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HomeMy WebLinkAboutStreet Cut Permits 9999 Barber Hill Roa (5) 1300073 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/30/2013 GIS ID: 07809999 -Xc �y MUNIS APPLICATION# 201300544 FEE: 25.00 y , LPIRATION DATE: 04/30/2014 APPLICANT - LOCATION �. NAME: BURKE RIDGE CONSTRUCTION %ADDRE9 13ARBEV-HILL ROAD ADDRESS: 354 NIEDERWERFERZB' E �p SOUTH WINDSOR SOUTH WINDSOR,G�' 07F jr ,� Os�JL IVAN AVE j F -ii Hi V INDSOR,CT 06074 PHONE off = r WORK DESCRIPTION: INSTWLW-. L APPLICANT AGREES TO FURNISH THE WL OP SOU;rty, ' ©Y-BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AA9wEN" - lowCDR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THr?AP kC,IS WI WIC ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN O1(Z IWID & PEAT MANUAL. G )10 ISSUED BY DA ED INSPECTED BY 4/30/2013 4:13 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Mff / ff ow �! , �i fff No e m TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 3 ODD CONTRACTOR: . &n 0 LOCATION: i 1 --ed - ) -e Y1 ra TYPE OF WORK:-_ 1 S I 1 11�t'] ��a DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS:__Nec-o S f'14 f c h cL. N e cA,; Al SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT. INPUT: DATE:__�,� f� S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 30O 1640 SULLIVAN AVENUE Dater SOUTH WINDSOR,CT M74 FEE $25.00 L Name of Firm V� : ��(� Cv 11SAfvA�.V P ` e•No. %V� Address of-Firm S t w4r c Tip Code 0 Location of proposed work A.h -�- YhQe,h ;►�e e v�e C Describe fully nature of permit requested Starting date 0. n.l 3 Approx..Ume for compWoq Call Before.You Dig.No. u 1-3 17 OZ_Oy y _Existing Water St y: ❑Pulft Water O Well Existing Sewage Service: ❑Pubc Seger :❑Septic PLEASE NOTE: THE DEPOSIT FOR,THE PERMANENT PAVEMENT PATCH AND CURB:REPLACEMENT IS A PREL-11A"Y ESTIMATE. THE APPLICANT B RESPONSIBLE FOR THE FULL RNAL COST OF THE PERMANENT'PATCH AND CURB REPLACEMENT;INCLUDIPIQr ANY INCREASES IN PATCH AREA,CURB JJMTH,TRAFFIC CONTROL AND THE-TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITEgN&YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR: Show sketch ofi PkVosed**k or famish - This sedlon tD belAed out by two oopies of separate drawing: Indicate.Norlh Tawn.of South Windsor No ads s O Zt"` ` 1 EsL Patch Sizes) - sf a [ Est. in. W Est.Patch Unit Price s /sf QVIaS G Est.Patch CostRIN s Est.Curb Repiavemerd ft sewe moose c� L,r2 Est.Curb tk*Price$ /R Est.Curb Cost$ EsL.Tmft Unit Cost$ fir Est TmfNc Control i Amt.of Deposit S Total Due O Cash { .)Check# Applicant is responsible for contacting Paid By the Police.De .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 T_ I AM FAMILIAR.WITH.AND WILL AQIDE SY THE.RULES_AND REGULATIQNS FOR. PERMITS AS OUTLI=1N E TOWN OF SOUTH WI DSOR'S STREET CUT PERMIT MANUAL. Signed: Date: 6, 31D a Q i % Title; Driver's Uc wm#• c+ "A fU PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPUCATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Streetbmmtton Pm*08 REV 10-22-08 a EEelw�eM®wise!!!!!®wwwe!l�IvMM 1lMMM MI!®■!!!!!®Ewu�wwee-Ennnen®e!®�®is®i!l/isi /w!®!!liwwn■ww®w®w!® 0 J WI�!lMMe�i e/witei�®w®is®®e■®ewweee/!!!�!!MAle■!!!1/wwM/!! �.. :: � wu�l�ieew�rA�l/eeseeseeleM!!!®oeeswel�,eleeele rrrr�ses�®rrir®®�ier��Al��!!!f�®�!!®!!®iEwllww®wwM ®!!®1!M!® l le�I�i■■®MEMO®!!!!®!!!!®!!®1■S!® !®■!!®w®®�A®!!lie A�1lr!!EleA!!lawAA®!®1lMM !!! ®iAoewwlA®!a ENE e!!!!!l�i/i�wl1�!/i!lww1�1®M ®AAA !liww®wee®eeM®!re®®ww/A!!!!!!!!s/e!e! !®®!M WE ago E ■nAneieeea®l MEMO wwlwA!®!!!®! ■l1�MlA®AA! ®�■e/1wwA®!�®lee2rew®e !■/�®®®l��Awon AAwwe�®®Ai!■Lswrai /V11ii�1s rll���lA�lAlA�AAiAIINNER®! Ait/ii!!Ai■!®®0l�®I:i®i/iEEEMEN AiA®1o!!�1®!! !�®®AiiNo�®®�,!!l/Y��1�a ,�i/M!!e® !w!w®w®I�w®®A!! AlewiM®maA�/w®!M■w�c��� EEAAeAA®®IoiAAMMA ■®®!ei®wee!!®wllMiMw; ,a►,~'�®U1MMMM!!!wA!®1®®!s!A®AA ' _ J1\lEEEl/liA/a�l/Ai®®1!®wwww® ■®as®®®w®lMeAEA®�®�or�� eE■® ■®w/IJ!®®®el/iMMw®EAwae1w/fie, '0 Nun!!AE!!,A!®i1gnams, E ■�®w®wwefle!!Me®!A!/i llsrl►o�®fieww®a�!lwww/ii�®®w®w® w®■®wwwELdj®[ 1► � *=�.9 m1ll�le®IAiA®l0A®!®1!A ■eA®lwf:!!ewl�I®ww�'!w®� �lisl�'irwrr�Aww�mwAA®AA WHEN INN NNE!!■®■®�\IAA!®�/ !!!!®lAil!ll1�AAA!®r! wwow®wee®®eeeEEe®I��mwl��ew��i®!ll�ee®Al��et��A®®w AA A®1!®w®!®EewA®EEw�er®w_ ■ee/AaeAleA�®www®!•®AA® lMin,e/1!® ■ ®eI�Awa r!® milo�nno L- K l!■lAw�!wO®/® w®■Awww0wew�w«®wes�ei Ullmann was was Mons, ww`nEE !!!!!Aoww Iowa lw �IN, WHEN wjii�i No INN, ®wi® � wsww® ® wl ®wAewlw lawman AA/wwlswwnwMinn w ®ww/!!!!w!A® IMMUNEawrwMAAwiiAwA/!EAi!w!AiAA,