Loading...
HomeMy WebLinkAboutMiscellaneous Street Cut Permits 6 Sandr tV TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3863 ContLmc 'Os CK L`OM `$,UCTION Location 0006 SANDRA DRI E {�dres:. ? ",82 N: ' E '=;ROAD:; Type Work MISCELLAN <"• `' PI3on, :2To: 9 Date Insp Needed � � '• Time Ins c Needed 3f': "r s Inspected " • p Work in Progresso Inp ?,�-- V I Permit No. 3863 Town of South Windsor, CT Date 10/04/2004 x M"rt °>'»>: :H,.., Street Excavation Permit Expiration Date 10/04/2005 °4 " Descrip TRENCH FOR SEWER, 41 Applicant Name CK CONSTRUCTION ' `0 ;5' SANDRA,�`TIRTVE ;' Addr. 82 NILES ROAD """ """" r xs't:zz>€"fit:;;:,. ✓:'t PO UON Q OCK CT 06�64��, Phone (860)242-4999 Y s. Applic ant t agrees e es C'o"'f �ix�:s`h''the r F(>;w�" g ; � �� Wind°�§o;�''',tl�e.�'amount of bond required and to reitburs %tAe,fdiwflh: 73, :or f;fx:;srry ; xpetises incurred by the Town fps ipal� ana ipn with this permit and that appl'$c S by"th rules and regulations for permits as i 3i 'ed,.'r ': h2';.` `v j.yry�"" o .ki Y n. 5§6r's Street Cut Permit Manual. *_/1* PERMITTO'$ 3C-PT,.�,,:��3Fµ'aT"�. ,:Ai�"��ALTi.`:T A G Issued by ----- --------- .,.``,�^'< rf ���E fe,. ,�:r -L�U. ---- Date Completed Inspected B - . TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ZO q 2)'1' BUILDING ADDRESS �)c STREET SUBDIVISION: NORTH ARROW ra n n _ mc ap, � ��h yc_Ti dY► G� CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPMSOR (PRINT) Yz ,&,le,C., rl ��fa��2 STREET ADDRESS tt TURE / / �r r (16024 .�.l i /d�sgf�� DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 1,TV 4,. T,-f AM Ulf? . yr! ,€'Si✓ii:r ?? ...i':Xir...i{"iidiv08NIR7ibENi Oj -----------.___.._._..._._._._..._..___.___..._.__._._. &MMECT ;SATE— ---- .�.�,r'�`�. _.. �u�s' -- 3907 �9/..Soo... _....-- --- LIAM -- " - - l - --...... - € _....... .... V € TAL.......�'of� ./.SL L.tr`a•"Asd ti .._:.c¢f�:.r.�*+iG'� - . a E� ram✓✓ f f _.._ ..... iT I - € - - Tj .. _ a 40� ROOM .. - LIT - _ i - -- i �. �_E - I - f — ...� .. - ... -. _ ill 'I 1 .- - _ : _ -- f ..... pE�r i7�'..... �9Q.7_ i _ t cof�o.� Pose>io✓ ypF_��e/zG/!J/ _: /f ..i �s /st 1 _ a97 _ - Aio - E ..._..::_- _ _ 2 __. i ......:.... 34 ......---_... _.., - - - S .... -. .. _....-_ •__.... E xLI:x!!IaNI ...._ .: ..:. _. F'f'viz,', ,�"-'J,roixID'EMAR7'ivEN" ............._......_..._._..__........-.-_•--............._.._._ _..._..._........._._........_......_.........._..........._...._..........__......._.................._...._..__..............--- -;.I.............. �PROJECTI OF - : - _.......__.._........_............. _................_..._._.._.T_............_.__....... _.._.._....._.....---.._.......__..._...._.__.._..,..._.__....._........_._..........__._.__..-. IUWD OF rea r - — .. ...... ..-. - _....._ PiQ.ci.R_.v�.�IT"....Pam'-T '�/. :.5'T/.*s.,r TG:....:. ...._ -- - ---- _ _ - .- �! y .... .. _ _���_!._G - S'O _ -./Gr-.�K- J.. -. _v_ - _-_ _Sx� __ �,r ... . 