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HomeMy WebLinkAboutStreet Cut Permits 80 Beelzebub Road (2) 1100057 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/06/11 GIS ID: 09000080 = =. FEE: 25.00 MUNIS APPLICATION# 201100548 - - EXPIRATION DATE: 06/05/12 APPLICANT LOCATION NAME: QUALITY PAVING CO A[}} RESB: 8fl hEELZEBUB ROAD ADDRESS: 194 S.MAIN STREET OWJ?TER. TRAHAl LORI A&JOSEPH A EAST WINDSOR,CT"06088 80 BEELEBUB ROAD = OJTH V INDSOR,CT 06074 PHONE 860-523-4182 WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TOWN 9F= OUTH��II�TI3S�5R t AMOUNT OF`BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY BXPEI ISES INGUoE 3$ TIDE TC3WNE6R MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THI;APPL CA- T=IS FAMILIAL WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF�Qi1TH WIND_SR'S STREET CUT PERMIT MANUAL. mo Ol e ISSUED BY DATt PECTED CTED BY 6/6/201111:05AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ! 00 � CONTRACTOR: Q Ja LOCATION: & ® z-Q6u� Z)a r- - TYPE OF WORK: U DATE INSP NEEDED: DATE INSP: % l INSPECTED BY: f2 D WORK IN PROGRESS: VI L° © V'\-(2 i` ) Cl SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 t APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTHWINDSOR Permit No. PUBLIC WORKS DEPARTMENT / 1546 SULLIVAN AVENUE Date: SOUTH•WINDSOR,CT 06074 FEE $25.00 Name of Firm84!�22r, Phone No. Address of Firm Zip Code g Location of proposed work O - Describe fully nature of permit requested z Starting date Approx.time for completion G Call Before You Dig No. Q 1/z'a�2 S ' Existing Wa#er Supply: C] Public. ater [I Well /U- Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: T DEPOSIT FOR THE.PERMANENT°PAVEMENT PATCH AND.CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT"IS RESPONSIBLE'FOR THE FULL FI.,L COST OF THE PERMANENT PATCH.AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN-PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S.CONTRACT COSTS.°THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IrCOULD BE LATER THAN A YEAR. Show sketch of proposed work or.furnish This tectlon.o be_filled out by two copies of-separate drawing Indicate North Towmaf South Windsor, f U No.cuts , Est.Patch Size(s) sf Est.Pvt.Thickness in. Est."Patch Unit Price t9 © Est.Patch Cost Est.Curb Replacement ft Est:Curb Unit'Price'$ /ft 1 Est.Curb Cost Est.Traffic Unit Cost$ Air f f Est.Traffic Control$ L Arnt.of Deposit$ i Total Due$ / O Cash ( )Check# Applicant is responsibl for contactirig Paid By the Police De t.and A.Y.D. 2 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 AS'OUTLINED IN THE TOWN:OF SOUTH WINDSOR'S STREET CUT`PERMIT MA UAL.` Signed: Date: Title: Driver's Licen a#: 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 0$REV,10 22-0$