HomeMy WebLinkAboutStreet Cut Permit 2 Collins Lane 900015 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 03/24/09
GIS ID: 21900002 ,
MUNIS APPLICATION# 200900230 FEE: 25.00
EXPIRATION DATE: 03/24/10
APPLICANT
NAME: BARBER UTILITIES LLC LOCATION
ADDRESS: P O BOX 331 AIIDRES 2 COLLIES LANE
OWR COLIN DAVID B &DOROTHY A
ELLINGTON, CT 06629
COLLIITS LANE
PHONE 860-872-2330 Tr UN CT 06074
.10
WORK DESCRIPTION: JACKING PI I w.IN .AND HILL R3 FOZ WATER SS RVICE'TO
2 COIwLINS LANE
APPLICANT AGREES TO FURNISH THE'tOW4,.Off'EQUTB
J. �� EIrT } AM(JCJI*�11 O�BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANi' p �� 5.. � A ;, E::TO
�VI�d.,�t�R MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE. I PI;GAl�€T�S /1�,� � ITg ANC WI1 L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 0 .0h1T
CIZaDST °yS "I REJ IIT MANUAL.
ISSUED BY �$
DAT CTED INSPECTED BY
3/24/200912:10PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
p
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 000 /S- CONTRACTOR: &4-
LOCATION:-
TYPE OF WORK:_I Ct1
DATE INSP NEEDED: DATE INSP: 3 3/ e9
INSPECTED BY:_ 1L_
WORK IN
PROGRESS:_ a 7 x ,5_ C t �-
AS-BUILT:
INPUT:_ DATE: w
W/2007 Town of South-Windsor INPSECTION REPORT 07
a00900010 APPLICATION FOR STREET EXCAVATION PERMIT OGO _
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: laD
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm Phone No. 6140" *77-- Z3 3�
Address of Firm_ 35- Pw rj,4 Ce-6 /L0 i cc,A�)67-D/U C- Zip Code Uw Z•I
Location of proposed work 13- Z C-0 z_(_I/U S Zf-Yt/E
Describe fully nature of permit requested i.✓i5'1gz L yj&FL-1'L 5k-r—yrC6-
S fivi o /-•!/LL ► 0
Starting date `3 --3y-- 02 Approx.time for completion 6wj�- -oz::y
Call Before You Dig No. Z)o q 6L o tq&c> Existing Water Supply: 0,Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TQWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
,✓� � Est. Patch Size(s) = sf
S Est. Pvt.Thickness , in.
Est. Patch Unit Price$ /sf
Z Est.Patch Cost$ rt
Est.Curb Replacement ft
Est.Curb Unit Price$ At
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Gam-%t''S t_AYJ9
Est.Traffic Control.$
Amt.of Deposit$
V
=' Total Due$- 52; CZ'3(j.
b =
o!.
J 9 ( )Cash ( )Check#
Applicant is responsible for c r
contacting Paid By .8-6ti
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 W TH THIS P IT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS LINED IN H TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:_ U!�
Title: d 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
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