HomeMy WebLinkAboutStreet Cut Permits 73 Rosemary Lane (2) 1300307 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER - - STREET CUT PERMIT
DATE: 12/11/2013
GIS ID: 77400073 FEE: 25.00
MUNIS APPLICATION# 201301806 EXPIRATION DATE: 12/11/2014
APPLICANT =" „ = LOCATION
NAME: ADVANCED CONSTAWTION 34O MARY LANE
ADDRESS: 5 CHESTNUT HILL iOAb ; . = 7NIsR I�OULII EMILY C C&RANDAL S
STAFFORD, CT 06g6 73 OS MARY LANE
% fiOYJzIVINDSOR,CT 06074
PHONE 860-519-8442
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WORD DESCRIPTION: INS AFL AND REPAIR-`SOX GA�LI; INIC3T
APPLICANT AGREES TO FURNISH THE 3 Obi OF SOUTH 1NDS£?R THE AMOUNT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'EXPENSI3S INIRREI3;BYTHE TOW11011VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC R'I'LICANT IS FAIvIIC1AR- fI AIII) 1LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF 5017HTIIDSR-S TRI T`CI3T'PI I; VIIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
12/11/2013 2:40 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:. !.3 003`° 7 CONTRACTOR:
LOCATION: 7
TYPE OF WORK:
DATE INSP'NEEDED: DATE INSP: /-`,z -ice
INSPECTED BY: 3 D
WORK IN
PROGRESS:_ 0 /1-i+� G ,w
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: _
INPUT: `its
DATE
lA,"12007 Toavn of South Windsor iNPSEM- ON REPORT 07
�f apt �rj 5� �� _ /K�TOI(�fit y7.O(��t��l"■����t�(�.Q.y.�O Per"�iE i�o :
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#��y' r 5 " Zip Cody `
.ocaelowd proposo Wo t
De—dbe#uily 0!1!4 a a# rrnit reglaesfiec
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Strtitg City r5x tirrie forofiptel'rort t c'
Appr
Cats Be#ore Mott Drg t`lo ,? � Z ? xiting F iisuiy� Public UiterI il�elt K
�xrStir�g Sewageervtce [ Pabirc Sealer _ Septic
PLFAS(i!NOTE Yh�l'� -POSIT FOR THE PERMANENT I�AVEm PA�CIi,ANQ 60116AEPLACEINENT�$A
RRLitNAR t51'[(sItAT--- ---- TIDE ApPLICANT`IS RES.0ONS14LE FOR THE ir'41:E FINAI.40ST tt{E
PERMANENT WATCH AN4 CURB REPLACI=MENT,,INCLtIO1NO1NGRPAES 1N BATCH:AREA,CURB
LEN THr TRAFFIC CON 'F 4L ANp THE Td*N'6 G4NTRACT COSTS �" ! P RNIANENi'PATCH tS TYf�(CALLY
COIVtPLrIE WITHIN A YEAR;UF THE TEMPORARX RATOH QU' 1t`CQULD 1B>r I.ATEFtTHAN.A,1ftEAR.
Show;sketch tf propcsetf work orfurnrsh �hls section to be filled out ti
two cspses af'separate drawscg -
Indiite North Town Of.South Windsor. -
_ •No.cuts,.
Est.Patch-5se{sj sf
Est Pvt.l t►idcness m
Est Patch,Ur It Price
Est,PatC•h Cost
Est,Curti ReMacerment�ft
Est Curb_Ut1it Price
Est.Cdrb>C00
-Est.Traffic Unit Cost$ /hr
Est Traffic Cctntroi _
Amt of txeposft
- h`otai Da S
( y Cash'
Applicant rs•responsible for contacting Pa!d By
fhe Poi Oe :t.arid:C.S.Y,i3
1 AGF EI=TO FURNISH TO THE TOWN.OF SOUTH WINDSQR THE AMQUNT a- BCN.Q REQt11REQ:ANp TQ REItNSURSE`THE
TOVNN t F'SC?tJTH WINDSOR FOF#,ANY EX`PFNSES INGURI E BY T(II_'TC}1NN:Ft1P MAINTENAIIOt=.QWREPAIR WORK iN., ,
CONNECTION WITNTHIS PERMI`I AND THAT 1 AM FAMIIiAR WITH AND►WILL ABIDIr BY THE RULES AN[ REGULATIONS FOR' .
P>=RMtTS AS' IVLD IN:THIr 1 OtIVN GF SOtJTI WIND-SOR'S STREET CCIT PERM(T MANUAL.
Signed Date—., 2
Title: Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DA1fS AFTER APRl;ICATION FOR ISSUANCE OF'PERMiT
WORK MAY NOT BGtN UNTIL A R'ERMITHAS BEEN ISSUED,
PEF3MfT SHALL_BE KEPT OttJOSSITE AT ALL TUNES
Sheet Excavation PermitD REV laid-08