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HomeMy WebLinkAboutStreet Cut Permits 9999 Barber Hill Roa (4) 1300140 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER _ _ - STREET CUT PERMIT DATE: 06/21/2013 GIS ID: 99990780 MUNIS APPLICATION# 201300855 FEE: 25.00 EXPIRATION DATE: 06/21/2014 APPLICANT 'S NAME: BARBER UTILITIES LLC, —�% LOCATION ADDRESS: 35 PINNACLE ROAD - 5WORES g.99B BER HILL ROAD � I 1-jQ WN di SOUTH WINDSOR ELLINGTON,CT 0609` ts 40ftLiIVAN AVE PHONE % - j INDSOR, CT 060742734 i� WORK DESCRIPTION: INSTAI,L560FV WA Mt TN �A I R ZEN FARMS tffvAPPLICANT AGREES TO FURNISH THE T )W�JF OUT Vi�L3SQ � p T OF BO&D REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN%O&FIV, E �IN �THE T6N FAR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH �AIF�S IAA W ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF'S-OUTi-�r-WII�SR TI cHTl'pI RIvIIT MANUAL. ISSUED BY DATE IPECTED INSPECTED BY 6/21/2013 8:50 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ,. AN i i�M zi Ali i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:_I 3 1 q D CONTRACTOR: 2c r l esz LOCATION:_ 6a s t3e 11 (� TYPE OF WORK: i n.� a l 1 �c�.,1aA rnal� In fraz�r Fi-tL ���^ +��2►m� DATE INSP NEEDED: DATE INSP: - 3 =-j3 INSPECTED BY., WORK IN PROGRESS: v SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT. INPUT: DATE:_ S/FORMS/TOWN OF SOUTH W/INDSOR INSPECTION APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. - --PUBLIC - .1640 SULLIVAN AVENUE Date: 46^ /3- SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Z//7Li Phone No. 940, 971-- 233 0 Address of Firm ?? Zip Code 060Zq Location of proposed work_ � h IYIc-� D Describe fully nature of permit reques ed !A/,S 01 f/„� Starting date ( ^2-A"1.3 Approx.time for completion -/ G/ta-dz Call Before You Dig No. 20 r 523©29 2C1 Existing Water Supply: .❑Public Water ❑Well Existing Sewage Service: Ei Public Sewer ❑Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or fumish This section to be filled out by two copies of separate drawing Indicate.North lown of South Windsor No.cuts Est.Patch Size(s) sf Est.Pvt.Th16kness in. Est.Patch Unit Price$ /sf y� Est.Patch Cost$ v Est.Curb Replacement ft Est.Curb Unit Price-$,. /ft j. a 1 Est.Curb Cost.$ C w W Est.Traffic Unit Cost$` /hr t f Est.Traffic Control$ f Amt of deposit$ Total Due$ 2 O Cash �Wheck# Applicant is responsible for contacting Paid By the Police Dept.and C.S.Y.D. I 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 CONNE STrTq TH THIS P IT AND THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS INED TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed Date- Title: tf cy llerX 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