HomeMy WebLinkAboutMiscellaneous Street Cut Permits 179 Com TOWN OF SOUTH WINDSOR INSPECTION REPORT
r
Permit No. Contractor PDS tNG CONSTR. ,INC.
:.. _
Location 12'f9 CDifirTE bAy`" Address 10 bLA WINDSOR ROAD
Type Work MISCELLAN $ZQOMFTEIdt3 CT ''0,6002
Phone No. (Sp)22
Date Insp Needed _—(i.��_� C1,1 _ Dade Ia� p /
Time Insp Needed e
Inspected By
a
Work in Progress
-------------
----------------------------
inputbate
- - --
Permit No. 3641 Town of South Windsor, CT
j Date 12/10/2003 ""' Street Excavation Permit
Expiration Date 12/09/2004
Descrip: CUT ROAD TO CONNECT WATER SEW2g & COXSIRUCT DRIVEVdY
Applicant LocaLien
Name PDS ENG.& CONSTR. Ik 0779 COMMERCE WAY
Addr. 107 OLD WINDSOR` R'OAD
BLOOMFIELD CT 064p2 ..... Type Qf @3o ,k7Z5CELLAN
Phone (860)242-8586 "
ij
Applicant agrees t0 fu,rriish the TcWiz of oue,h Wind,4or,the amount of bond
required and to rei:ml3ttse .tk1e 'TanZTl '' 0uth„ 3xnt0r for"ay : p;Qnses
incurred by the Tows gear ma%:nttnance or repair Work..-;..;an .c`gnt�e.ct$`on with this
permit and that applicant samzlza ,'w�tY„ �tiY,7 ab�d'e :.by the rules and
regulations for permits as outlined 1n'the 'oyzrl.,. :, South, Wandsorls Street
Cut Permit Manual.
* * PERMIT TO'<BE X,,LPT ON cI.QB SITE AT. F1IJr TiNJ$S.
V
____ _ _ Tit
Issued by ✓✓� E/v�s'
Inspected By
Date Completed \, ��
t
(�W N Se4
y � r
s
Tom 0-leso� ?d
1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
soR-CO TELEPHONE (860) 644-2511
June 20, 2006
PDS Eng. &Construction, Inc. Certified Mail
107 Old Windsor Road
Bloomfield, CT 06002
Re: Street Excavation Permanent Patch Fees
Permit#3641, 179 Commerce Way
To Whom It May Concern:
When the Town of South Windsor issued the above referenced permit to you, it collected a total of$730.00
for the permanent patch deposits based on available estimates at that time. The actual cost of the patch
work performed on this permit, however, was a total cost of$398.00. Therefore, the balance of$332.00 is
being refunded to you.
Permit Site Address Permit Estimate Deposit Actual Perm.Patch Cost Amount
No. Street L W A(s.f.) L W A Cur Stone Total Cost
(s.f.) b ($)
(ft)
3641 179 Commer 7 6 42 $520 -$520
ce Way
13 8 104 $210 10. 6.5 68 7 $398 $188
5
$730 $398 $332
Refund
If you have any questions, please contact me at (860) 644-2511, extension 244.
Sincerely,
Jeffrey Doolittle, P.E.
Town Engineer
cc: Melanie D. Crucitti, Director of Finance
SAENGEdEERVoy12006 Cut Patch LettersTut Patch Joy PDS Refdoc
REFUND OF DEPOSIT REQUEST FORM
STREET EXCAVATION PERMIT
Request Date: C{ t/ D
Issue Refund in the amount of $ �
From Account# 001-0300-0205-059
To:
Permitee:
Address
Permit c4 m e,
Number Location
Number Location
Number Location
Number Location
Number Location
Submitted By:
Date
Check Issued:
Number Date
Processed by Finance
Name Date
SAENGINEERWORMS\Office Forms\Patch Refund Fonn.doc
E MARKED IN ACCORDANCE WITH STATE AND TOWN
N 59 52.0� TFC.B.
M.
EXISTING BUILDING 5.00 �PEt9 = _,1� 8p,40 SA
:L
AR FLOOD PLAIN
ITO STORM DRAINAGE SYSTEM " Q
_RGROUND g0.2
G - t
4GE ON SITE CONSTRUCTION ENTRANCE
,_--
-�-• ANTI-TRACKING APRON � ___ _ O�•I,D ` � `O- t
��'111 � \\\ �O 8• 'W -RAR•ri.EADER®2�'° ' _.�6-75'41- - w \\\\ 'fl d .-'\i/ _.
p c TF 7-40
\\ F 15 PJvJ y I 72.
c TF 77.
