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HomeMy WebLinkAboutStreet Cut Permits 11 Dawn Drive (2) 1300181 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/17/2013 GIS ID:26400011 FEE: 25.00 MUNIS APPLICATION# 201300986 EXPIRATION DATE: 07/17/2014 APPLICANT = LOCATION NAME: ADVANCED CONSTR-tCTI0) f A�DRES - 11 A WN DRIVE ADDRESS: 5 CHESTNUT HILL RSA = EIV TROIANQ JOSEPH E&HARONIAN GRAC STAFFORD,CT 0607i - DRIVE S4tJTH VC7INDSOR, CT 06074 PHONE 860-519-8442 WORK DESCRIPTION: INSTALIB' A1E APPLICANT AGREES TO FURNISH THE TOWI�OF SOUTH L�SI �ANIO��i:J OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANEXI'ENE IN . IBH TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THftP�LI�AI+-T IS 1mftw AIa{1146 ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN O?--so T-" WINb-SR'sa- THE I CUTPERIIFIT MANUAL. 1 I = wfe ISSUED BY DATETNSPECTED INSPECTED BY 7/17/2013 9:34 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Ar 8-7 i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:_ 13 00 al CONTRACTOR: /�Q'a✓lced COY-)S-hQ , LOCATION: 1 I uj I TYPE OF WORK:__ 1 Yl_S+rA d (Z i2 ICA.71—V DATE INSP NEEDED: DATE INSP: f - 3 t) q INSPECTED BY: Qom_ WORK IN PROGRESS: 4 0 S SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR-STREET-EXCAVATION PERMIT - - - Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm "A G r /=n!' l'8CC,nA01 SeV Phone No. 9(�7 16) oe/ Ll'' � f ©FZAddress of FirmCh FSt-�„ p Code Location of proposed work�� �` Describe fully nature of permit requested_ 1 A -}-� I i F n jgC Starting date "-7a 1 (0 Approx, time for completion Call Before You Dig No,if5)3 290g94 Existing Water Supply: ❑ Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor 0 No. cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost Est. Curb Replacement _ Est. Curb Unit Price$ /ft Est.Curb Cost$ Est. Traffic Unit Cost$ Est.Traffic Control$_ Amt.of Deposit$ Total ( )Cash ( )Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.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 CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT ANUAL. a Signed: Date: Title: 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