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HomeMy WebLinkAboutStreet Cut Permit 85 Oak Street 1000172 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER TREET CUT PERMIT DATE: 08/23/10 s GIS ID: 65400085 � � MUNIS APPLICATION# 201001098 - FEE: 25.00 IRATION DATE: 08/23/11 APPLICAN - LOCATION NAME: JAMES THROWE DB - RE 8 OAK TREET ADDRESS: 97 RIVERSIDE DRIV VERNON ROCKVIL ILLE RICHARD E&PATRICIA TRST a` TREET oil"PHONE 860-289-0095 I J INDSOR,CT 06074 WORK DESCRIPTION: SUM U PIIO� BIRC ST N ORNER OF OAK AND ` APPLICANT AGREES TO FURNISH THE _ ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN C T AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE �T L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OFP& P Y IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 8/23/20 1 0 9:01AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -......__.....__....................-......_......-------------------.----------------_._....--------------------- ------------------- dl woo y _ ` s 4K� A. g TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: /000/7 o CONTRACTOR: J-1hV owe, LOCATION: 3's ©0k1C TYPE OF WORK: Su_ bra'i n y� fl ,, A t-y C j2, 6n CC>'C rQA_ c F &rek� DATE INSP NEEDED: DATE INSP: a 9jib INSPECTED BY: 6� WORK IN PROGRESS: &"' PVC, SDa _1) h grtn• G (0­> Corgi., 0,P 8trrh 0 f}v- c+ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION 61 APPLICATION FOR STREET EXCAVATION PERMIT 10oo / 7A Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date:,&&/A SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm $ -> 2_4_ L Phone No. %Q 21rS00 Address of Firm_ 6_7 Zip Code 06OC4 Location of proposed work Describe fully nature of permit reguested Su jo drein i'ei 4 Starting date_ Jq&6 l b Approx.time for completion_,ZC f�i.4 16 Call Before You Dig No. :;tL 16 3 y6D 0 y Existing water Supply: Public Water ❑Well Existing Sewage Service: 12 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 two oopies of parate dra This section to be tilled out by Incicate.North Tows of.South Windsor Q - No.cuts Est.Patch Size($) sf l 1 c Est.Pvt..Thickness in. 3 r Est.Patch Unit Price$ /sf '�G J�iZi j Est.Patch'Cost$ Est.Curb Replacement ft Est.Curb Unit.Pdoe$. /ft Est.Curb.Cost$ Est.Traffic Unit Cost$-Air Est.Traffic Control$ Amt.of Deposit$ Oo -bi��.v� Total Due$ ( )Cash ( )Check# Applicant is r si a for contacting Paid By the Police Dept.and C.B.Y.D. 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS S OUTLINE IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: -20 ,4u4 .Title: Driver's License#: /?S6<_67v2 ,J 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 Perrnit 08 REV 10-22-08