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Home My WebLink AboutStreet Cut Permits 585 Griffin Road (6) 1700046 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/22/2017 GIS ID: 39000585 FEE: 0.00 MUNIS APPLICATION# 201700260 TXPIRATION DATE: APPLICANT �K� LOCATION NAME: CONNECTICUT WA MR C%-f!4P A SllR S �$85`GI IFFIN ROAD ADDRESS: 25 NORTH ROAD f t ;r � � " _ OWN�IZ� �I�ILLIG� AURETTE EAST WINDSOR,CT p�b88 t s 7 5$S�k% RTFFIN ROAD 4hbUTII OVINDSOR CT 06074 PHONE 860-623-3355 `vx l ut WORK DESCRIPTION: INS AJI ITT � �TQ MOLE ACROSS ST Ait- APPLICANT AGREES TO FURNISH THE�'OV�N�f1F SOiITHxlDt'31;$�IE A1VIptUIFTOR BND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al Y 4 PL1sI3ES XN li $'�TH�TWOf�S�tMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T APPICA�IT Ia PAVIIE�AR WHr.�,AIr1•D W,tI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WNT SOTJTI WIND OR 5 STREE ULTT E�1vIIT MANUAL. Ia ISSUED BY D `'TE IIPECTED INSPECTED BY 3/2212017 4:00 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** t } �1 t"rtnfl� �` 5 U Y }y <ar M 1l t 4+`tee ik+ask 2� . 4 9� ti G ffih wc gal F (0,7 ,BE 41 Yi s 3 �? 7i � Ea rF TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMTI'NO:. �� , CONTRACT©R: LOCATION; TYPE OF WORK. DATE INSP NEEDED: DATE INSP: ' /T INSPECTED By..--!- WORK 14 SEPTIC TANK.PUMPED;SMASHgD,FILLED WITNESSED ❑YES ❑NO AS-BUILT: INPUT: DATE: L-y�� 7 s/moifoylvo ms=4•town of south WindsorIIVPswwff Ri t"OW 14 - - _ APPLICATION POR'STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WiNDSOR PUBLIC WORKS DEPARTMENT . . Permit Na.:. .. TOWN HALL 1540 SULLIVAN AVENUE; SOUTH WI. DSOR,CT 06074 FEE $25.00 Name ai Firm. T. Phone No: k 6 u d z 2 . y Address of Ftttfl ,Y ' r GL a :. Co de Location of proposedilyprk p . ' � _ ........................ _. R ... .. a Describe fully nature'of permit requet ` .: ,.. ... . cdr:s =YJ Starting date MUM; Ca(I Before You Dig No' 10171 v a F.I. f S PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMEWT PATCH AND.CURB REPLACEMENT IS 71 PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL:COST OF THE.PERMANENT PATCH,4ND CURB REPLACEMENT,INQLUDING ANY INCREASES IN,PATCH AREA,CURB LENGTH,TRAFFIC CONTROL,4N0 THE TOWN'S CONTRACT C: TS..THE PERMANENT PATCFflS: TYPICALLY QOMPLETED WITHIN.A YEAR OF THE TEMPORARY.PATCH BUT IT COULD BE LATERTHAN.A.YEAR. Check'.Applicablef, ❑ No pavement,`:Curb or;Sldewalk Cut Pavement Cut C7 Cprb Cut. ❑ Sidewalk Out 0 Exletthd Driveway,No Changes' ❑ Proposed Qrfveway Widening ❑ Proposed New Cr veway i! Water Supply: Public Water. l _Well SetiVage services Public Sewer Septic Show sketch of proposed work orfurnish { twe copies of separate drawing Indicate North; This sact1on o be fitlid out by Towrt.: - -. Eat.Pvt Thickness In:: iI;*.Patch.Unit Price.$... .sf "6 Patch Cost"' 3 Curb.Est. u Replacement`_„�ft Est..Curd Unit Price, ...... ...... Est.;Sclewile k°Replacement sf. of. Est Sidewalk Unit=Price.$ _ Est S dewalk.Coet$:; Est.Traffic Flours.. hr 77. tit.:TrafflC Unit Cast$ Est.Tratfw .C...Qnfrpl .:: ,;. Amt;of Depostt t..: ................... Total Due - I 1 Cash );Oheck fR -Applicant is responsible for contacting the`Police Dept.and C.B.Y.D , PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Pax!f3y,r ; . .. i ..-_ I AGREE TO FURNISH•TO THE TOWN OF SOUTH.:IM.INDSOR THE AMOUNT OF BOND AEQUIRED;i4ND;TO.REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR.MAINTENANCE.OR REPAIR WORK IN CONNECTION WITH'THIS PERMIT41VD . THAT I AM FAMILIAR WITH AND WILL,BIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINE0JN TFIE TOWN OF SOUTH WINDSOR'S STREET CUTPERMIT MANUAL. Slgnecf< J . Prinflifats : Street Excavation Permit 20l4 .'k4t } t _..:rC.' �,.3.. .. .