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HomeMy WebLinkAboutStreet Cut Permit Kelly Road 900065 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER aamaaaaaaaaaaaaaavmaysnaga�va�avavva��vq ,���auv�,wvvn STREET CUT PERMIT a\aa \m DATE: 06/18/09 amm GIS ID:49509999 o`a a �a „vv�m�„w„�,v,aaav„„ "aav,W,avmaavaavv gwvly ���� \\w s 25.00 MUNIS APPLICATION# 200900680 TION DATE: 06/18/10 \\\q \ APPLICANT �� �Vv w�° v '"� OCATION °` AA, q au� \� A\\��aVA\\\ \ vN�\a �\ NAME: ASHE CONSTRUCTI S " vv AD ADDRESS: 17 GRAMAR AVENU �\ Pm a�,v,ma m.. PROSPECT CT 0671 � v �v \`� \�\ O vSOUTH WINDSOR \, \ -nIVAN AVE m pAv �A\\avvvga. , �M vv Av A \ \. b\\��� ao`��\�\�� `'� \ O TH V�NDSO CT 06074 PHONE Nvv�woaga� �� ` A� `v\\w�\�Avv\ A\���\ w�1V v vy _ v @� v\vv vmfl R' xaa�A A01 \vA\V �� \ gVaq \1\MBA \������ \\ WORK DESCRIPTION: EXCA ATE FOR W ES� SC "� ST,v� �(3 'MENT APPLICANT AGREES TO FURNISH THE TO \„ E a REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY ` a �tRE BY ��` 0� �"v MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE *� w aILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO �u ;t ,n mvRMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 6/18/20099:26AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 'q 000 CONTRACTOR: LOCATION: K TYPE OF WORK: 'vVla to DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN / PROGRESS: 1.91 azl�_ (/L �e �GGa✓/� J(= / 2 y LcJ C� - SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:~ DATE: 1� r W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT 900065 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR, CT 06074 165Z FEE $25.00 P Name of Firm_ .S i-�F O V1 � Aj d vk L L. C Phone No. 20-1�. -7 9 S;-1S G Address of Firm f '7 <S rca vy, m n r � -�- Cah h Zip Code dG ;;?f Z Location of proposed work WE E2 Describe fully nature of permit request jlc�-D 0 f�� o t= tST1N� wig u W ' Starting date JTuNE Approx.time for completion ZLLKE7 Z 4 Call Before You Dig No. 0-2,1 9 3 Existing Water Supply: Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indica North Town of South Windsor No.cuts 1 nV Est.Patch Size(s) 16 sf . Est.Pvt.Thickness 4 in. 4'1' Est.Patch Unit Price$ 2 /sf �2 Est.Patch Cost$ 39C>c', on Est.Curb Replacement 6 ft \ Est.Curb Unit Price$ ''c.A o® fit cat Est.Curb Cost$ mo, 3 Est.Traffic Unit Cost$ /hr 0 Est.Traffic Control$ Amt.of Deposit$A,ozo, Total Due O Cash O 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 • O TLIINfNED IN THE N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. SiG86 Date: G11f O itle: Driver's License#: O - 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 1' I it I• V r. /1. 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