HomeMy WebLinkAboutStreet Cut Permits 9999 Highview Road (2) 1200049 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/18/12
GIS ID:43209999 FEE: 25.00
MUNIS APPLICATION# 201200430 „ E �PIRATIO�TDATF na»�ti
APPLICANT LOCATION
NAME: BARBER UTILITIES LLC DRES�� 990 III4HVIEW ROAD
ADDRESS: 35 PINNACLE ROAD ER = TOWN OF SOUTH WINDSOR
ELLINGTON,CT 06029 1540�ULIIVAN AVE
PHONE ,
�Sibb WINDSOR,CT 06074
WORK DESCRIPTION: INSTALLA FRyIAII7INDI✓ 1✓S /
APPLICANT AGREES TO FURNISH THE TC WN OF OUTII'V NDSI w'FI�AMOUl OF----BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI'X-mp 1 ES=INC BF $ THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THPIS kANT S II AI2 WITHANI}W
E A ILD ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S60 11 WIIaIDSRp— TREBT--CI TPER IIT MANUAL.
ISSUED BY DX ED INSPECTED BY
4/18/201211:08AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:
_ ----------�g OONiR14CTOR: - i�r�f .L'�+� i�°^ ��I ems- •
LOCATION: 11 � --goadv
.TYPE OF WORK: /✓I S r.l 1 i �,
:DATE INSP NEEDED: DATE INSP: -9
INSPECIED BY: 3 D
WORK IN
PROGRESS.
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED []YES CI ND
AS-BUILT:
INPUT: DATE:-
W12007 Town of South Windsor INPSWnON REPORT 07
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 $25.00
Name of Firm &Y-130L 617 L_ / 7 t L-L-C Phone No. 614U— ZZ-Z330
Address of Firm R'0' - igox 53( &ZLfNG 7'0ti - cam'. Zip Code 06d 2_9
Location of proposed work H I Q.,q Ilt C4J Gr✓
Describe fully nature of permit requested !N 5 7)fLL_ G E-:-:>
Starting date '` '/ �-�2 Approx.time for completion acS
Call Before You Dig No. ZO t2C 5Do667 Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
D
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
J 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 De t.and C.B.Y.D.
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR F ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION - H THIS PER T AN'D THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS LIN DINT WN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: 7—/2
Title: � Driver's License#:
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