HomeMy WebLinkAboutStreet Cut Permits Peach tree lane (2) 1200055 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/18/12 = -
GIS ID: 70209999 FEE: 25.00
MUNIS APPLICATION# 201200438 ,, = EIRATION DATE: 04/18/13
APPLICANT - LOCATION
NAME: BARBER UTILITIES LLC DRESS - 9399 PEACH TREE LANE
ADDRESS: P O BOX 331 f � i---`TOWN O SOUTH WINDSOR
ELLINGTON,CT 06029 = == 14-O SUL IVAN AVE
lkh
S- U LI V INDSOR,CT 06074
PHONE 860-872-2330
WORK DESCRIPTION: INSTALL�NW CAI AN HBIGTITS PHASE II
APPLICANT AGREES TO FURNISH THE TQWN OF SO JTH y4 D-sw AJvIOk7NT GF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI=EX�1 1 ES INS Ji} i3 THE TOV�iN P-Oi MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP15IAAN�VMW)WWI-TTI ANF3 WII L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR-'S-S- EET t1TP1 RI9fTT MANUAL.
ISSUED BY DA E SPECTED INSPECTED BY
4/18/2012 12:11 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPEMON.REPORT
PERMIT NO.: OONTRAcrop: r ���,
rmE OF WORK:
DATE INSP NEED: DATE INSP:
INSPECTED BY: � .
WORK IN
PROGRESS:-
SEPTIC TANK PUMPED,SMASHED, FILLED WIZNESSED El YES ❑ NO
AS-BUILT:
INPUT: DATE:
W/2007 Town of south Windsor INPSEcnoN REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: y 7- (2
SOUTH WINDSOR,CT 06074
FEE'$25.00
Name of Firm f L�-___:U� -/ _ L LC'_ Phone No._ A60—g?2—?—
Address of Firm_ �? 13 a�e 3 r LL�.c� � C—"T Zip Code ®6021
Location of proposed work f6-ItCH &
Describe fully nature of permit requested PV 151e L-
Starting date Approx.time for completion
Call Before You Dig No. Existing Water Supply: ❑ Public Water El Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.-THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate:North Town of South Windsor
No.cuts
e1 i Est.Patch Size(s) sf
. G✓ Est. Pvt.Thickness in.
Q
Est. Patch Unit Price
Est.Patch Cost$
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 SOU WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTIO I H THIS RMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS U LI' D HE TOWN OF SOUTH WINDSOR'S STREET CUT-PERMIT MANUAL.
Signed: Date: 9�7—/Z
Title: 4-115 a.)IV6)L- 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