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HomeMy WebLinkAboutStreet Cut Permits 520 Rye Street (3) 1300242 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY d9£f v to r, �Pti l��z` DATE: 09/I7/2013 4t . GIS ID: 78600520 ,_ FEE: 0.00 MUNIS APPLICATION# 201301354 � 4r " IRATION DATE: q e 3 F E X F APPLICANTAR= 7 . ``' : ' � � LOCATION NAME: YANKEE GASH � (J= Y STREET ADDRESS: 112 PROSPECT HILL: r.1 , 11 J fN W&OLIVE H EAST WINDSOR,CT 06s t f4 RY06'STREET � � INDSOR CT 06074 PHONE 860-292-2242 Y ha WORK DESCRIPTION: INST" APPLICANT AGREES TO FURNISH THE W1 �( UT ,kM4� o/MAINTENANCE ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN� SI OR REPAIR WORK IN CONNECTION WITH THIS PERMITAND TH I ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 0i3 i ¢'S`i�l `T� P IT MANUAL. fine 1117 ISSUED BY DAY CTED INSPECTED BY 9/17/20I3 11:56AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** .................................... ............._.............................. ----....... ..........___ _. ............................. ..........................................................................................................----........ -Ice � � i �4 �S Fewg< < 7 0 , c� Ad AM f"3 a TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: TYPE OF WORK: ) Le DATE INSP NEEDED: DATE INSP: II INSPECTED BY: WORK IN PROGRESS: v6 0 U c � 7t -S SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: %Ao IV W/2007 Town of South Windsor INPSECTION REPORT 07 S P I'd 2013 11 .48AM Sargis Ass?, No. 0148 P. 2 APPLICATION FOR STREET EXCAVATION PERMIT Appi.No, TOWN OF SOUTH WINDSOR Per it NO PUBLIC WORKS DEPARTMENT /3. 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Phoneo. �'lw•66 Address of Flr //1�3_ / Q �f7Cl�OY' dip Code��v Location of proposed work © lC� Describe fully mature of permit.req tested lf'75 f7� gs Starting date Approx.tlme for completion 2 Calf Before You Dig N /� �2 Existing Water Supply; ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septla. PLEASE NOTE: THE IIEPOSIT FOR THr PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENQTH;T-RAFFIG-GONTROL-AN©-TIdE-TOWN'S-GONTfty4GT-6OS-T-e; THR-PERMANENT-PA*roH-IS-TX•PIGAL•4Y COMPLETED WITHIN,A YEAR OF THE TEMPORARY PATCH 13UT IT COULD BE LA-TER:THAN A YEAR. Show sketch of proposed work or furnish This sectlon to be filled out b two copies of separate drawing Indicate North Town of South�ds,ar No.cuts Est.Patch Sias(s) sf Est.Pvt:Thickness In. i Est.Patch Unit Price I Est.Patch Cost$ Est.Curti Replacement ft L4 Est.Curb Unit Price$�T, /ft Est.Curb Cost 1� KA� Est_Traffle Unit Cost$ fir 3� Est.Traffic Control$ 41" Amt.of Deposit S Total Due$ O Cash ( )Check#t Applicant is responsible foreontact(ng Paid By the Police Dept,and C.B.Y.D. I 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 MAINTF-NANCE OR REPAIR WORK IN C4NN[CTI i)H THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES ANb REGULATIONS FOR PERMIT S OU L NED IN T E TOWN OF SOUTH WINDSOR`S STREET CUT PER IT MAN AL. Signed. . Daft: �7/�7 Title: e? /G c� DrIver's license#. PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT 840IN UNTIL A PERMIT HA5 SEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permk 08 REV 10-22-08 t f r r