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HomeMy WebLinkAboutStreet Cut Permits 9999 Nevers Road (4) 1000083 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLI UTILITY DATE: 05/11/10 GIS ID: 62409999 FEE: 00 " „ MUNIS APPLICATION# 201000552 EIRATION DATE: APPLICANT ,LOCATION NAME: J&H SLATER CONST At"DDRESS NEVES`ROAD ADDRESS: 75 COMMERCE WA ............� OWNERO` ' Ad SOUTH WINDSOR G�i SOUTH WINDSOR 0604 hS40 C7L IVAN AVE ,SOUTHINDSOR,CT 06074 PHONE 860-528-5252 �� ` A A �� WORK DESCRIPTION: RELOCATE'kATER MA] T TAT SAJ ,E 53A FOR NhVy ERR R01 D RE,A„ACC T JFACT APPLICANT AGREES TO FURNISH THE TOVff OF SAC3[TTH W......SHE AI IOUN7�OF BOND REQUIRED AND TOREIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY XPiN§ES INC�1�BYATk�EOWI* FO °MAINTENANCE OR REPAIR I VORK IN CONNECTION WITH THIS PERMIT AND THEtCAN IS �MILT�It Wb T$AND; LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF 5Olt", WINDSR'S,STREET CUT,���RMIT MANUAL. '` m ISSUED BY DATE INSPECTED INSPECTED BY 5/11/20103:53PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:_ � c DATE:_ W12007 Town of South Windsor INPSETION REPORT 07 S01000552l APPLICATION FOR STREET EXCAVATION PERMIT t oc 83 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN'AVENUE Date: t0 6>6Z32 SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm 1 ��- Z. LATE Phone�No. Address of Firm Zip Code tS? Location of proposed.Work z Z Describe fully nature of permit requested Starting date Approx.time for completion Call Before You-Dig No. q.C�10 B©31 (/ Existing Water Supply: 0 Public Water ElWell ExAsting 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 YEAROF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN,A'YEAR Show sketch,of proposed work or fumish This section to ttefilled.out by two copies of separate drawing Indicate North Town of South Windsor ,ff No.cuts Est.Patch Sizes) sf U` Est. Pvt.Thickness in. Est. PatchPrice Unit $ /sf Est.Patch Cost Est.Curb Replacement ft- Est.,Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Atnt.of Deposit$ Total Due$ (- )Cash O 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 OUTH.WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR.REPAIR WORK IN CONNE TI N WITH THIS PERMIT_ANDTHAT I AM FAMILIAR WITH AND WILL ASIbE BY THE RULES AND REGULATIONS FOR PERM) S Ap OUTLINED IN;THE T N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. 0 Signed Date: /110 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 10-22408