HomeMy WebLinkAboutStreet Cut Permits 494 Abbe Road (2) 1100111 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/04/11 --
GIS ID: 00600494 - -, FEE: 25.00
MUNIS APPLICATION# 201100871 EXPIRATION DATE: 08/03/12
APPLICANT"- = LOCATION
NAME: JAMES THROWE DBA - ADDRESS: 494 ABBE ROAD
ADDRESS: 97 RIVERSIDE DRIVE OWNER: WARREN ELIZABETH A
VERNON ROCKVILLE, I D6066 - " 494 -ABBE ROAD
SOIJt WINDSOR,CT 06074
PHONE 860-289-0095
WORK DESCRIPTION: SEWER CONNETION
APPLICANT AGREES TO FURNISH THE TE?WIET OF SOUTH V IItfiDS(}R IHE AMOUNT OF-BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYBXPI NSES-IN CURRED"�Y THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE 2API'E MAN T IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND RYGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SIJiJTH WINDSR S STREET CUT PERMIT MANUAL.
ISSUED BY DA INVEC ED INSPECTED BY
8/4/2011 11:52AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l�O ll CONTRACTOR: q �'
LOCATION: 2
TYPE OF WORK: 5e09T e�e n n eze-welh
DATE INSP NEEDED: DATE INSP: ^
INSPECTED BY: G�
WORK IN
PROGRESS: glc ,,I A4 5:4 w e lei Se""/y
ezg L`rjLJ✓t Od/C A & i,✓eil Jmlt- c7_7
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
,261i oo g?l APPLICATION FOR STREET EXCAVATION PERMIT 1I�ca�l 1
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC-WORKS DEPARTMENT
.1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm V an , „ Phone No. �5,66, 29,�01-!5,
Address of Firm 9-7 id s,& A—' Zip Code 06o6 6
Location of proposed work__ 5Ll AS& lQJ
Describe fully nature of permit requested 5-e� r�n �i- rcn
Starting date S'&C, Approx.time for completion
Call Before You Dig N . Existing Water Supply: ❑Public Water Well
Existing Sewage Service: ❑ Pubfic Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC-CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Sizes)
Est.Pvt.Thickness y in.
Est.Patch Unit Price$ ZO /sf
Est:Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price$_ /ft
Est:Curb Cost$
m t4 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 OUTLINED THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
� ++,, �y iI
Signed: Date:�F 5
Title: kjn ✓ G a r` 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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