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HomeMy WebLinkAboutStreet Cut Permits 19 Oakwood Drive (4) 1800008 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/15/2018 GIS ID: 66000019 _ FEE: 50,00 MUNIS APPLICATION# 201800191 4 EXPIRATION DATE: 4 APPLICANT `s' LOCATION NAME: CONNECTICUT WATER CpfVIPAN' ADDRESS OAIWOOD DRIVE ADDRESS: 25 NORTH ROAD f)WNEIZ ItAYAV JEFF EAST WINDSOR, C f 0 088 + OOD DRIVE olr OTJTid WINDSOR,CT 06074 PHONE 860-623-3355 tt of t ♦ " WORK DESCRIPTION: APPLICANT AGREES TO FURNISH TH) tiI OWE©F SOUTH FNL�S ?R I IE A1v�OL7NTQ BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY.EXPIES INt"URRED$Y TEE TJWN FQR<Ii1AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIy AZjET;IANT IS FAMI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN{9FOC]TH WINDSOR'>S STREET CIJT Pl ItMIT MANUAL. - s a 'rY�a I 1 U - ISSUED BY DATE nVSPECTED INSPECTED BY 2/1512018 11;55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** lktA 44 1 � ti^lA�' " ``"max�l�' ♦�w r+I Si SF. 11 R N } + 21 llv 1 r 1 s r i ♦ _ y a .. s � ! TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: �-- LOCATION: R. Oak00d TYPE OF WORK: X L DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: CT ..Lz,� b Lt "r` SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: DATE: l S/moAoy/farms 2014 Town of South windsor INPSECTION 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 $25.00 Name of Firm_ CT WATER Comapny Phone No. 860-622-9562 Address of Firm P.O. Box 857, East Windsor (25 North Rd) _ Zip Code Location of proposed work 1 G Ogkvvnnd Ax/e _ Describe fully nature of permit requested Exc to repair emergency water main break. Two cuts were made in order to locate and repair the break. Starting date 2/2/2018 Call Before You Dig No 20180501766 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: I] Public Water ❑ Well Sewage Service: ❑ Public Sewer l❑ Septic Show sketch vroposed work or furnish Indicate North This section to be filled out by Town two copies of par yawing No.cuts -d Est. Patch Size(s) sf Est. Pvt.Thickness in. 0 Est. Patch Unit Price Est. Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft See attached!! m Est.Curb Cost$ Est. Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ `�-�—� Est.Traffic Hours hr ~—~r• Est.Traffic Unit Cost$ /hr i1 Est.Traffic Control$ Amt.of Deposit$ Total Due$ �. { )Cash OCheck# Applicant is responsible for contacting the Police Dept.and C.B.Y.,D...- PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES- " 'v Paid By 1 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 CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: _ Print Name G/�=�.� G� ,� Date: 21 !j- Street Excavation Permit 2014 V _ (52) OK 72 65 f.~�l 7,4.-'•, 64 / AND OILL 187 rr tr. 8' 1' t• 67 94 .. t tom+': _ � L.: �- � •+�-�4 _ e° 63 y 75 = 47,E � ��-_'- I• '-8q r 200 m ..� .r y13 y_ son M�indY1:41�lR Facfinnf%1e-79t54 ti i!� �`-`�G