HomeMy WebLinkAboutStreet Cut Permits 585 Felt Road (2) 1100113 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/11/11 = -
GIS ID: 32400585 FEE: 25.00
MUNIS APPLICATION# 201100892 EXPIRATION DATE: 08/10/12
APPLICANT = = LOCATION
NAME: HOMEOWNER ADDRESS: 585-FELT ROAD
ADDRESS: SOUTH WINDSOR,CT 06674 = OVER: KRONENWETTER JOHN E&KAREN E
585 BELT ROAD
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: LANDSCAPE ACID IN�L TWO PII,LA SAT END OF DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOW&OF SOUTH WINDS"O TIE`AMO6N .bF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANi E ENSES INCURRED B 'THE T61*FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI APi'L, ANTJS FA - IAR WIT I AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S-STRE-i-T CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECT BY
8/11/20119:26AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00// CONTRACTOR: 4m&6&_)nex_-
LOCATION: S re/ k"9Cj J
TYPE OF WORK: i d2 1v (p vY) %
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: 710 v P;'�'oK s o`-4-r-G(.z.ol C(
a9 E Jc)✓'l�16J a 4 L"✓I L.,n yL 0 1 �i..� c�e• :::� .o Ei S�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT f 00
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
.1640 SULLIVAN AVENUE Date:�S /i
SOUTH WINDSOR,CT 06074
�—�--� FEE $25.00
Name of Firm � O � Phone No.Ac-5
Address of Zip Code G60 7 y
Location of proposed work
Describe fully nature of permit requested
S
Starting date Approx.time for completion
Call Before You Dig No. Existing Water.Supply: ❑Public Water ff Well
Existing Sewage Service: /40Pubiic Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLA ENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OFTHE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC:CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
410 Est.Patch Unit Price$ —/sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price_$.. fft
Est:Curb Cost$
Est.Traffic Unit Cost$ fir
Est.Traffic Control$
AmL of Deposit$
Total Dug$
( )Cash ( )Check#
Applicant is responsible for oot�tacting 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 ES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION W THIS R T I A AMILIAR�WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS IN SOUTH INDSOR'S STREET CUT PER T MANUAL.
Signed: Date: S�i
eLSE
Driver's License M
LLOW 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.
Print- Maps Page 2 of 2
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