HomeMy WebLinkAboutStreet Cut Permits 150 Strong Road (3) 1100120 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/16/11
GIS ID: 87000150 FEE: 25.00
MUNIS APPLICATION# 201100925 EXPIRATION DATE: 08/15/12
APPLICANT , = =, LOCATION
NAME: BUTLER COMPANY ADDRESS: 10TRflNG ROAD
ADDRESS: 848 MARSHALL PHELPS-ROAD " QWNER OLD I)O ANION FREIGHT LINE INC
WINDSOR,CT 06095 ` _ ` 500 OLD DOMINION WAY
THOMISUILLE,NC 27360
PHONE 860-688-8024
WORK DESCRIPTION: EXCAVATION AND BACKFILL FOR 1 EW 8 01 FIRE SERVICE
APPLICANT AGREES TO FURNISH THE TOWNOF SOUTH'V�NDSOR'T--- AMOU
YI*I I C1F BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN Ei ENSES INCDiRED_BY THE TOWN POR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP-k EANT IS FAMILIAR WITH ANaWILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFSOVTII WIND'SR1S-STREET CtJT PERMIT MANUAL.
ISSUED BY ATE INSPECTED INSPECTE BY
8/16/20119:00AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 6)c9/d ..,,,OR: a iz co
LOCATION: na ED
TYPE OF WORK: .F-xra��&bn °- 6kck-rl I I -roc >
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: r3 D
WORK IN
PROGRESS: Cv o-c", X a g GL
314C:tf�
C,Vn t2
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
i
` APPLICATION FOR STREET EXCAVATION PERMIT 40J
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
'1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.0
Name of Firm ✓ AM17 tr Phon No. ri�iC✓'���i�f�7
Address of Firm �' iZji % Zip Code
Location of proposed work--`- Q
Describe fully nature of.permit requested 64'e"r-x--14Z e- /Slam
tI , tv
Starting date Z01 1 Approx.time for completion
Call Before You ig No. 9,01 42/ Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPVACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH-BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out kiv
two copies of separate drawing on
North Town of South Windsor
No.cuts
g e,4 d
Est.Patch Sizes)Ay 4 /�V Y sf
Est.Pvt.Thickness 'Y" in.
Est.Patch Unit Pace$ oZv! /sf
Est.Patch Costs. goo,
Est.Curb Repiacement ft
Est.Curb Unit Price.$_ fft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of:Deposit$..sj .600
Total Due$ 6'00 f
( )Cash go Check# ac .5 �
G! l�'rG dbt Bwt/t� 9
Applicant is responsible for contacting Paid By No Or ell bet R�
the Police Dept.and C.B.Y.D. f n4-510r C
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOIJFOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTIQN THIS P MIT AND THAT I AM FAMILIAR-WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMI OUTL OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: 'mil' Driver's License#:
PLEASE ALLO T LEAST TWO WOR NG DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY N BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Ucavation Permit 08 REV 10-22-08
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VP MJ Lindsey Limited LLC
DATA BLOCK
ZONE - 1 ,, �,�, q��r Servic{ LEGEND
MIN. LOT AREA - 30.000 S.F.
MIN. LOT FRONTAGE - 100' ',, 0AW Do �����n EXISTING UTILIT)
MIN. LOT DEPTH - 150 EXISTING LIGHT
35' BUILDING LINE �l `tJl) PROPOSED LIGH-
10' SIDE LINE PROPOSED BUILI
25' REAR LINF OH EXISTING OVFRH.