ■®l�®iiiiiiii■i/.■/■iiiiiiiiii■i �®i ■®!!®lli�ilr!®l��rr���!!■®a®lirr�i■®���i�i■ ■!i!!!!liii�li®®liiili!!!ll�vliiiiiO _ =-:��■liiiii®le�i►�i■■��ii!■e!!!l�ii��! ■1®li��ffe�iiii!!ll�l� All �'�iii!®l��•i!ll���oi! !!®!!llil'iii!!llril�Iliii®!!! 41m!!�flrlil0®! ■®!!lllii■'!i!!!��®��li■®®!i!!i!li0i�ie !® �ii■®®iiii®■!i■iliii!!!i!�!■/i!!11 i!■ i�®®�t■®iiiliiL�iil■®iiii!=�ii®!i®llliii■ �:®ii�/��i/iliiiit��■1i■®iiii ■/ilialll�i�i ii�iii■®iii�iili/iiiii�iiii■®11 ®•■ iiii®■iii■®..liiliiiilli`�i■®i■■11��®■ Moniiilli■ No i®ii�l ■®iiiliiiii'i■®lilliiiiiii i■�■ e!■lii�liii�lOi� ®iiiiiil�iii■ ■■!■■li!■iiiil�l��.il/i!!!i■®!i■®�1/i�■ ■i!!®��/■aiiii�:�l����iii!!i/iiii/iiii■