HomeMy WebLinkAboutStreet Cut Permits 9999 Avery Street (3) 1100170 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/20/11
GIS ID: 06309999 — FEE: 25.00
M UNIS APPLICATION# 201101240 � � IRATION DATE: 10/19/12
APPLICAN ,'% %% LOCATION
NAME: BARBER UTILITIES /RE ACE y TREET
ADDRESS: P O BOX 331 t y �0 SOUTH WINDSOR
ELLINGTON CT 0609,
3; yip 3 �0 S_UU IVAN AVE
� J INDSOR,CT 06074
PHONE 860-872-2330 '` I - 5
' y
WORK DESCRIPTION: INSTTLr 5
HOUS S�'.
APPLICANT AGREES TO FURNISH THE I OUT 4RED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN SEI1~i (1J R AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH AI I A} ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFU I
5. � � , T C =PE IT MANUAL.
ISSUED BY DATA , CTED INSPECTED BY
10/20/20113:17PM ' PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Q70 �Jly .
LOCATION
n?E OF WORK: I aA 11 &W
DATE INSP NEEDED: DATE INSP: 940 �2
INSPECTED BY: 8 D
WORK IN
PROGRESS:_' n'►a:'� n s � -� c V,3 N w
40 +
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
'AS-BUILT:
INPUT: _ DATE: 9/30/f 3--
W/2007 Town of South Windsor INPSEMoN REPORT 07
'Zaf t p z,4p APPLICATION FOR STREET EXCAVATION PERMIT 1 1®C)1-7 Q
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date: 10
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm 73/fg6 021_17Z Phone No. 960,S7
Address of Firm 3 S' 9iNIVAI-C 6 AQ. L-2_"1yr,-Ibl C-T. Zip Code 06 o 2_9
Location of proposed work A ug�y 157
Describe-fully nature of permit requested /NST kPZ 11/6-2v u21A2Zs?2 - OZ06 e-1
Starting date AM V. Z/ Approx.time for completion 006- nt oYV.72-f
Call Before You Dig No. 20i/ 5/36/7 0315 Existing Water Supply: El Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLE.;SE NOTE -tIE-D€P-0Sq'F HME— BATCH-AND CURB REPLACEMFN IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.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
CONNECTION TH THIS RMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS O INED I . HE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: /0-Za-1/
Title: Wek"156L 9,l mwxzc Driver's License#:, 95-122-263'3
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