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HomeMy WebLinkAboutStreet Cut Permits 85 Felt Road (2) -------------- 1300269 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/17/2013 GIS ID: 32400085 FEE: 25.00 MUNIS APPLICATION# 201301530 EXPIRATION DATE: 10/17/2014 APPLICANT LOCATION NAME: SIROIS&GALE CONSIT Cb ADDRESS: 8 EELI ROAD ADDRESS: 73 SYLVAN AVENUE -OSIER ENERATION2 INC W HARTFORD, CT Ofr1917 $5ET RD STE 502 SOU H V INDSOR,CT 06074 PHONE 860-521-7077 =` WORK DESCRIPTION: INSTALU 4"PVC C4 VI�IN�R�ISS F M POD E$854 FOR NEW AT&T SlVIC1✓ APPLICANT AGREES TO FURNISH THE iDWN OF SOUTH WINI SOIL THE A OUL*T OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AAV EXPENSES IN-0-W EI i3 SHE TOWNFOI MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APP1 ICANT-IS FAMILIAL WITH-AND WILL'ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN'THE TOWN OF�OUfiH WIN;IDSR S STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 10/17/2013 3:06 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 13 Opa 6 9 CONTRACTOR: g i`r'o is AGE LOCATION: 8s Fc 1f t2d X7' TYPE OF WORK:_ 1n s4.1fl /)�1' PVC c ,�,��K;f +1 P61e 5�53T Y f�, e4T£T DATE INSP NEEDED: DATE INSP: Q � INSPECTED BY:_ BD WORK IN PROGRESS: e- q f /i Cd t',4 sir qT F -r / G L7 i� / t34-T /� OK AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 F F - � � kv � - Appl NEs " b` tN tP SQ€)T1IMIINRSOR permit Nb; PUBLIC YV�FIK$D(wP�iRTIiAEi'f Dkt JAI t IOU .S4UTI'i riNDSOR,CT rt6074 Name of>^irrn � "-4- Ph- No Address of firm t _ " i ode1 � Lo�tipn df proposed wo _ . , ©e�crlbe Bitty nature of permit re7 77- uettod Starttn date 1 Approx tuneforbornpietio� CBiI Before Yotx Dig No . D t Existing,Water Supply O;Publia 1fater }1lUell Existing.Sewage.Service: ]1'ubircieWer: }Septic PLEASE NOTE Q POSIT PQR THE 00 IVIAN.ENT:PA - MENT.PATCH Ai+lq CIiRB F PLAGEMEN'f iS A PREEJMINARY,ESTIMATE, THE APPLICANT`IS tiESPQNSISLE,FOR:T,NE' UtL I'INAL CAST QI`THE PERMANENT PATCH 1#ND GURB REPLk�EME1�17;1MCLUDiNGf.ANY-iNCREASI S IN PAT-C !AREA,CURB L N.G'1`H;TRkF�iC COIVT tQL ND:TH�T©YVN'E CONTRACT COSTS.';'iTHE#'Et MANENI'PATCH iS.T1fP.ICALf Y COMPLETED,WiTHiN AYEAROP THE T�INRORARY PATCiH`BUT IT COULD BE LATER TITAN"A YEkR Show sketch of propos, o. -. or:fumish" , This section to be filled ouf by , two cope S.of separate drawing lixlicate North Town of Sau#tt iinndsor �tE.� No cuts ( .'�: Est.:Patch Sizes) sf. t�, t f t Y _{ Est Pvt.Thidmess _.,_in. Est Patch.Unit Price$ /sf �- li Est PtCh Cost last.Curb Replacement ft, Est.CurtiUnit � "Est.Curb Cost Es#.Traffic Unit Co st$ -/hr. Est..Trattl Dontrot� of pepgsit Total Due a {;)Cash { }Check#' Apntsrpblefora Paid syr the Po11t .lJ.e t AM C.B.Y.fj. i AGREE TO FURNISH 7O;THE TOWN OF SOUTH WINDSOR:THE AMOUNT.OF 80ND REQUIRED AND TO AtWOURSE'THE 'GOWN flF SOUTH_ (YINDSL?t FOR ANY';:EXPEIVSES INCURRED BY THE TOWN FOR IM NTENANCE t?R_REPAll3 WORK 1N GONNECfiION WITF l THIS'P RK41 THAT!i AM FAMI.t.1AR WITH AND WILL AB.IDE`BY THE RULES AND:REGULATIONS _FOR HERMITS AS OtJTI INFO IN THE TOWN OF'SOUTH W(NDSOR'S'STREET.CU7 t'ERMiI MANUAL. Signed: Date Title: Driver's License# PLEASE ALLOW AT LEAST'TWO WORKING DAYS AFTER APPLiCATION'FOrt iSSUANCE.OF PERMIT lil(QRIC MAY NOT BEGIN UNTIL A.;PERMIT HAS BEEN ISSUED PERMIT SHAiLL BE:KEPT"ON JOBSI'i E AT ALL T1MES Street?Excavatton Permi> 08 R�V'1Q-2Z-08