HomeMy WebLinkAboutStreet Cut Permit 25 Gerber RoadPERMITRMIT NUMBER
TOWN OF SOUTH WINDSOR, CT
STREET CUT PERMIT
DATE: 06/09/09
GIS ID: 35100025
MUNIS APPLICATION# 200900639 FEE:2500
Y2ATION D
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ATE: 061090
APPLICAN q
NAME: ASHE CONSTRUCTI 3' a.
3 OCATION
ADDRESS: 17 GRAMAR AVE ROAD
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PROSPECT,CT 0671 t t. 4.. '° .» _
R °'D ASSOCIATES LIMITED
PHONE 4 a ON,CT 060324'ft:an
WORK DESCRIPTION: DRIV Y• ,. 4 "'
lv HOUSING1NCLUDSC(3 F }.. :: Crr1 <.
APPLICANT AGREES TO F
R AWAGE
FURNISH THE T }F S' .IiTII' REQUIRED AND TO REIMBURSETHETOWNOFSOUTHWINDSORFORANY'' AINTENANCE OR REPAIR WORK INCONNECTIONWITHTHISPERMITANDTHENPLI`'' 1 I .F ` >FOR PERMITS AS OUTLINED IN THE TOWN OF S }IJJ FFI 3L ABIDE BY THE RULES AND REGULATIONSS, TRfiET1 IT MANUAL.
ISSUED BY DATE SPECTED INSPECTED BY
6/9/20093:12PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ?. 000(,3 CONTRACTOR:.
LOCATION:
TYPE OF WORK: 01
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:H ac/_/'li
amA brae o s 54"
v
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED YES NO
AS-BUILT:
INPUT: CU" ` DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
Zoo-loo63'2 APPLICATION FOR STREET EXCAVATION PERMIT 90C1::,63
Appl.No.TOWN OF SOUTH WINDSOR Permit No.
y PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
62 6SZ
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm A S HL. ro/t&,r v c -i d rA L L C Phone No._'ZG 3 -7 $-5 ! SO
Address of Firm /'7 ra nqc'r a.v -e- f0 S e-+ cam- Zip Code C Z<
Location of proposed work G e r 6-.- r- R
Describe fully nature of permit requested -Py 1- IN S`f7LLIVE— - o 0 C,42- 6'19TW(a
I Co f svfw Gv-r
Starting date Approx.time for completion U
Call Before You Dig-No. 2L)c 9 ? f 0 2 !IF Existing Water Supply:RWublic Water Well
Existing Sewage Service: Public Sewer Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish
two copies of separate drawing This section to be filled out by
Indicate North Town of South Windsor
No.cuts
Est.Patch Sizes) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ sf
Est.Patch Cost$__
Est.Curb Replacement ft
Est.Curb Unit Price$it
Est.Curb Cost$
Est.Traffic Unit Cost$ hr
Q
Est.Traffic Control$
C1V-W(,1F- '"("'O CB Amt.of_Deposit$
LI 7 ?10N EEk Total Due$
L A-N
Cash ( )Check#
Applicant is responsible for contacting paid BythePoliceDept.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 MAINTENANCE OR REPAIR WORK IN
CONNECTI: ITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS S O TLINED IN_T TO OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Slane Date: A In
Title: Driver's License#:0-5-4/ 0 Y 3 3 O
PLEASE LLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION 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