4_ _ ___ ml�- t ... -._ . ..,.. &?:OO /f SST..�1t�T -7a-r , 1� -- t - .- ... .. _:. ... t _- .. - __ 3 - --t..- (( _.SST'.. ze�o-u 14 6, S`p .-...-�-..�'iI-,,,.�;....H—�.-..l. ..-i...�...#L-.i.�-...,-,,,,-�--......I..i-.-..-.-�..1.-i-..--�..-.J...I-,..-I.-.�..-..--i.t1-...-....-...�..���.-.�..I�..-�-..,�,�..-I...--..---.-.�-:-i�...--...-..----....-.----...-.......-.-..I l..-..--....1.�-.�.-..--....-..:1..-—]L..-..II.....I--..�-...-.L-�i--r-..---.......i.t...�-..l I'..-1.-...;.-....-��..-.I.�...---.-...-....�I.-.-.�...-.----.--.-.L.�-....-..-...-..-.-....�...........--J.-...!-.L...#.,--..�.��...-��.,.i.i��...�1.-.F...-...-�....!�,i�---..-#�-,,�-,J..-,..A.,L 1 !.._ i !. ..._... _. -._ E.... .._ ..... .. .-.:- -._ .. ... . : ___.. ..._.. ._.. j. - ..... .- -.._.4 -. .!_... _ . _p...... ...._.- -. ....... ... . i -- . _ _.. _ >_ ........_. .. - -. .. -. _ . _ _ - _ .-. __ .. . ... .__. _ - t __.._. -;_ -... __.._-_..__ _ .. ._._ -.._ - - - ... -y . .... ... : .. ..... ..__._ __.:...._ y.. . .. ,..., ._ EE - - •_.__ L ._. ! 1 -.. ........._ .._ ... J _ - _.__ - - .. _.. I - - - - - , _.._ .. f _... .. . { __.._ .-. ! .._ ... 4 ! E { __. 1 - _. .._ _.- .._ .. �. .____i _ '_ .. - L _ _. ,. . - i i _ y1 .._ - _ : .. f .. L ....E _._ .._ _._._ - -i-?— ...I 3 F.v - -- -- -- E i. _..... ... _1 ..._ .... ._.j 1 ..__ ...:.. _.. T -..__-.. -s....... T ..___. -._. ._...... -. ....,,._ :. : 1 .. .. __ ._.._ _..-. _ __. -.. -... _. -.......E _ i S ...._"'t ._.__._ I . .. _.. __ __ -- - d l.. ... - .1_ __'� - ..... �. - __ - ,. .- ..... f .. --- E......- -..._._.... _ _..:... ..-_.__ - 1 . _-. .-._.._ --...... - - - _._ ..-_ .... - - -.._. . .._.. --- : 1 . .... -'-..c - - _. _._ ._..._ _.... ,.. -,. ... ----- _.:.. ..... .......__ ..._.._ ..... : - J. ............. __ .. ............. : ,._..t . -i..........i--....--,....I 1..........]±t� , � �ffl �. T< .. _. ...._. _.-. ._.. _._._............... ....._ ..__._... --. .. . ....._.._ a _.�..__. -. _.. _._. .:xd� } _ _ " I TOWN OF SOUTH WINDSOR ENGINEERING DMSION PROJLCf PROJ. O. __..... .--.._....._. . SHEET OF _.__.... &Y ..--... _..... DATE SUBJECT __. ....... ..I........_. . ...._....... ............ ..... .._..----. _....__.. CK'DBY ____ .DFE _. _ ........ .............. :._ ..... ........ ._ .._.__ _- _ P.. vz.r".z7- Jr.I,a 7 _... _ , _ __ _ .._ : . __ . 1-1: —.- --- -- --- - ..._ z_. --- ----- ---- ---- - ; — � �� + I ..... l _ - .....-..--�..-.....�---...-I..-.-..-.-..-.,........--..1-..-...-..............I�....--......--..-.-...-'...-...-...........--.�--....,..�....-:.-..�....--.l..-.�......-.I.......�.-..I:-....-..-.-............-..-......-.-.-.-..-...�.-..-.....—-.-.-....�.-.�-...-....�.....-...........-...-..-.........-�..-..�-.................�........--....i.-.t....��.II....-...I....-..�.;I:........e.I��.....4�:;.I:......-...1:.:I--.-.�.--....!�.-..l-�..--.J.I_....,�....��-.......�.-......:..........�I.�.-:..-...........-1.-.-.-...-.-..-..-1....