HomeMy WebLinkAboutStreet Cut Permits 593 King Street (2) 1200090 TOWN OF SOUTH WIND
PERMIT NUMBER S O R, C T
STREET CUT PERMIT
DATE: 05/31/12
GIS ID: 50400593
MUNIS APPLICATION# 201200679 FEE: 25.00
ATE: 05/31/13
APPLICANT = = LOCATION
NAME: CENTRAL SEALING CQ INC
ADDRESS: 150 SUNSET RIDGE L�RI� -DDRESS; S9 `KII G STREET
EAST HARTFORD CT 06 Q8
DER IvICKE0I1 JOSEPH
' S93 I1N STREET
PHONE 860-289-7900
SOUTH WINDSOR, CT 06074
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WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTHDSOTHE;AMOI7ITREQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR
FERMI FOR ANY EXPENSE,IN RI D$y fiH TfSWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THQP�L 4NT IS FAI�III BAR WiTAND WILL FOR PERMITS AS OUTLINED IN THE TOWN O ABIDE BY THE RULES AND REGULATIONS
i�SOL T H yVINDSR STRBET-0 I PERMIT MANUAL.
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ISSUED BY DAT IN P TED y
INSPECTED BY
5/31/20122:17PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMESAf
***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Lobo 96 CONTRACTOR: C en'1 6l -5,0cx I�
LOCATION: S9 S 1C'►nG S`�'
TYPE OF WORK: bc � �h-P
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: r3n
WORK IN
PROGRESS: '
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: CNN- DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT —
Appl,No. TOWN OF SOUTH VMDSOR Permit No_
PUBLIC WORKS DEPARTMENT
TOWN HAT—
fg5�3{�}SULLIVAN� AVENUE
y�}
_ tT 117 ViffiT�c�iclT'��y C 06074
Name of Finn No V I'en I-
Oe Phone No
Address of Fiat �17 _' !d �lrl' �S t � f f Z� C np Code—.Lib 11 i
Location of proposed work S 3 bC
Describe ftd[y nature of permit requested f�U L t S��'1 i.}'
Start�g date ly to f d 0 f 3- Approx.time for npletion t L� 'ee�'_
Call Before You Dig No. L)f r 1 0 313 Sr
PLEASE NOTE; THE DEPOS4T FOR THE PERMANENT PARENT PATCH AND CURB REPLACEMENT IS A
PREF.TMTN iT IE ESTIMATE THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB TtEPL CEMENT,INCLUDING ANY iNCR�AST_S IN-PATCH AREA FRB
LENGT14s TRAFFIC CONTROL AND THE TOWWS CONTRACT COSTS. THE PERMANENT PATCIf tS'TYPTCAtt.Y
COMPLETED VWTHTN A YEAR OF THE€EMPORA RY PATCH BUT TT COULD BE L i ER THAN A YEAR=
Sluitiv sketch of proposed work or furbish on to be filled out by
two cr ies o€separate drswi€zg #odic to Norf: €rn of Sr3utti Windsor
No.cuts
� } Est.Patch 8lze(s) sf
Est.Pvt.Thickness in:
Y. Est.Patch Unft Price$ fsf
Est.Patch Cost�
r� Est.CurbReplacement -__-- -
i Est Curb Unit.Price$ f�
Est.Curb Cost$
1,V) I SF Est.Tmffic Unit Cost$ Itfr
ESQ.Traffic ordrol r
Amt.of Deposit$
Total Due b
)Cash ( Check#
Applicant is responsibie for contacting Paid By
fhe Pfli�De t.and C.B.Y.D. - -
I AGREE TO FURNISH TO THE TOWN OF SOUTH Yt INDSOR rriE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUT 4 WINDSOR FOR ANY EXPENSES-INCURRED BY THE TOWN FOR'MAINTENANCE OR REPAIR WORK IN
CONNEC 1ON W..rrH T141S PERMIT AND TTiAT I AM FAMILIAR WMi AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
pEERMITS AS OUTUNEQ IN TOWN OF SOUTH WINDSORS STREET CUT PERMIT MANUAL.
Date-
77fte:� C C?► 'Gf 1 ttG S�''(r P�1�ti ��! Drivees License#: l 1 Ll ,�l, 0
gERMIT$"ALL BE KEPT ON JOBSITE AT ALL TIMES
gtzee<Excavation Permit 08