✓� 15 72.24
\ 72-ae_ 90/ ti616 / // ,p 7 O 78.25 " m � BU 78
\
FIN.FLR. .80.50 9 / A Ai, PROPOSED, ILDING "- 7l Y
o en
\foo
! + o ��? z n `,m9 10 7 SF
A�F
8 O i Z %/ - rim
� �17 -S
� l
O�o 6, al
en, \
�\ \ w u` � X 7S, 5 gip. Z � v q
, \ All
p
\ yl
1 \ \ \ l \4
-� D \\\ /G \ B -MON. +\ ST T I AREA^I �' , OHp 122�f�
iF
INV.77.33 !�gO�l�pN1 P $ 78~
\\ o \ \ 79.00 3 --`srpAt" ,/ WALKWAY
N iv oLinCZ
ICL.FUTURE)
Ar-,/ / (-_-80-----
--
'"`ERTY
\\ 1 \ \ t r
4
�t VDICAP) \�� HYD, EXIST,SARLAT. Y / Sp•40 x
VDICAP \\\c�> SARMH INV.74,80 7cj,6S
\\� TF.79.14 x REMOVE EX TING CURB
rT( INV,73.85 CLAT,) MATCH NEW AVING WITH EXISTING BUILDING
EXISTING J' FIN.FLR.ELEV.80.50
\\ 8,050 S.F.
\\ 7D
\\ fol o N �(
1t
\\ [3 1 0 b O n
cft
\\ 1 � f o X
1\ l
1, rl
\
APPLICATION FOR STREET EXCAVATION PERMIT 3b4.1
TOWN OF SOUTH WINDSOR Permit No.
1 PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm -0�� Z-" ; Phone No. ftic-14Z-v Lys
Address of Firm 1 of U( �� �; c�S r fZ d (o)AA
Location of proposed work L-) q CO MM,2s c e 1„1 Lk j1
Describe fully nature of permit requested C L. r ';'fu (:"V e L T 1-i A-,;,e r
4- (oyN�CT t9reL�r.i�l r" lDtia�
Starting date f Z r c t Approx. time for completion 4 Z el"t.ya e,
Call Before You Dig No. --o&3 4-7 6 C Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
0 No.cuts !
Est. Size of Perm. Patch(s) 'r �
Est. Thickness in.
Est. Unit Price$ 5
Amt. of Deposit$ � -r
Total Due$ by
( Cash( )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
Fin �l�in
Am Due P ee
$ ,
Amt. Due Town
By
Applicant is responsible for contacting Date
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 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 I HE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: & & �//c-
Date:
Title: t LIVaieL.4, Driver's License#:_ 1 14—e-? Z 3 3 2
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
DERARTMENT
.._........... ......... ....
.. __._.... ........ .. ........7 ,at A,
SHEE
_ _..... ..__...
?F
Fc
i .AP.NO C1r'IE
_......................................................................................_...._................_.............................................................._...............
......._..................
'..t..._._....._..._......._.. n,............... ....................
..... .....;,NSPrC70R COA 11 11OW ATE i
............ _...
_.
....... -..... c . ...
..... ;..... ...... 1`(
-.,
:
.... _._ .._. E. { ... -�
:-. .._..
-...... - . ...
.....
t _ .. , .... .....
......
_... ....... ....: y. c
... ......; :.. t
..... -
_...
-_ ...-_._ -_ .......:. ._. ..}
t ..
i
f
..... .... .:.. ... ,
..... -.._.. .. ..E.. .... __...
<7.... r:...
... � � 5 E
1 E
E
._ ._. p
YJ t. ..
._. : _ .. ,.� _ .... t
4 ..
t
t,
..
........ -i
_.......
..... ............. ,. ._. .. ... .. ..
....
._. .. .._ i,
.....
..... .... _. ..
... ..... ..... - t
:....a.+ee_..._.�..H .... ...... ..... y _._
........._.. :............... : ............ .n.... ...
....._..-- _ ..... __ ................................... ...
i ?iOP'