�.....1.-...--.-.....,.-.-.-...-.�..-.--......-..-....-..-�..--.--...--.-...-....-�..-1�--..1..-...-..r....-.....I...-.-,.---..,�-s---.....1.-.....---.-..-.....-..-I...-...-...--.........,.-.-.,...--.-..-�.-.-.�-�..-....--.-�..-.......---�......--...�-.1--...II.-,-.�-..-..-.Z..:..-.-�t;...-..-�-.;��.....�:.--I--.�.;...�.'.--...�I.:I-..-;.._...�.-::I.1--..�.�.�;....-.-.:...--..�I:-......-..-.........�.P-.........1.......�...-...-......-......-..--.......-.......-.-.....;..�...�.......-1........-................-..........:II...-.1.-..--....�..�..-:..-....--..-.....-..--.-....,......-..-.....---....-...-....�..—1.........:1...-.....,.-......--,...-..I.--.....11.-..---.�........--....--.-...-....?-4....-...--.1-.-..i1�-�..-......�l...A..I.--.-..I:,.,.--�:.�III�...�­0,.��.,...-."..,.:...:.--.-.�.I;�--.��.....1..;�..--.1;.....,�.�-....��--...-.-1-.�..1-...:.:�..�-�I.1-....:�;I...--..-�;�,-...--..-1-..--....-.I,..-.-...--�.-.I...-.....-....�.-..........-----�.--..-..---�.-.--..-...._,.I-.--. --..1w.a..%.:..::-..,.j....�z.1.1i;:-.�-.-I.:.i:i.,..-..,._;..:l..1 i1:!-.. _ \ 1 t .:.:;!.----.-.. i Y L . S� " ::?.:�t 1-....-.I::..1..::.i1:...-.....-:_-...-.1--1....-- 1i.:II:;:t—:..::i...-.:.i:;!:.-. i __...-...�.t .. .i._ _ _. ......-__ -_ : 8 .. t-- - ± - _ _ - - - .. _ - - - ,�- . L.__ ._ - - . ..- - ;. - /a; _ .. . _.... ; ..I I .. :.... ./ltee._.¢ .fs ► PW+�!.a/ lr;-r,_ Rf l _ _ ..... ...._. .. ...... ..: _ .... __ .... ._.__ _ .... .... __- .._ r� - __f /9 f>::yS t /..6 K S.i' ti `/�E , /0...'� 6 LS 4 Pt_o as�BZ..��--_.... i - - r.2/ S l3 ) +. �BZ = /vim. - . , __. 7e :.... _... .. ;.. - —._. = ----- . - —- : - - - - ._. _._ .. t s --ZZSE2.. 41v ... .. s - � Czz f 9 lSt © ........ _ !... _ A.I. .I"E-,��x .< pu�._ ../6 1 S"OCR_ ._ - ..... ._ ._.. _.. ,.. ... . _..... _ . _ _ _ L - - - —f _„ _ .... ye.> SiZe`..o A.jr c. .��.s,�� �c.¢ v.re $Y r - �f .._ .i� - g Y't�.vir.E A c � ;.. .... ,-.__ __:_. : „. , .. ; _. ......._ 4 ,�.I.�����,���'...�.�..��..'������,�......�......--4 : . z . . ; ---...............--...............---.......- �.....-----Ill........---...4 . ; : --"--.—.—...................-- i . � : : ; . ........-- - - . . ..............;,—.-------. : i---- --,....-----......—A . . . 1-1--l''..— � . . : . : . —....---l-1-1—...11 —............I'�� �����..�.�����������.�,��'..,., ���—�.I..�����.�..��.�'..I.........—.....: : � . : . ....,.....—1.1-11—:1-1--l—...............-----......----..............— .1 . : : i . . . —.............I....—1—...I.....I—I.—I-1—...--: � ; . - � . I . . ! .............---......— ! --...........4......— —...11.....—1-1--l—... --i............. ; . : a ; . --......1-1-11--l—I........--l'..—................I.......... � : . . , ---- --..........—11,....I............... --i—l—....--....—...--1--1--....— . . � . ; : : . a . �.....�....—.1—.11--l'....—....�...........—1111-...��� ,����.���..�'..".����,����,�' . ; : ; . . t -----.. ......�..... —11-1....----.