HomeMy WebLinkAboutStreet Cut Permit 131 Gail Lane 1000084 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/17/10
GIS ID: 34500131
FEE: 25.00
MUNIS APPLICATION# 201000576 l ����
� c AN �IRATION DATE: 05/17/11
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APPLICANT z � _ ��r
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NAME: CENTRAL SEALING Ty RED J1 GAII&LANE
ADDRESS: 150 SUNSET RIDGE yy == ( G ADAVID J&ELIZABETH L
EAST HARTFORD, of Del1I8 ��� 1 GAIII LANE
f s�: T74- INDSOR,CT 06074
PHONE
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WORK DESCRIPTION: DRIVI� � �= � 9
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APPLICANT AGREES TO FURNISH THE T P TH- F
T ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI�-FXPf�IGU yTflAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APII L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S � I}� RE -C1�IT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/17/20108:38AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO. /= CONTRACTOR: CerrV I SPa
LOCATION: 13 I ra t
TYPE OF WORK:_ Z)f 1 V'-PQL)9
DATE INSP NEEDED: DATE INSP: (t
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: (2��A& DATE: <
W12007 Town of South Windsor INPSECfION REPORT.07
0d010 C05'?6 APPUCATION FOR STREET EXCAVATION PERMIT /of��
Appi.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSQR,CT 06074
FEE $25.00
Name bf Firm Co .(vi C_ Phone No. R g-;,9,q-r7q D 6
address of Firm i Sit h or zip Cede 4
Location of proposed work r 31 Cam-'l La k-
Describe ftAly nature of permit reyuestt� rP 6V e 5 r lace v u9
Y1 D I/,lam f c l� ycGi�s -
Starting date Q t.� f 3►ti' Approx.time for cmpietion1� -�-
Call Before You Dig No.
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCReASES IN'PATCt4 AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR.OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Sher sketch of proposed work or f nWsh Ras sec5on to be fow cut by
two copies of separate drawing Indicate,North To"of South VVindsor
NO.cuts
Est.Patch0 Sizes)
Est.Put.Thickness ln.
Est.Patch Unit Price
a m( Est:Patch Cast
L4r7'x '� EsL Curb Rep€acerr ent
Est Curb Unit Pace -
Est.Curb Coast�
rV l A-0 r'd)q Est:Troths Ur11t Cost$ fir
ESL Traffic Contra[
AmL of Deposit$
Total Due S
t )Cash ( )Check#__
Applicant is responsible for contarffng Paid By
• Efts Police t.artd 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 S(pENSES-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 11 THE TOWN OF SOUTH WINDSOMS STREET CUT PERMIT MANUAL.
ned: Date- _ ,J 1 'b f O
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PERMIT MALL SE'IW-PT ON JOBSITE AT ALL TIMES
Emvavors Permit 08