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HomeMy WebLinkAboutStreet Cut Permits 10 Benjamin Way (2) 1400074 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/23/2014 GIS ID: 09900010 , MUNIS APPLICATION# 201400418 FEE: 25.00 EXPIRATION DATE: 04/23/2015 APPLICAMITf LOCATION NAME: CENTRAL SEALINQANQQ IN6 ADDRESS: 150 SUNSET RIDG ADDRIIS I O-bENJAMIN WAY OWI�IER ALLt�RD ROBERT F JR&DONNA M EAST HARTFORD,Clal'08BE94AMIN WAY PHONE SOUGH VVINDSOR,CT 06074 860-28 7SQ0 WORK DESCRIPTION: DRIVEWA ` ' THE DRAIN LAYER ASSIGNED TO THI�PEIITHAS A VALII7I IEEE ISSUED BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORT I'TN THl ATTACHED CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA,REQCIIREMENTS,AND THE ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED 4/23/2014 1:51 PM INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 060 CONTRACTOR: C'er�71�� LOCATION: 4 TYPE OF WORK:_ 1�r __ DATE INSP NEEDED: DATE INSP: 42r INSPECTED BY: 6b WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014 Town of South Windsor INPSEMON REPORT 14 _ =PLIGATION FOP, STREET EXCAVATION € ER IT Appl.No. TOWN OF SOUTH WINDSOR Pe,-mif No- PUBLIC WORKS DEPARTMENT TOWN RAILL f640 SULLIVAN AVENUE SOUTft VMD80Rs CT 06074 FEE 25.Q0 Name of Firm C P vi b-&( SM l i nq eo I n e- Phone No. &-Zp 6' -3 kq-"r7c e,S Address of Fir{n 160 SU KV et- kM i a s-1 r L; Eip cocL Location of proposed work 10 .B C 6 a q I v) bva q Describe fully nature of permit reques —-ve 000 v e- C ti d r2�1 a c e- a s v��- d t i V e��li24 - Shwting dateL 4TTII U Approx.time W completion 3 Cali Before You Dig No. 77 Lf 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 TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED VWTHINI A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LA 1 ER'I•NAAI A YEAR. Show ske"of proposed work or furnish �his se&tintr to be f led out by two copies of separate drawing Indicate North Tosant of Soft w1nds©r No.cuts Est.Patch Size(s) S°f Est.Pvt.Thickness irr. Est.Patch Unit Mice$ fsf Est Patch Cost; } Est.curb Replacemerd _-_- f Est_CLL Unit Price$ Ift Est.Curb Cast 92 _ Est;Tfal"nc Unit Cam$ Ihr ._..-.._....� Est TrafiicCovtrot S Anit.of Deposit$ Totat Due$ )Cash }Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D. O rD SS "ad- old P_ee l I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BODED REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES-INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR VVORK IN C©NNECTIQN Wrrli THIS PERM171-AND THAT I Aid FAMILIAR W TH AND WILL ABIDE BY THE RULES AND REGULATIONS FOP PERMITS AS OUTLINED I=TaqN SOUTH WINDSO S STREET CUT PERMIT MANUAL. Signed: Gate., - PERMIT SHALL.BE ITT ON J©SSITE AT ALL TMS streex Excavawn Pelt 88