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HomeMy WebLinkAboutStreet Cut Permits 79 Deepwood Drive (2) 1300126 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/06/2013 GIS ID:27000079 - MUNIS APPLICATION# 201300763Ad FEE: 25.00 APIRATION DATE: 06/06/2014 APPLICANr LOCATION NAME: CENTRAL SEALING C}JNG ��RES ��% 79 DEEPEWOOD DRIVE ADDRESS: 150 SUNSET RIDGE 04 ' EAST HARTFORD, I� % 51 JANET H _ 7 I n*OOD DRIVE 10- PHONE 860-289-7900 ' � flIJ INDSOR, CT 06074 U i Of WORK DESCRIPTION: DRI APPLICANT AGREES TO FURNISH THE TlQWXAF�QUT i THE TOWN OF SOUTH WINDSOR FOR AN -,Egfl ER4 AMQ T QI� ND REQUIRED AND TO REIMBURSE IN CONNECTION WITH THIS PERMIT AND THIPPL1r7 J1` IA A ABIDE BY THE RULAINTENANCE OR ES AND REPAIR GULATIONS ATIONS FOR PERMITS AS OUTLINED IN THE TO WN OF SDI W W� tol-GIB I'E IIT MANUAL. Bi Ila .` ISSUED BY DATE-W9PECTED INSPECTED BY 6/6/2013 10:28 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Aff Ift i� j %t TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: Ge n-t r I Seal LOCA1I01Y:'19 b ee.p';oeo TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: elb WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: LV DATE: \� S/FORMSrTOWN OF SOUTH WINDSOR INSPECTION APPLICATION Fop,STREET EXCAVATION € ERMIT i 3n®/ate Appl.No. TOWN OF SOUTH WINDSOR Permit Ilo. PUBLIC WORKS DEPARTMENT TOWN HALL -1540 SULLIVAN A't SNUE W1t'ff[�1�N �DSO ,CT 06074 E Name of t=i=rtn L1 P V1 h'�i i SQQ I I �D • (V►C Phone No. 0©- Address 4f FITM Iu S(,tV1SC f' +d e Pn e El S� r� rd - C I' �iricte D i 18 Location of pr posed work D V_e Describe fully nature of permit requested 6t W Ct S h ad' rl 'eZ Starting date Approx.time for completion_ g�2- QI CI I Call Before You Dig No. PLEASE NOTE' THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PREI.ifll INAPy ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB€REPLACEMENT,INCLUDING ANY INCREASES IN PA'i"CN AREA:CUR13 LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS`I YPICAL.L.Y COMPLETED VWTHIN A YEAR OF THE TEMPORARY PATCH BUT TT COULD SE LATER THAN A YEAR. Show sketch Of proposed work or furnish This secticm to be filled out�v two copies of separate drawing Indicate North Twm of Solo Windsor No.cuts i Est.Patch Sizes) sf Y g'� Est.Pvt.Tlrldcr;ess in. Est Patch Uri Price fsf Est Patch Cost$ Est"Cuts Replacement (p i Est Cub unit Pace$ f •• . � �l� • ESL curb cost �� i SF Est.Traffic Unit COs-t$ fisr Est.Tra€fie cord vi Amt.of Deposit$ road Total Due$ ( )Cash ( }Check# Applicant Is mspomibie for contacfing Paid By " the Police I)e t.and C.B.Y.D. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REWBURSE T14E TOWN OF SOUTH WINDSOR FOR ANY EYPEINSES-INCURRED BY THE TOWN FOR-MAINTENANCE OR.REPAIR WORK (N CONNECTS WITH TI#IS PERIL rr AND THAT I AM FAMILIAR WITH AND VALL ABIDE BY THE RUNES AND REGULA71ONS FOR pEWITS AS OUTLINED IN THE TOWN OF SOUTH WINDSO S STREET STREETCUT PERMIT MANUAL. Date- 513 I , 13 C c Tltfe Dl�p•Sect ki1a Driver's License PERMIT SHALL BE KEPT€3N JOSSITE AT ALL TEES greet bccavatwil i?earnit as