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HomeMy WebLinkAboutStreet Cut Permits 87 Dawn Drive (2) 1200003 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 02/03/12 GIS ID: 26400087 - FEE: 25.00 MUNIS APPLICATION# 201200099 EXPIRATION DATE: 02/02/13 ;- APPLICANT > - LOCATION NAME: CABLE CONSTRUCTION C AE, ADDRESk 8?DAWN DRIVE ADDRESS: P O BOX 159 " QjIER SOLL A DAVID M&ANNAMARIA K MIDDLEFIELD,CT 045 87 DAW3�T DRIVE ' OVI V INDSOR,CT 06074 PHONE 860-649-8217 AF WORK DESCRIPTION: PLACE ELb�I(E V IRE FROME S I ING T I PH ONE PEDESTOL IN FRONT OF AjT ig&-gr9`T0 2-247{# OTAL BZ?RE UNDER 95 DRIVEWAY APPLICANT AGREES TO FURNISH THE TQW OF-SOUTH VDSR TEE AMOUNT OF`gpND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANV- FNSES INCUI D 3�'THE TC3WI�I OR 4IAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THI APPLJCANT.IS FAMILIAR WITfi ANI WIf L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQI7TH W-l'NDSR'S STREET CUT=PE GIIT MANUAL. n i ISSUED BY DATE INSPECTED 'INSPECTED BY 2/3/2012 8:34 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** j 0 ; TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I a 6b60 CONTRACTOR: jam. LOCATION: 4 �, u TYPE OF WORK: :DATE INSP NEEDED: DATE INSP: INSPECTED BY: 9 0 . WORK IN PROGRESS:_��©�, SEPTIC TANK PUMPED, SMASHED, FILLED WrMESSED ❑YES ❑ NO 'AS-BUILT: INPUT: DATE: W12007 Town of South Windsor INPSECTTON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC.WORKS DEPARTMENT 1540 SULLIVAN AVENUE Dater !o SOUTH WINDSOR,CT 06074 FEE $25.00 .Address of Firm ( Dt'1 i�G�'(� ;e.�q°� C7- Zip Code Location of proposed work_" 9 . A �`. Describe fully nature of permit requested acg fi h�. ,Mcr�' n2 D Starting dat ! - Approx.time for completion__ Call Before You Dig No. ,10 I Existing Water.Supply: ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE, THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB i.ENGTH;TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing lndicate.North Town of South Windsor \� r(� d• No.cuts Est.Patch Size(s) sf i 7 Est.Pvt.Thickness in. i Est.Patch Unit Price$ /sf Est:Patch Cost$ �O Est.Curb Replacement ft Est.Curb Unit Price.$. fft Est:Curb Cost$ Est.Traffic Unit Cost$ fir Est.Traffic Control$ Amt.of_Deposit$ Total Due$ O Cash O Check# Applicant is responsible for contacting Paid B the Police Dept.and C.B.Y.D. y 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 WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS qUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. j Signed: ct Date:_ Title: 01,1 Aar C 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