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HomeMy WebLinkAboutStreet Cut Permits 45 Parkview Drive 1100122 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/22/11 - "- GIS ID: 69300045 FEE: 25.00 MUNIS APPLICATION# 201100941 EXPIRATION DATE: 08/21/12 APPLICANT _ LOCATION NAME: CENTRAL SEALING 00INC ADDRESS: 45 PARKUIEW DRIVE ADDRESS: 150 SUNSET RIDGE DRIVE" OVER: A{'iNELLI ALEXANDER EAST HARTFORD,CT OLIO$ 2 tANGORD LANE PHONE EA TTIARTFORD,CT 06118 WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TOW--b -hSOUTH WFI-NDS(SR T�3E AMOUNT O B¢ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN � NSES INCIIRREI7 BYTHE-TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APkWANT IS FAMWAR V TH AND WITL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN O/F/�S©UT>I WINDSR'S STREET CUT PERMIT MANUAL. r L l l.' ISSUED BY DATE INSI-ECTED INSPEC D BY 8/22/20112:36PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm ��°(iTA .�/4ll tiG �tiC. Phone Address of Firm /Sa crytilEy" 04,6 Zip Code Location of proposed work_ yS Describe fully nature of permit requested lf�rl/»rwel 16 UIZa_/54 y Starting date GAG ..1 Approx.time for completion Call Before You Dig-No. .20/I iToO-rD S Existing Water Supply: ❑Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST-OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing indicate.North Town of South Windsor No.cuts Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ fft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of.Deposit$ Total Due$ ( )Cash ( j Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D. i AGREE TO FURNISHFW WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH.WIES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WI TH FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUEWINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: �yG 0Y, JOG) Title: Driver's License#: 13 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 activation Permit 08 REV 10-22-08 TOWN OF SOUTH WINDSOR INSPECTION REPORT 1 ) 00,;l �z PERMIT NO.: r CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: /Z INSPECTED BY: tiD WORK IN PROGRESS:��v+1v AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07