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HomeMy WebLinkAboutStreet Cut Permits 9999 Nevers Road (11) 1200020 TOWN OF SOUTH WIN PERMIT NUMBER D S O R, C T STREET CUT PERMIT DATE: 03/21/12 GIS ID: 62409999 MUNIS APPLICATION# 201200279 = FEE: 00 " EXPIRATION DATE: 03/21/13 APPLICANT NAME: CLARENCE WELTI LOCATION ASSOCIATES INS � " ADDRESS: 227 WILLIAMS STREIIT ., ADDRESS,_. NE -ER�ROAD GLASTONBURY, CT 06033 ` OWER' - TQWN O SOUTH WINDSOR 1540 SUL IVAN AVE PHONE 860 633 4623 - SOUIH WINDSOR,CT 06074 WORK DESCRIPTION: DRILIxIN SIB PEST BfIiNGS(}N3R R4A AS PART OF TOWNRA� RpRoHT- APPLICANT AGREES TO FURNISH THE F SOUTH WINDSt 94HE-AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH IS pER R FOR ANIT=E P NSES FNt (fR Ij g�, TOWN FOR 14 AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT,IS PAMICIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR"S STREE I CUT3'I RMIT MANUAL. PC0,jA r.� ISSUED BY D TE INSPECTED INSPECTED BY 3/21/2012 3:26 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** R TOWN OF SOUTH WINDSOR INSPECTION REPORT • PERMIT NO... 12 cam© AO ------------------ OONiRACTOR: LOCATION: Akvefs pp. „j .TYPE OF WORK: ;t�r^; I :DATE INSP NEEDED; DATE INSP:�! INSPECT-M WORK IN PROGRESS: � (� n e- elo P�. a c4 SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO 'AS-BUILT: DATE:- W12007 Town of South Windsor INPSEMON REPORT 07 O 12:c:,0z79 APPLICATION FOR STREET EXCAVATION PERMIT 1 Zc�o�o pl-No. TOWN OF SOUTH WINDSOR Permit.No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE_ Date: SOUTH WINDSOR,CT 06074 FEE $25.00 ' Name of FIr - Phone No.A n l 3 Address of Firm •9- r Zip Code��'�, 2 Location of proposed work_-_�jr/ rz Describe fully nature of peimit requested JA Starting date g Approx.time for completion / 2- Call Before You pig Nc►' Z C�QGcs Existing Water Supply: []Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY.ESTIMATE..THE APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL C% ST.OF THE ' PERMANENT PATCH AND.CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATG.H-AREA,•CURB LENGTH,TRAFFIC CONTROL,AND-THE TOWN'S CONTRACT COSTS.-THE PERMANENT`PATCH IS TYPICALLY COMPLETEID WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD SE LATER THAN•A YEAR. -Show sketch of proposed work or fumish Th#s se ctlop to•[k±glad avf by two-copies of separate drawing fnCr1cate.I`forth Town of.South Windsor �'� / No.cuts Est.Patch Sizes)-of ,e lq /7� � ,l Z'_ tit.Pvt.Thickness in. f,/, Est.Patch Unit Price$ !sf Est.Pat1Ph-Cost-$ . Est.Curb Replacement ft- Est.Curb Unit.Pdoe$. /ft Est.curb cost$ Est Traffic Unit.Cost$ hir Est.Traffio Cantit$ Amt.of Deposit$ Total Due$ ( )Cash ( )Check# ' Applicant is responsible for contacting Paid By the Police Dept.and CA.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 . CONNECTIQN WITH THIS PERMIT AND THAT I Attic FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN E TO'lltfN OF`SOUTH WINDSOR'S STRr=ET CUT PERMIT_ MANUAL l Signed.' - Date.• Z Title: 4. �_Va Alr_ Driver's License# 0V pLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER-APPL(CATION FOR ISSUANCE OF PERMIT WORK MAY HOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Ecaivation Permit 08 REV'10-22-08 g ;x S-2 (20' DEEP) -376. �tone Retaining s'a,'1 f•.•• Rook Tj E3r;dye S.'arar r.;r 6,=ee plash.Jersey San er-t f f- IV/F Graver t Jtunes&Deb,a htordson .,,,i• i "`t::3'J> Store Retaining`✓alli 'i t t; nianfnr._ i NIF i`} • Towsvn of South Windsor S - n6{.., 4 k! i z„ , y ,>,JE,?,.o.. - Ylihos S V£1.. t e 30 RCP , �\ Nz:V£'r_.ni0adCone w , 1 z.. :c• i �, � c. -a.._ _ . b _ Concrete i- erseyPtan Arr"G£t Rar 1B-2 B-1 NIF . 7y-e "(B I 7bwn OF TG=180.81-r• - _3 South Windsor ,..v==I�7•Y., ktF .141E Etta R. Frames S. Nimirowski Chariton,Tmstee q C. A S S-1 I IsnN1V ��✓� eLf_� (20' DEEP) I