HomeMy WebLinkAboutStreet Cut Permits 470 Governors highway (2) 1300158 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT--PERMIT
DATE: 07/02/2013
GIS ID: 36900470 FEE: 25.00
MUNIS APPLICATION# 201300924OF EXPIRATION DATE: 07/02/2014
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APPLICANT = //; LOCATION
NAME: SADOW EXCAVATI T ' DRESS $7(��GO IERNORS HIGHWAY
ADDRESS: 115 ELDREDGE ROA) JERE letI-VCONI7 PROPERTIES LLC
WILLINGTON„CT OZ77- 7 'Hh,L ROAD
M-M / �/ 1 WINDSOR, CT 06074
PHONE 860-429-2769
WORK DESCRIPTION: NEVII 1 "�TL� �LN
APPLICANT AGREES TO FURNISH THE W�1 OF SOUT1i It I NIQ (�� D REQUIRED AND TO REIMBURSE
TIIE TOWN OF SOUTH WINDSOR FOR ANEPISII -3I ��IWN €3R LIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THQILCANT IS11 WIA VEIL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O OL 1 H VIRm "d T PEI3 IT MANUAL.
ISSUED BY DAT lNV ED INSPECT D Y
7/2/20I32:48PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /36$ CONTRACTOR: 5ctldptk)
LOCATION: 7 ri0 S
- wy
TYPE OF WORK:
DATE INSP NEEDED:
DATE II :
INSPECTED BY: b
WORK IN-
PROGRESS,
3 s�
T�
SEPTIC TANK PUMPED, SMASHED, FILLED__ WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:__ DATE:-. 41
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S/FOPMS/TOWN OF SOUTH WINDSOR INSPECTION
aol�aa9ay APPLICATION FOR STREET EXCAVATION PERMIT /300/5 g
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
-- - - - - PUBLIC.WORKS DEPARTMENT
'1640 SULLIVAN AVENUE Date: o 3
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm �i4 �'xc��4�-rower Phone No. �Jao2o2 2i
Address of Firm l) 57 67c)&,e)pe- V- 1Z[1 I 1 m Vcti . C,- V 6.a-2F Zip Code 06-7 S
Location of proposed work 70 4w&,rw s Fhb b,#T&.y
Describe fully nature of permit requested AlGd 136jtnl S'k.
Starting date - Approx.time for completion 3 mayikS
Call Before You Dig No. 0,0/3 c2&0 /5 1r Existing Water Supply: [(Public Water 0 Well
Existing Sewage Service: ETPublic Sewer ❑Septic
t PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,-TRAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
�v�S - rovCc.� No.cuts oZ
�; -- 0 V Est Patch Size(s) !� �'i�- sf
Est PvL Thickness _in.
Est.Patch Unit Price$ J�_!sf
Est.Patch Cost$ -3
Est.Curb Replacement ft
Est.Curb Unit Price$. /it
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
AmL of Deposit$ 6,370.
Total Due$ &r�9�
( )cash N Check#(/ 7.f
+ Os�or.� ovry
Applicant is responsible for contacting Paid By,Sado.iw -Wxze-rr4rol1
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 TO N/I OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: ��r'r-r Driver's License M In-144115
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
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