HomeMy WebLinkAboutStreet Cut Permit 333 Deming Street 4
PERMITRMIT 1VLTMBER TOWN OF SOUTH WINDSOR, CT
STREET CUT PERMIT
DATE: 04/20/10
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GIS ID:27600333 ,g"
MUNIS APPLICATION# 201000348 25.00
\ FEE:
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\\ \„ (IRATION DATE: 04/20/11
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APPLICANT v` v� ��A\ �\vV`, AvV�` y „v`\p v�
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NAME: J&H SLATER CONST�vv� v� v�;,w�r�v�vv�v�a�V �,LOCATION
ADDRESS: �vvavvvvv `wp�o5`S` \ vy
75 COMMERCE WAY �� vvvvu,�vvv�� v``� v\�`gvvvw�;hr�vvvv�r\w G STREET
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SOUTH WINDSOR C v
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PHONE a\\\\\ \ \\\\\\\ \\\\
860-528-5252 v� �� vA\v\ \v y)v�vvv� \ \v SOR CT 06074
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WORK DESCRIPTION: STRE
ACROSS ROAD
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APPLICANT AGREES TO FURNISH THE T
\ E AMOUN.\\a U E
THE TOWN OF SOUTH WINDSOR FOR AN � pUTHV 'v, OP I
'� INCURR THE TO � F \ vv
CONNECTION WITH THIS PERMIT AND THE�` PI ICIvS FAMvvvv� WIC '`` v vuvv`�. C P I RK
FOR PERMITS AS OUTLINED IN THE TO WN OF\S U i'TI\ 1H ABIDE BY THE R L S L ONS
\\\\ \ R S \\ I? CIT PRItI"1 MANUAL.
DAT '�N
ISSUED BY ���\" SPEC
EC'TED INSPECTED BY
4/20/201012:20PM ***PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
�Q01000,3,vg APPLICATION FOR STREET EXCAVATION PERMIT >DOQo6l-f
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: Z- 2® Ib
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm _ Lq-Te Phone No. 5'�16 , S22 - 52S2-
Address of Firm ? arwk co q Zip Code
Location of proposed work 1h(
Describe fully nature of permit requested Xc4giwyc- It ..k�'c� S IZ� T �J C.u+�i LT
Starting date�-�_ �1 (� Approx.time for completion
Call Before You Dig No. 2sS(0 (13C� Existing Water Supply: 9Public Water ❑Well
Existing Sewage Service: F1 Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No:cuts
Est. Patch Size(s),x 10- /o�U sf
Est. Pvt.Thickness in.
Est. Patch Unit.Price /sf
Est.Patch Cost$ ®U
JZ,.,4 � Est.Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
J, 0 /i4, b15-C Est.Traffic Unit Cost$ /hr
jxa p f 5, , Est.Traffic Control$
4 0
a� X�a ��QQ Amt.of Deposit$ a3 a�
Total Due$ , a as
O Cash t(h)Check#
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Applicant is responsible for contacting Paid By ®1f Wh
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 TH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNEC{ ION ITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT AS OUTLINED IN THE TOW OF SOUT�1��1.(]SOR'S STREET CUT PERMIT MANUAL.
Signed: � ✓ Date:
Title: Driver's Lic e
i'
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR%JUW OF PRIIJ
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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TOWN OF SOUTH WINDSOR INSPECTION REPORT NNIED
PERMIT NO.: /6LZO& CONTRACTOR:
LOCATION: 3 33 D4 on 1(\q s t"
TYPE OF WORK: A)f v&ec-Ja-,_- ca�-
DATE INSP NEEDED: DATE INSP: �v
INSPECTED BY:
WORK IN
PROGRESS: Cd me y jc a f
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C Vv DATE: t(�,
W12007 Town of South Windsor INPSEMON REPORT 07
South Windsor Online Property Viewer 4/7/2010
333 Deming St Area 1" = 40' 4/6/10
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MAP FOR REFERENCE ONLY
�yv`'t D�twh sti`"se/ NOT A LEGAL DOCUMENT
s l r 22 t e Gr 4 4t t7Zs This data set/map Is for planning purposes only and should
not be used for larger scale analysis.The Town of South
a 8 Windsor shall not be held Rable for any use of the data or p p/ �# a o t 0 0 0 3
Images shown on this map,nor Is any warranty of accuracy x � j
f 0 0 l i It, Gt f G as s r �'G(� expressed.NI uses of this data set/map are subject to field
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