HomeMy WebLinkAboutStreet Cut Permit 151 Sand Hill Road 900162 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
&1 REM
DATE: 12/04/09 _� = ` G
GIS ID:79800151 �-goy , ��
MUNIS APPLICATION# 200901478 9� �� � FEE: .00
, IRATION DATE: 12/04/10
APPLICANT ? LOCATION
NAME: EVERGREEN CONSTyUg7lo1
ADDRESS: 39 SULLIVAN ST SAl HILL ROAD
' � INDSOR TOWN OF 56
SPRINGFIELD,MA 0 � IL RD
-
PHONE J- �STVINDSOR,CT 06074
1
OF
WORK DESCRIPTION: REM(1UD
��� &-*ALK AND REPLACE
WITH SEW r-
IR TE T TS _
APPLICANT AGREES TO FURNISH THE T� F KITH= "
Q Mr-W-ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN� CU
`AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE Ai?�PO` 1R
FOR PERMITS AS OUTLINED IN THE TOWN OF ICI L ABIDE BY THE RULES AND REGULATIONS
STJ1?SIZ' STI � U 1PIIIT MANUAL.
1p-
/ -
ISSUED BY DATE INS CTED INSPECTED BY
12/4/20092:38PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
--------------------
Mg -
�.5 F- i
t �j��
' ,
l _ y
K His-{
Al
y
y
yy
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: q 00 (O a-- CONTRACTOR:
LOCATION:__ 15 <15a.Vn cQ l
TYPE OF WORK: (�V►�y-P qi-/lplar�-II�Q��,� Slri�P
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: . P�1
WORK IN
PROGRESS: DO kLk N/A
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: GVI� DATE: /0
W/2007 Town of South Windsor INPSECTION REPORT 07
12/02/2009 WED 14:00 FAX 210 349 2464 ERCC OFFICE 1j002/006
APPLICATION FOR STREET EXCAVATION PERMIT
Appl•No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE
,$25.00 /
Name of Firm �2� Ns���u�l!4� Phone No. IJ� 73 '(�/Q
Address of Firm C /dGrt Zip Cod 011
Location of proposed work N�
.Describe fully,nature of permit requested 6,0& /
Starting date `7 Approx.ti a for completion
Call Before You Dig No. /V
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish two copies of separate dRra�wi�n This section to be filled out by
Qg Indicate North Town of South Windsor
No.cuts
0 .
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est Patch Cost$
Est Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
AAP Amt.of Deposit$
fGwfti Pro,Ject Total Due$ 0 _
{ }Cash ( }Check#
Applicant is responsible for contacting Paid By
the Police pea 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 WIND FOR XPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONK ITH S PE IT T T I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PE ITS AS O IN TH TO WfNDSOR'S STREET CUT PERMIT MANcU�AL.
Sig. t Date
Title: Driver's License#•
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation:Permit 08
tali
�a10
t
m 1.0
5
Detailed Scope of Work
INNIQ
Issued To: Evergreen Construction Corp.
71 Garland Street
Chicopee,MA 01020
Tel:(413)737-6100
Fax:(413)737-6111
Re: Job Number: 009271.00
Job Title: South Windsor 2 Concrete Sidewalk Repair at Police Station
Contract No: NE-09-EZIQC
Purchase Order No:
Facility: Police Station
151 Sand Hill Road
South Windsor,CT 06074
CRCOG Member Information: Clay major
Town of East Granby
Detailed Scope of Work:
Contractor shall remove and replace section of the concrete sidewalk in front of South Windsor Police Station
Break-up and remove damaged concrete pavement within outlined boundary in front of the main
entrance(approx. 380 SF)
• Install new reinforced 4000 psi concrete to match color of existing pavement
• Install expansion joints where new pavement meets existing
• Install control joints where necessary
• Provide trowel finish
• Replace two damaged flags and curb in front of the handicap parking(approx.6'x 10')with reinforced
4000 psi concrete with trowel finish
Remove from site all debris and removed concrete
Provide pedestrian access to building at all times
Please reference the Request for Proposal for additional information regarding this Detailed Scope of Work.
July 22,2009
Page 1 of 1