HomeMy WebLinkAboutStreet Cut Permits 9999 Foster Street (3) 1200213 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
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DATE: 11/05/12
GIS ID:33609999 FEE: 00.00
MUNIS APPLICATION# 201201437 EXPIRATION DATE: 11/05/13
APPLICANT LOCATION
NAME: NEW ENGLAND CONCRETE SERVICE INC - WSTEk STREET iF.Se ti.
ADDRESS: 92 MOODY STREET -= E ER- TOWN 4 SOUTH WINDSOR
P O BOX 317 - = 1540-SULIVAN AVE
LUDLOW,MA 01056 WINDSOR,CT 06074
PHONE " :SOLJT$
WORK DESCRIPTION: FOSTER$ tvXFRAI �Iriy } MENTS
BOUR ST MILLER R15 TOWN�'R(3fiOT
APPLICANT AGREES TO FURNISH THE TQWN DF SQUTH W 11 0R--77'H AA4O`SIT Z?F BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY I $LASES INI U�133B�THE TOWI1 FOR=IIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE API?LAL�'�S FAIIIAI LL'A
WITH AfiJD WIBIDE BY THE RULES AND REGULATIONS
FOR PERMITS A�S OUTLINED IN THE TOWN O SOUTH-WIDSR S TRI; CUT PI€€1vIIT MANUAL.
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ISSUED BY DATE 1NPE0- ED INSPECTED BY
11/5/2012 9:21 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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'RolaoPt-37 APPLICATION FOR STREET EXCAVATION PERMIT J2.00R/3
Appl. No.. TOWN OF SOUTH WINDSOR Permit No.
' PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Dater
SOUTH WINDSOR,CT 06074
FEE $25200
Name of Firm NQ tv 15% 60-xwe�_ 4vvl c-tj 1whone No. 3✓ -7 Gam"
Address of Firm et Z_ c t Lt ow l' _l Zip Code d!aS'�
Location of proposed work S C0- redn
Describe fully nature of permit requested orki t
Starting date 737Tq 71T Approx.time for completion
Call Before You Dig No. Existing Water Supply: Public Water ❑Well
Existing Sewage Service: J (Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE'FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to a filled out by
two copies of separate drawing : Indicate North Town of South Windsor
rt dT d✓]� �bf � 5�� -Ivvl ec t, No.cuts
T P
.}- � Est.Patch Sizes) sf
tt Fas fer
� t-�' ' ECG I r .0j(0_,_AAV%-e1 '°c 64 r Est.Pvt.Thickness in.
� Est.Patch Unit Price$ /sf
V 'i cc/ e .Patch Cost
-Est $
Est.Curb Replacement ft_
Est.Curb Unit Price$ /it
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est:Traffic Control$
TO I/V n P/`pJ GC� Amt.of Deposit$
�,Bd Total Due
All reef
O Cash O Check#
Applicant is responsible for contacting Paid By
ft Police Dept.and C.B.Y.D.
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
CONNEOTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITI�s AS O TLINED THE TOWN OF SOUTH WINDSOR'S STREET CUT PER IT LIANUAL.
Signed: ,�
Date. 14 19l -
Title: jai'j + �� � ''l Driver's License#: A -56 70 9 0 Z6
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APOLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08