HomeMy WebLinkAboutStreet Cut Permit 516 Strong Road 1000195 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/20/10Vl wl
GIS ID: 87000516 %
FEE: 25.00
MUMS APPLICATION# 201001254 ffs
_ 'IRATION DATE: 09/20/11
.
APPLICAN` �G � � l LOCATION
NAME: CENTRAL SEALING f-&ag° ,_y ARE S NT] G ROAD
ADDRESS: 150 SUNSET RIDGE ,
EAST HARTFORD i Q8 '— LIA A
S_TR'NG ROAD
� � J INDSOR,CT 06074
PHONE - ,
WORK DESCRIPTION: RENf
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APPLICANT AGREES TO FURNISH THE S�UTIv11POPWND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN
WAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Olt IA1 =_ A L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O -91 F� MANUAL.
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ISSUED BY DATE ECTED INSPECTED BY
9/20/20103:28PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l 006 CONTRACTOR: Cer91ra/ Sea ling'
LOCATION:_ (a on
TYPE OF WORK: f
DATE INSP NEEDED: DATE INSP: /l Z`'l//
INSPECTED BY: 8D
WORK IN
PROGRESS: pox t cglp LN V_
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: G DATE: -
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
Sa t oo 125 4- APPLICATION FOR STREET EXCAVA-1`ON PERMIT t ccc I e�
Appt.Into. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
GZ?®J2,o FEE $25.00
Name of Firm 0e vt f l t P4.C6 (►.- Phone No. 9d g�JM-71q D 0
Address of Firm I SD 1,CMe4- P t Ve— CT Zip Code O L 0(L 8
Location of proposed work _1 U "a-d
Describe Awlty mature of permit requested 1'eWCo�� �'PePI 1' �i�G�Q t2 L( dY-L yew2 e�
Starting date a 12,91 I v Approx.time for o mptetibn I w&_v_
Cali Before Your Dig No. d l 0
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 15 A
'PREUMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF TIME
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN'PATCH AREA,CURE
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY LATCH BUT IT COULD BE EATER THAN A YEAR.
Shot sketch of proposed work orft mish M1j200jRbefRled_MAbv
bw copies of separate dmvAng fndicate No :f. 4 Suer }�ttlln�sor
No.cuts
Est.Patch Sizs(s) sf
------ — \ Est.Pvt.ThIcImess Irt.
Est.Patch Unfit Price$—/of
Est Pa"cost
Est.Curb Replawnerit It
Est Curb Unit Price
SW Est.Curb Cost
Est.Trans Unit Cost$ ihr
.Traffic Cart#rot S
g Amt.of Deposit$
Total Due S
t )Cash )Ckwk#
Applicant is responsible for contacting raid By
fare PolEce De t and C.B.Y.D. .
I AaFtEE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED ARID TD REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY D(PENSES-INCURRED BY THE TOWN FOR-MAINTENANCE OR REPAIR WORK IN
CONNEG710M WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY TIDE RULES AND REGULATIONS FOR
PERM"AS OUTLINED IN E TCI"OF SOUTH WINDSof:rS STREET CUT PE#2)MAT MANUAL.
Blgned Llate: t G) 1 D
Title: Carp, seer +'y Driver's Llcense 11 t i g 8 30 2
PERMIT SMALL BE KEPT ON JOBSITE AT ALL TUNS
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South Windsor Online Property Viewer 9/20/2010
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Property Information
Property ID 87000516
Location 516 STRONG ROAD r
A4
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
This data set(map is for planning purposes only and should .Y
not be used for larger scale analysis.The Town of South "
Windsor shall not be held liable for any use of the data or
images shown on this map,nor is any warranty of accuracy.
expressed.All uses of this data settmap are subject to field
verification.