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HomeMy WebLinkAboutStreet Cut Permits 9999 Pond lane (2) 1200052 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/18/12 GIS ID: 73509999 = FEE: 25.00 MUNIS APPLICATION# 201200434 - IRATION DATF. 04/18/1 APPLICANT LOCATION NAME: BARBER UTILITIES LLC t DRESS 99091POND LANE ADDRESS: wwf- 35 PINNACLE ROAD i -T4WI OF SOUTH WINDSOR ELLINGTON,CT 0609 " 1540`SULI IVAN AVE SOUTHWINDSOR,CT 06074 PHONE i WORK DESCRIPTION: WATER IRAWA SL C k I T PIIA E II APPLICANT AGREES TO FURNISH THE TOWN OP�OUTH {)R TEEMOUI~#T 6F BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN'�I Xf EN I IN E TH7 TOWN FOi AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPL A-ILIAIXW PI ANI WTI I ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SCUT IWiI*1DR STIET C}TPERIWfIT MANUAL. ISSUED BY DATE� TED INSPECTED BY 4/1 8/2012 1 1:29AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** --------------------- IBM - v R ' TOWN OF SOUTH WINDSOR INSPECTION REPORT _ • PERMIT NO.: • OONTRAcTOR. • LOCATION: ©V1 le .TYPE OF WORK: 1 n.S J I - bo f//, � �5-ej U 'DATE INSP NEEDED: DATE INSP.— INSPECTED WORK IN PROGRESS:_ (� , ,�►'t o�ae �."ll P ,e.2, F� aw SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT:_ LVJ\ DATE: W12007 Town of South Windsor INPSBMON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC-WORKS DEPARTMENT '1540 SULLIVAN AVENUE Date: 2- SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm__ Phone No. — — - - -- Address of Firm dip Code ®�- Location of proposed work - - F0$J 0 4-A) .- Describe fully nature of permit requested ttJfl-i K_ �5Ert P S Starting date 41 -1 ?-/Z- Approx.time for completion Call Before You Dig No. 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 UjtML GO Pgj A-1 > Est.Patch Sizes) sf Est.Pvt.Thickness in. 7 Est.Patch Unit Price Est:Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price Est:Curb Cost$ Est.Traffic Unit Cost$ Ihr Est.Traffic Control$ AmL 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 R ANY EXPENSES.INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PE T AND THAT I AM FAMILIARVITH AND WILL.ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS 'LINED IN OWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date• �—✓ 7'�Z Title•- Driver's License M 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.