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HomeMy WebLinkAboutStreet Cut Permits 25 Deming Street 1200250 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 12/24/2012 GIS ID: 27600025 FEE: 25.00 MUNIS APPLICATION# 201201710 = EXPIRATION DATE: 12/24/2013 APPLICANT LOCATION NAME: BARBER UTILITIES LLC AI3DRES : 2T3EMING STREET ADDRESS: P 0 BOX 331 C? NER "CflTTOJ ESTHER A ELLINGTON,CT 0609 = = 2S IEMING STREET S9UTI3 INDSOR, CT 06074 PHONE 860-872-2330 WORK DESCRIPTION: NEW WArTER SERVIGE= = / APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH%NDS0I-'FHE AMOUN3"OF BQND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY3PENSES ING�ED BY HE TOV4�IV FOR"MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APRLICAN IS FAIvIILIAFi WIC I ANI�WILT ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOIJTI -- DSR'- STREET CUT ERM=T MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 12/24/2012 10:47 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:1 CONTRACTOR: &d2lb2 E j "IDS LOCATION: aS I cl S fret TYPE OF WORK: 1 ue ( ` -� DATE INSP NEEDED: DATE INSP: r` - 2 T - I INSPECTED BY: 61D WORK IN PROGRESS: I 111c)® Ina4-6 I p �•� ��,, c SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:_0 DATE: bo / S/FORMS/TTOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR STREET EXCAVATION PERMIT .Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: 1 Z-Zq-lz- SOUTH WINDSOR,CT 06074 FEE $25000 Name of Firm -.`� .1 �1 n U T?t Lt.C— Phone No. Co Address of Firm o: 4a 33( EZ ,u �T Zip Code ©�a2 Location of proposed work ZS '4 fm t U r Describe fully.nature.of permit requested Starting date i 2-2.�— 12_ Approx.time for completion l Call Before You Dig No: 20 12ZS(o�:Y Z`( Existing Water Supply: [I Public Water Weii Existing Sewage Service: WPubiic.Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULLFINAL COST OF THE PERM�ENT PATCH AND CURB REPLACEMENT;INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC:CONTROL AND THE TOWMS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. !Show sketch of proposed work or furnish This section to be filled out by . two copies of separate drawin Indicate:North Town of South Windsor 2 s No.«� Est.Patch Size(s) 4 56 sf Est.Pvt.Thickness in. Est.Patch Unit Price$_3�/!sf c r! Est.Patch Cost Est.Curb Replacement t . Est.Curb Unit Price$ i"1 Ytt Est.Curb Cost$ :�y Est..Traffic Unit Cost$ /hr Est.Treffie Control S Amt.of Deposit s ?-n V Total Due wo Cv24 (------------ )Cash Xcheck# Applicant is responsible for contacting * Paid By the Police.De t.and C.B.Y.D. 1 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 CONNECTIO ._ TH THI RMIT AND THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE.RULES:AND REGULATIONS FOR. PERMITSA O TLI ED N HE TOWN OF SOUTH WINDSOR'S StREET CUT PERMIT MANUAL. Signed: Date,• Title: 4��x �Y'Yvt��' - 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 - = ®®iEwnw®®®�■■�®iE�r�we�rwwwi®��w®®®!.®®®wi®w!!®!O - ®®/EtwwwlMr®®®�/,w�r®�www®w,r��®uE.e®®®!®E'�®!!!!■ ' ®®s®®®®®��®®��.1�!!1s■EEi��E�Ei�■AEI■®®'■EIS®■■®�® Now, lill slow ®MENEM OMEN IMEEM No ®!�®■®��®®EEM■®�sE!®�®����®®®®®EI�OO®wd�M®®MO ONE a mom NUNN ME No E1:'-,,.....,... ,. ..��. ..�� MINIMA no WE onowiloom a no mom, on ®/�.�®®s�s!!!M!®®MMO®! ®1�®®•®!!! Mammon®MEMO, ®®l1®®!®!!!®®MM!l�1�MO®® MO■1/mommu!! In Enos®®®�®!!�!!®!®�®�� ,=iOM EMNN®®! BONN ®®�!■!!! !!llwrM!!�®®■MOMM®M®� 1111 ON_ NNE��OWHOM Ml�i®®!®®MIME ■®!s■��®l■RioM®ME®®®fwll. Al�ii�!® mom ago �!® f ®�®EE/M!!®!!O®new!®!!®!!!Me®!nO ®�®Iw■ !®lEMM®OOM®O®®t®®®®®®�®®:iioo®�''!O■ L ' !!®!!®U!I!!M®®®®®i!®O®!®®®M lEEMEE IRENE _ 1