HomeMy WebLinkAboutdrain layer permit 33 Cliffwood Drive 1100014 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
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DATE: 05/04/11
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GIS ID:21000033 FEE: 60.00MEM
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MUNIS APPLICATION# 201100397 !A EXPIRATION DATE: 06/03/11
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APPLICANV� ' _ � �� LOCATION
NAME: JDC ENTERPRISES 11 - RES , 3l CLdF WOOD DRIVE
ADDRESS: 420 JOHN FITCH BLD � s - I PAUL D&ELEANOR M
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PO BOX 905 fy= OOD DRIVE
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SOUTH WINDSOR,(��'T�6O' 4�`"�'� !����
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WORK DESCRIPTION: NEW SEVO I
'THE DRAIN LAYER ASSIGNED TO THIS A r, J�Su . - �v TATE AND HEREBY AGREES TO ALL
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THE TERMS AND CONDITIONS SET FORT SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARb r-AA 0 E ;AN6--k-T40 ATTACHED CONDITIONS.
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ISSUED BY DATtINSPECTED INSPECTED BY
5/4/2011 10:21 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: // 000/ T CONTRACTOR:
LOCATION: 33 C h ff W ooc b r'> Ue
TYPE OF WORK: Se we(L Co ywed) Yt
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: C-,,,, , "I— iA,5QkA liar Fro." S'h.b -fo elid OF
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SEPTIC TANK�U'MPED, SMASHED, FILLED �.S WITNESSED ❑ YES NO
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AS-BUILT:
INPUT: DATE: Lz&/I
W/2007 Town of South Windsor INPSEMON REPORT 07
39T APPLICATION FOR STREET EXCAVATION PERMIT 1/0D0/
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firmer 1� C ��il�7Z��Y'��'-��S aZ /�� Phone No.zre-
Address of Firm S: rvlres1..P Zip Code
Location of proposed wo CLGc.Bv I
Describe fully nature of permit requested 4-d—lLi9'lfo
Starting date ^40/t — Approx.time for completion
Call Before You Dig Ng2Q&—/ 9'� Existing Water Supply: ❑Public Water OWeJV
Existing Sewage Service: ❑ Public Sewer ptic
PLEASE NOTE:. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,-TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR,
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
0
(' Est.Patch Size(s) sf
I C1q fv Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
L33 Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$
Est.Curb Cost$
I Est.Traffic Unit Cost$ Mr
I Est.Tmffio Control$
Amt of Deposit$
/I Total Due$
G�
( )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
CONNECT I WITH THIS P MIT AND THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT S O D E TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
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Title. /a`2�C—X ;�S 4=A�1 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
Street Excavation Permit 08 REV 10-22-08
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