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HomeMy WebLinkAboutStreet Cut Permit 232 West Road 900113 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER �„ma„u,,,,\n,,u�� STREET CUT PERMIT \ she Avu ��v° `q\uwx„ DATE: 08/12/09 ��� c,°v ,n,w„,a,,,, GIS ID: 87300765 FEE:,\o \ .00 MUNIS APPLICATION# 200900952 'go` TION DATE: 08/12/10 T',,,. �o\\�APPLICAN yLOCATION d� NAME: SUBURBAN SANITA � E u\ S ROAD ADDRESS: 18 COLONIAL ROAD � " "°y"� �w vvro @\ IATES REALTY LLC PO BOX 307 „H,,,�vvu �\\web\ �wv CANTON,CT 06019 v v ,gvo,�a\�v\� w �w ��� �J I �� PHONE w vq� ��� u,wols& "AMP � SOR,CT 06074 WORK DESCRIPTION: RO CONS ND SU I �` r\ C OR HOUSE WEST ROAD A �\\ APPLICANT AGREES TO FURNISH THE TO v „ 1��vOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY B„`r� „�„m,�,n„� „��. Fif MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE C n \ sLL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO IT MANUAL. uWvq\vvv\Aggvqp°v wav,vtivuvwvuvvoew, vvm„vv�ow,umn�`xwvmmamnma ISSUED BY DATE INSPECTED INSPECTED BY 8/14/20098:37AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OP SOUTH WINDSOa INSPECTION REPORT PERMIT NO.: '�' 0b I I3 CONTRACTOR: S CS LOCATION: TYPE OF WORK: _7'vG.. -- — _ --DATE'INSP NEEDED: DATE INSP: 3o%a ... INSPECTED BY: t WORK 1N PROGRESS: Cole, A2 urf� y AS-BUILT: INPUT: �- DATE: D //D W/2007 Town Of South Windsor INPSEMoN REPORT 07 Z UUY oyys l- APPLICATION FOR STREET EXCAVATION PERMIT 7 VO//.3 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Fim-C-�wrl ,� �,v��,9-/� �v«e � Phone No.3'60 ' �3-3r�7 Address of Firm &x.36 7 C7 Zip Code d -elf Location of proposed work lX/es T 9,4-,� 3 9-CA Describe fully nature of permit requested A2--/sysTw�Te Starting date k o Approx.time for completion Call Before You Dig No.,;76V9 �/6D-<'YT Existing Water Supply: ['Public Water ❑Well Existing Sewage Service: ©'Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Q//DNS. No.cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /it Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( )Cash ( )Check# Applicant is responsible for contacting Paid By 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 WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN.THE TOYV)4 OF SOUTH WINDSOR'S STREET CUT ERMIT MANUAL. Sign Date: 1377 Title: 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