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HomeMy WebLinkAboutStreet Cut Permits 9999 Clark Street (2) 1100180 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 11/29/11 = - GIS ID:99992040 FEE: 00 MUNIS APPLICATION# 201101418 gv " EXPIRATION DATE: 11/28/12 APPLICANT - - „ LOCATION NAME: J&H SLATER CONST C( ADDRESS: GL- STREET ADDRESS: 75 COMMERCE WAY OWNER OWN OF SOUTH WINDSOR SOUTH WINDSOR,CT46074 = 154©SUi3LIVAN AVE SOUTH WINDSOR,CT 06074 PHONE 860-528-5252 - WORK DESCRIPTION: EXCAVtXTE T.LXP(7SL YORE MAID FOR�XSTINOFOR TOSW NO FEE APPLICANT AGREES TO FURNISH THE TO OF SOUTI3 INDSOR THE AMO"C&OF B6ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN5 akNSBS I4--- I3 BY TH-E_TO-W-"- =IVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH1 A40CANT IS FAMII I,0 VITHAI WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOi7TH WINI SR'S'STREET- UT PERMIT MANUAL. ISSUED BY DA , ` SPECTED INSPE TED BY 11/29/20118:48AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: . l l001 p CONTRACTOR: f � LOCATION:- .TYPEOFWORK: xr� lP <� �(YP Vil�ti'Y� Ifl DATE INSP NEEDED: DATE INSP: INSPECTED BY WORK IN PROGRESS:_ `1�' resi S ion C`,, Nl,. -rem+ -3 IPJ f+ CI A— ��'t c , C C C SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO 'AS-BUILT: INPUT: C" ... DATE: /d- W12007 Town of South Windsor INPSEGTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: zn/ SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm � Phone No. c66 "_S�?6^ szs Z Address of Firm S Zip Code Location of proposed work Describe fully nature of permit requested 4V R51 ­ f%a ohs_ Starting date Approx.time for completion I Ulf Call Before You Dig-No. '235,(l $6619q{ Existing Water Supply: 91 Public Water ❑Well 061t 4GO iIC3 45 Existing Sewage Service: Public Sewer ❑.Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing indicate North Town of.South 1Nindsor No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost- Est.Traffic Unit Cost$ /hr Est.Traffic Control Z Amt.of Deposit$ Ito Total Due S ( )Cash ( )Check# Applicant is responsible for contacting Paid By the Police Dept.and CA.Y.D. I AGREE URNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN O TH.WINDSOR FOR ANY'EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNE IQ WITH THIS PERMIT D THAT I A (LIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMIT AS UTLINED IN THE T WZ771WINDSOR'S STREET CUT PERMIT MANUAL. Signe . Date-, Title 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