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HomeMy WebLinkAboutStreet Cut Permits 388 Strong Road (2) 1400161 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 06/11/2014 GIS ID: 87000388 - FEE: 0.00 MUNIS APPLICATION# 201400747 , - EXPIRATION DATE: J Am- APPLICANT = LOCATION NAME: METROPOLTTAN D )DR1 S &8�ST gt- ONG ROAD ADDRESS: 125 MAXIM ROAD $STRONG ROAD ASSOCIATES LLC i� HARTFORD,CT 061 � 88 LONG ROAD % © HVINDSOR,CT 06074 PHONE �i i j -14 WORK DESCRIPTION: RE 1 A-0-EV -STINCs APPLICANT AGREES TO FURNISH THI04T Of jlxfftj $bND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AIPN1I�3 IiEQ FQI4AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIC A4'kICANT 18 R����AAIt W�TFi �Vy�f L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN(F S(IJH V1ND1ITR1 E 'CIJT IT MANUAL. ISSUED BY D ` D SPCTED INSPECTED BY 6/11/2014 10:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** vo LAK i = " i " y TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: /V©v l // CONTRACTOR: AI Dr- LOCATION: 309 S"T C rn s� floc-,A TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: G fl WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: m"yAd S/2014 Town of South Windsor INPSEC 7ION 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 $25.00 .N .m % f-Firm.::,,._:::.:::::,,,,,.,-,..::.-I.4.C.,....,4.C,.:.T.h�.:f0,.1..�-fl A .,:.:.:::. �.. ..:< : ._: ::.: a o o „� Address of Firm (7 MA)(i VI (W Zip Code Location of proposed work _ %9j 5T PS ONG4_ Describe fully nature of permit requested R pcA�lE E-YI rc anAm7 490 ip560 � I Starting date Call Before You Dig No rilt PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 13 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut kPavement Cut A Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /it Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ !sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ !hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( )Cash ( )Check# Applicant Is responsible for contacting the Police Dept.and C.B.Y,D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By I AGREE TO FURNISH TO THE WN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY PENSAANCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM F LIA IT A WILL ARID BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'.S T E UT E IT MAN Signed: Print Namedfv Date: Street Excavatiovermit 2014