HomeMy WebLinkAboutStreet Cut Permit 7410unk Quarry Brook D 900117
PENT NUMBER
TOWN OF SOUTH WINDSOR, CT
vv,,,„uvv„u�,,,�,vvwvvlvw,vvv,v�uuvvmyvvvvvlvvvvvllvv��lvvvv1v1111vvv
dav�1,Au�`uuunm � P�V�� q\ (\1q\VAgG1V1\\\\\\
DATE: ogi2lio9v,1v� �v �w�\\ ��1�w, Uwv; ,vv1,v,„ yvn STREET CUT PERMIT
„\�, �\
GIS ID: 74109999 �ov,v ......pAA1� 10%.
MUNIS APPLICATION# 200900999
FEE:
a\@ v�1v� 2$.00
\fop,AA
TIO
N DATE:
APPLIC pvvvv`n,„vv`vvv��1A 1v
N ANC ��vr `°v, \�� ��1\w�y„ulvwvav�,v,,,v,,,v,,,,uv„v,mvv������ ���\�', �� ���� 08/21/10
NAME: CHARTER O \i \ \ \ \,\\\ n\
`, v '' LOCATION
ADDRESS: 231 S AK UTI �C�OIn� �� ���q\\���� \ w� „n,
HUNPIKE PO
BROOK DRIVE
CROMWELL,CT 06 '� "Ni°`v1' �w\�\\v�vv\111v� Vw'\\V`v ER� ��
��1 av�\�1������1�1 ,1Vw AV �1,; �, DSOR TOWN OF
PHONE
IVAN AVE
\,� O u \ 1a SOR CT 06074
WORK 'plot81
DESCRIPTION: EXCA�`ATI vvP1vA�vvm„„�, vv1 y v v'���u wlvlvvry
RAN \ �
APPLICANT AGREES TO FURNI T O gypv �av `� \ �� �plvuav`�� ;�`, ���v`` 1�wv CONDUIT TO(2)
SH THE TO m,n vv ,v1vu " ,,,a u
THE TOWN OF SOUTH WINDS OR FOR ANY ,
CONNECTION WITH THIS PE F , ,4,.' \ „„n��U\ ,, V1QF n \un ND RE UIRED
PERMIT AND THE AP Q AND TO REIMBURSE
FOR PERMITS AS OUTLINED IN THE TO LI �` MAINTENANCE OR REPAIR WORK IN
WN OF SO 1 \\\\ ' °WILL ABIDE BY THE RULES AND
a"\\\s,,me1\1 'S ^\ `E ERMIT MANUAL. REGULATIONS
ISSUED BY
DATE INSPECTED
8/21/20093:34PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Cob(/ � CONTRACTOR: // Ll'
LOCATION:
TYPE OF WORK: D -
az�� r erg
DATE INSP NEEDED: `
DATE INSP: / �p
INSPECTED BY: �D
WORK.lN
PROGRESS:
AS-BUILT:
INPUT:
DATE:
W/2007 TOW"of South Windsor INPSECTION REPORT 07
08/11/2009 TUE 11:16 FAX 210 349 2464 ERCC OFFICE 10004/004
o7-0 �i APPLICATION FOR STREET EXCAVATION PERMIT ? O0// 7.
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
S uPeA r. k,J6,1- SOUTH WINDSOR,CT 06074
,^ .144
- 94o q o-ol,►i/ FEE $25.00 —To A"1 - D M
Name of Firm Charter Oak 'Uti l i ty Constructors Inc Phone No. ��"� Zq_?7J y top - )
Address of Firm 231 -Shunpike Road, Cromwell , CT Zip Code 06 116-1121
Location of proposed work Guarry Brook Lane
Describe fully nature of permit requested
tpr cam' A .i4s ' fflft ,....
Starting date
Approx.time for completion 4.t3aX
Call Before You Dig-No.-2522 1i-t V2e Existing Water Supply: Public Water ❑Well
Existing Sewage Service: 0 Public Sewer (]Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCNAREA,CURB
LENGTH,TRAFFIC CONTROL AND-THE TOWNS CONTRACT COSTS...THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN•A YEAR.
-Show sketch of proposed work or furnish This section to he Riled Out by
two copies of separate drawing indicate.[Vorih Town of.Soi�th Windsor
/ No.cuts
L Est.Patch Size{s) sf
�"""��•f- �i4.�ri Est.-Pvt.Thickness• in.
Est.Patch Unit Price$ /s(
Est.Patch Cost S
Est.Curb Replacement_*
Est.Curb Unft.Price
Est.Curb.Cost$
Est.Traffic Unit.Cost$ fir
uA!l cic-
Est.TmIlho Con"I$ _.
Arnt.of Deposit Z
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacling Paid By
the Police Dept.and C.b.Y.D.
I AGREE.TO FURNISH TO THE T N O UTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH.WINDSOR F ANY ENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTI 9 N WITH ER I AND T I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PE SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: 151$'^L
Title: S S'^ ' Driver's Uoense#: 23C S"'f 4 d Z LC
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 JOSSITE AT ALL TIMES
sb eet Excmdon Perini[08 P"to-zz-w