—......1—.....�......—...—.........�����,��'..�.�����.������,��.���.������.�I.....---l-11 -1....:....—1-1— —l—......--1 --l— ; : ; : -----r — --,". --....�...�.... .—. ...................—.................�...--------..........�... __ . _.._.. -_ ._..__.. .- .- - .......__ . _---- _._----......--..........----....--J ---..........----.—.............. C0?PUTAT ION SHEET �W N se'q y 4 : �-0� O-P � � fi w` 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 sox•co`'`� TELEPHONE (860) 644-2511 June 20, 2006 Certified Mail CK Construction 82 Niles Road Poquonock, CT 06064 Re: Street Excavation Permanent Patch Fees Permit#3863, 6 Sandra Drive To Whom It May Concern: When the Town of South Windsor issued the above referenced permit to your organization, it collected $6900.00 for a permanent patch deposit based on available estimates at that time. The actual cost of the patch work performed on this permit, however, was a total cost of $3472.00. Therefore, the balance of$3428.00 is being refunded to you. Permit Address Deposit Cost Refund 3863 6 Sandra Drive $6900 $3472 $3428 If you have any questions, please contact me at (860) 644-2511, extension 244. Sincerely, J rey Dori le, P.E. Town Engineer cc: Melanie D. Crucitti, Director of Finance S:\ENG1NEERVoyt2006 Cut Patch Lettm\Cut Patch Joy CK Constr Refdoc a REFUND OF DEPOSIT REQUEST FORM STREET EXCAVATION PERMIT Request Date: �2r�oG Issue Refund in the amount of $-3 Ll q8 From Account# 001-0300-0205-059 To: Permitee: Address �,� ND1 I `!;F cl Permit J�� �o 5a ny-G Number Location Number Location Number Location Number Location Number Location Submitted By: Na a Date Check Issued: Number Date Processed by Finance Name Date SAENGINEERTORM&Office FoansTatch Refund Form.doc •-�� ,� -� �-►� �ul� rvtc 5 KLLT EXCAVATION PERMIT .� TOWN OF SOUTH WINDSOR --- PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm . � \` �� \S'1 �� �i y a ����- ^ � � Address of Firm Phone No. IV.�� � Q off, Location of proposed work ( . ( it o Describe fully nature of permit requested Starting date_ 10(y 1 a" Call Before You Di No. Approx.time for completion g — �� Q a d( Traffic Services Control No. Show sketch of proposed work or fumish ` two copies of separate drawin gVIA Indicate North This section to be filled out by Town of South Windsor 3 Pavementt S I5�'� F/ L -t- - No.cuts z u 6 X i a' ft, Est..Size of Perm. Patch(s) Est.Pvt.Thickness a in. Est:Unit Price i Amt.of Deposit$ 617 o. v Total Due$_ E,�2 CC), by jc ( )Cash(Check# 4_I .ZZ'? Permanent Patch . No. Cuts Size of Patch(s) Final Billi Am. Due Pay Amt.Due Town By Applicant is responsible for contacting the Police Dept.and C.B.Y.D. Date 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 1 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. Date 0.LA Ti#le:_ u �l\ Driver s License#: r q s o � PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES { 'f5;P I q% I .1, r�i %� 'Sf• � � � �a � p r� r