HomeMy WebLinkAboutStreet Cut Permits 9999 Good Hill Road (2) 1200053 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/18/12
GIS ID: 99993600 /
FEE:MUNIS APPLICATION# 201200435 0
E I'IRATION DATE: 04/1 25.05.03
APPLICANT - LOCATION
NAME: BARBER UTILITIES LLCM 1 I�RES9 9999"GOQD HILL ROAD
ADDRESS: 35 PINNACLE ROAD /%�� � R ( O SOUTH WINDSOR
ELLINGTON, CT 06029 '% A54-D SULLIVAN AVE
UTMWINDSOR, CT 06074
PHONE
WORK DESCRIPTION: WATERA Ell
APPLICANT AGREES TO FURNISH THE TOW. OUNT O"U D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY IN SENSE IJ'AI B THE TOWN'FOR MXINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE API LIt,AT IS FA�1I IAR W I Al D WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR SAN-TRE CUT
PEI2IIT MANUAL.
ISSUED BY DATE TED INSPECTED BY
4/18/201211:33AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
45
_71-
it
s
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMITNO.:_ Ia�Q cONniacroR:
LOCATION: ®(��
rff OF WORK: q-
:DATE INSP NEEDED: DATE INSP: I III I`
MSPECTm
WORK IN
PROGRESS:— t.)Aet
m
SEPTIC TANK PUMPED,SMASHED, FILLED WT['NESSED ❑YES ❑ NO
'AS-BUILT:
INPUT: L DATE �--
W/2007 Town of South Windsor INmcriw 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 $26.00
Name of Firm Phone No.
Address of Firm 10.0, -66 x 33/ 6 Z& UC& 7Oti GT' Zip Code c�0 Z
Location of proposed work 9022 /L.L <0
Describe fully nature of permit requested fSrJrl' fit}t-in.l �-72a/c "S
Starting date Approx.time for completion
Call Before You Dig No. Z.n/2-d6"ov(cz1:� Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFFIC:CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
-Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
Cl, ��t N� Est.Patch Size(s) sf
Est.Pvt.Thickness in.
n7 +' Est.Patch Unit Price$ Isf
Est:Patch Cost$ ^
Est.Curb Replacement ft
Est.Curb Unit Price.$.
Est.Curb Cost$
+ Est.Traffic Unit Cost$ fir
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.
AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SO WINDSOR F, ANY EXPENSES.INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTI: THIS PER IT AND THAT I AM FAMILIARWITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AVDLALI ED TH WN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed- Date• . 2
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.