HomeMy WebLinkAboutStreet Cut Permits 599 King Street (2) 1400108 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/12/2014
GIS ID: 50400599 FEE: 25.00
MUNIS APPLICATION# 201400540 = EXPIRATION DATE: 05/12/2015
APPLICANT LOCATION
NAME: CENTRAL SEALING CO INS ADDRESS- 599 KIT G STREET
ADDRESS: 150 SUNSET RIDGIDI IUE OWNER: GALUKA MICHAEL E&KIMBERLY A
EAST HARTFORD,G 061"08"; 599 II1G ST
SOUTH WINDSOR,CT 06074
PHONE 860-289-7900 =
WORK DESCRIPTION: DRLUE�VtY ,
APPLICANT AGREES TO FURNISH TH&rowN OF SOUTH WINDSOR-THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY==E7{PENSES INCURRED BY THE TOWN FOR Iv1AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH-AND-WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSWS:STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/12/2014 9:04 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Y00 JOR CONTRACTOR: cent' al
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 6 b
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: ' DATE:� �
S/2014 Town of South Windsor INPSECTION REPORT 14
: G FOR STREET ECCA.VA.'�` N PERMIT
App}.No. TOWN OF SOUTH WINDSOR Permit No-
PUBLIC WORKS DEPARTMENT
TOWN HALL
460 SULLIVAN AVENUE
SOUTH WINDSOR CT 0I074
FEE $25.00
Name bf Fion f? Q . SC�Q f 16't -Cv I h L Phone No.
Address of Finn Lt e 6'f' Zip
Location of proposed work t S
Describe fully nature of permit requesters re vn 0 e a re- t a c e �-
Aklve w aarme W141 ,Y70 C art 5
Starting date u Approx vrA for cnpwon wee e K 5 22 i
Call Before You Dig No.
PLEASE NOTE. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PREUMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FILIAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCRaASES IN AA'TGN AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOVfiN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED VWTHIN A YEAR.OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show Sketch of proposed work or funs#sh :
two copies of s"rate drawing s se&ttoa trt 6e fi terl out tsy
Indicate Novi: Tnwa of South Wtndsor
No.cuts
:------------ Est•Patch Size{s sf
ftu SIC t Est.Pvt.Tr ess in.
/ EsL Patch Unft Price$ 1st
Est:Patch Cos$
Est.Cuib Reptacement
Est Curb Unit Price
Est.Curb Cost$
Est:TtarTic Unit Cost$ 1hr
/ Est.Traffic Controt
Ant.of Deposit$
---------------
Total Due b ---
t )Cash ( 3 Check#
Acrpiicant is responsible for contacting Paid By
the Pgt<ce De at-and C.&Y D. _
I AGREE To FURNISH TO THE T014M OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXP LASES-INCURRED BY THE TOWN FOR N9AINTENANCE OR REPAIR WORK IN
CONNECTION Vitt'fFf THIS PERMIT AND THAT t AM,FAMILIAR YdtM i AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
pERt I S AS OUTLINED IN THE TOWN OF SOUTH WINIDSOWS STREET CUT PERMIT MANUAL.
$ignecf: Dater
3€iPs_ dY S C r Q�Zc rzi Driver's ucerse#:
PERMIT SHALL BE KEPT ON JDBSITE AT ALL TIMES