HomeMy WebLinkAboutStreet Cut Permit 2040 Clark Street .900050
PERMIT PERMIT TOWN OF SOUTH WINDSOR, CT
NUMBER STREET CUT PERMIT
DATE: 05/15/09
GIS ID:20409999QA
, FEE:
25.00
MUNIS APPLICATION# 200900513 •,3' t: r. ; k f Zi ?VRATION DATE: 05/15/10
APPLICA T ."w� '' \LOCATION
NAME: PRECISION LANDS �T ? t
ADDRESS: 280 WEST STREET ' STREET
BOLTON CT 06043 r. O SOUTH WINDSOR
' �t.E,N.
H.VINDSOR AVE
CT 06074
PHONE ' d
r #
WORK DESCRIPTION: RO
AS PT 0F � 3
APPLICANT AGREES TO FURNISH THE f bUT
2XM ` E,BND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN N �;f &AINTENANCE OR REPAIR WORK IN
T ND
CONNECTION WITH THIS PERMIT AND TH P�� '1'1 I ' I #L L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFUT IT MANUAL.
M AM
..
ISSUED BY DATE INSPECTED
- INSPECTED BY
5/15/20094:06PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: R Olt DSv CONTRACTOR: /'-rec is i p`v Ca viols
LOCATION: 79 -3
'TYPE OF WORK:
-- - --DATE INSP NEEDED: DATE INSP: �/ a 9
- _ INSPECTED BY: 1
WORK IN
PROGRESS:
r✓�.sc 2o�,d
064 uva /=r'jlrJ
AS-BUILT:
INPUT: DATE:_
W/2007 Town of South Windsor INPSEC'n oN REPORT 07
`��� ai � r►rr�wH l wlv rvn zj i tilt l tAVAVA I IVN PhKMIT Svc'>50 .
Appl..No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm �e��1� ' ��-q j Phone No. � � 1bAddressofFirm �- #�}r a i o ZipCode 6� .�
Location of proposed work gm�. 3L1 filar _S
Describe fully nature of permit requested Q i je, (P� 3
Starting dates or (,
Approx.time for completion x s x
Call Before You Dig No.-_907 po W Existing Water.Supply: Public Water ❑Well
Existing Sewage Service: [ Public Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS 1RESPONS113LE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,-TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish Ibis section to be filled out by
two copies of separate drawing Jndicate.North Town of South Windsor
Iq No.cuts
- Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patoh Unit Price$ - - /sf
Est:Patch Cost$- -
Est.Curb Replacement ft
Est.Curb Unit Price_$_- /ft
Est.Curb Cost S
Est.Traffic Unit Cost$ /hr
Est.Traffic Control;
Amt.of Deposit$
Total Due$
O Cash O Check#
Applicant is responsible for contacting Paid By.
I. 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.WINDS FOR ANY EXPENSES.INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION W THIts, .MIT AND THAT I AM FAMILIAR-WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS I E TOWN OF SOUTH WINDSOR'S STREET CUT P M T MANUAL.
r
Signed: Date.40
� ��J
Title: Q�' r� z Cf
� Driver's License#: � l L�� v�✓�
PLEASE ALLOW 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.Permlt 08 REV 10-22-08.
viiviicvus 1fff: ou CONNECTICUT CALL BEFORE YOU 0I6 Page 1
(CALL BEFORE YOU DIG - CT) 07/01/2009 14: 58: 35
-3W -56 -BB -Cl
-CW -GV -OT 15-SW SWINDS
-T5 -W3
-------------------------------------
ROUTINE
TIME. . 14: 57 DATE. . 07/01/2009
REQUEST NO. . . 20092701988
LATITUDE. 41. 8119894 .LONGITUDE, . -72. 5733855
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 299 - 349
STREET. . . . CLARK ST
NEAREST
CROSS STREET. . SMITH ST
----------------------------------------
TYPE OF WORK. . . . . EXC TO WIDEN ROAD, GRADE DRIVES & LAWNS
AREA IS MARKED. . . YES
REMARKS:
WORKING IN THE STREET CURB TO CURB BETWEEN THE PROPS & UP
TO 15FT OFF CURBS INTO PROPS
-----------------------------------
--=------------
START DATE. . . . . . 07/07/2009 START TIME. . 07: 00
CALLER. . . . . . . . . . JENNIFER WINTER
CALL BACK. . . . . . . ANYTIME
PHONE #. . . . . . . . . 860-659-9645
FAX #. . . . . . . . . . . 860-533-0079
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . PRECISION LANDSCAPING
ADDRESS. . . . . . . . .. 280 WEST ST
CITY. . . . . . . . . . . . BOLTON
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06043
----------------------------------------------------
EXCAVATOR DOING WORK— SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
Page 1 of 1
Drabek, Bernard
From: Asselin, Ronald
Sent: Tuesday, August 04, 2009 1:19 PM
To: Drabek, Bernard
Subject: Clark Street
It looks better.
8/17/2009