Loading...
HomeMy WebLinkAboutStreet Cut Permits 335 Clark Street (3) 1400163 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 06/11/2014 GIS ID: 20400335 FEE: 0.00 MUNIS APPLICATION# 201400749 ,l / �/ EXPIRATION DATE: APPLICA 6` - „ � �� = g LOCATION sk NAME: METROPOLITAN D RIC Jam% �DDRi� 1335CIN#1RK STREET ADDRESS: 125 MAXIM ROAD AYA ADAM D&STACEY B HARTFORD,CT 06 1�} 6w k,,RK ST 6 Al % j � F�J-I�VINDSOR,CT 06074 PHONE - % kl- cli %j/! z WORK DESCRIPTION: IW RED E` ' WORK 300'N OF NO3C -� j APPLICANT AGREES TO FURNISH THI TOE U OILT� ��ANW- ' Thy AND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A��I'EIFVFDIvIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T�I 'L IC Lji--I / JR L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN IT MANUAL. ISSUED BY J ED INSPECTED BY 6/11/2014 10:55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** fo i s i s 0 - �i s i 0 ;v " Aw TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1YO016.3 CONTRACTOR: AlDc LOCATION: IQQ srrpe,r R jw;y� sjjPe.� �4 o'A/ o& 3.3s' G 1arA TYPE OF WORK: 0,I,4P e-vi<--j no ll wtiraal DATE INSP NEEDED: DATE INSP: 12 © if INSPECTED BY: 3 WORK IN ff PROGRESS: �b G acg� of !L,.,2Ao SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: i DATE: (Ail iA S/2014 Town of South Windsor INPSEMON 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 $25.00 0INo..: :..: 1Nam&of+lrm� r - - rI C-1-- Phone .0, Address of Firm ( 15 MAY(M IRS -Zip Code 06114 Location of proposed work CLAW Sr smt n4 51- 100 ' A/ It 33 5 C 014 ff Describe fully nature of permit requested at (113-RACC C)(6TINII ffYQ17AA1-r WO IF 56 0 713 . Starting date Call Before You Dig No o PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COSTOFTHE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 0 No Pavement,Curb or Sidewalk Cut )Q Pavement Cut X Curb Cut 11 Sidewalk Cut 0 Existing Driveway,No Changes 13 Proposed Driveway Widening 0 Proposed New Driveway Water Supply: 4 Public Water El Well Sewage Service: El Public Sewer El septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est.Patch Size(s) —8f 0 Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$_ Est.Curb Replacement ft Est.Curb Unit Price /it Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price 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 TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR F AN EXPEN CURRIED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM V T 1- A WINDSOR W ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH I WINDSOR'tST C P: I M NUAL. jog q -10 Signed: Print Name Date: Street Excava' n Permit 2614