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HomeMy WebLinkAboutStreet Cut Permits 460 Foster Street (2) 1400199 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/11/2014 " GIS ID:33600460 FEE: 25.00 MUNIS APPLICATION# 201400914XPIRATION DATE: 07/11/2015 APPLICA }� -� f LOCATION NAME: CENTRAL CONNE ICU T XCA A�ION y A. SS �0 F�STER STREET ADDRESS: 113 1—0#206 TOLL I R'{� %=� 4 � N1 £� £ ;,NES�CHRISTOPHER MANCHESTER,C 0�404x �< �� t O (V STREET k INDSOR CT 06074 e PHONE 860-250-4818 t.a"r*.� a WORK DESCRIPTION: CO F *+ r• tX �. f �F t w� APPLICANT AGREES TO FURNISH T Z 0�1O � DC� IiE.�M01�lIOD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A �P I�JSF��iI�iI' [R13 ' iEI�bFO NT.ENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T� '�jyl RANT I� AITFR 11 , I,L ABIDE BY THE RULES AND REGULATIONS C U •V• a FOR PERMITS AS OUTLINED IN THE TOWN ' ( 1 Tv WDSR'S STR T7 Js�T'PF IIT MANUAL. Gy ' AF ISSUED BY DATL SP TED INSPECTED BY 7/1 1/20 14 9:59AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 4 . r.Fl" ON MY > s tik A.1V+l �' `.ri2� S„3­ �.x`kx A" 5`L . 72 oxl a yr 0 101t. mow' yr•'rGp TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION:_ TYPE OF WORK: C-ovN r-ei,- i nc, 'try �Gt��� ►l. �_ � '�Q DATE INSP NEEDED: DATE INSP: 1.28 # INSPECTED BY: 6t> WORK IN PROGRESS: C,'®� r�� :- �� / C + CEO e" SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014"Gown of South Windsor INPSEC 1ON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm ENT04C Cu 'rzeu" L( ( Phone No. &0,- 2 S-0-Y E5f 6 Address of Firm II3)'0 Ibc0"'b .!PU 4 1' M--«t-s T 2 L'J Gray© Zip Code Location of proposed work E: fLp�i it-- ATM - Describe fully nature of permit requested_ nL u4 ±Q C't fiy l aiQ-- _ Starting date ' a 7 I Call Before You Dig No 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. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut O'Pavement Cut ® Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water Cl Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No. cuts I 0Est. Patch Size(s) �4- sf �Qa $"rRt;j Est. Pvt.Thickness in. Est. Patch Unit Price$ Z /sf Est. Patch Cost$ . y� G"6 e'�a L-'T4'g- Est. Curb Replacement —ft Est. Curb Unit Price$ A Est.Curb Cost Est. Sidewalk Replacement ti�>�-+ sf a Est. Sidewalk Unit Price$ :f /sf Est.Sidewalk Cost$ �vt) Est.Traffic Hours hr Est.Traffic Unit Cost$ _ /hr Est.Traffic Control$ Amt.of Deposit$ s zo of n Total Due$ -)4-� `ll,f rerF1f. Z ss $ ': p JGr /, ( )Cash t4Check# �f Applicant is responsible for contacting the Police Dept,and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 6° �r f Paid By kXW /-\6-&;n3 I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR R ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM MILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WiNDSOR'S TK ERMIT MANUAL. Signed: Print Name Date: It 'tar Street Excavation Permit 2014 TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT ADDRESS PERMIT NUMBER INSPECTOR TEMP. PATCH DATE INSPECTOR COMPLETION PATCH DATE 1 N I& Vj- s� 7 A ax Aas kdt{5S S 3,Si s T�1ti� ' I