HomeMy WebLinkAboutStreet Cut Permit 665 Nutmeg Road 800209 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 12/09/08
GIS ID: 65100665 FEE: 25.00
MUNIS APPLICATION# 200801931 EXPIRATION DATE: 12/09/09
APPLICANT LOCATION
NAME: PARAMOUNT CONSTRUCTION Ltcj A-DRESS 66i5 NUI:MEG ROAD
ADDRESS: 49 HOLLOW TREE LANE Q ..E I FI O FERNANDO V EST
NEWINGTON, CT 0'6111 QNE COIISTITUTION PLAZA
5
ARITORD,CT 06103
PHONEgp
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WORK DESCRIPTION: EXCA� T EN ' R0 I STING
APPLICANT AGREES TO FURNISH THE t,;O.
�. rTs `lk$OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A
& TIO F01 IVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH 'ICA U ,� ANILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O 5Q1 J I ; 1 STlTt TT PIiIMIT MANUAL.
ISSUED BY DAT INSPECTED INSPECTED BY
12/9/200812:04PM *** PERMIT TO BE KEPT ON JOB SITE AT-ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:-B QOa D 9 CONTRACTOR: Per a mo u� - 00as t ,
LOCATION: lq S u yYtQ
TYPE OF WORK:
= = -DATE INSP NEEDED:
DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
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AS-BUILT:-
INPUT: L DATE:__
W/2007 Town of South Windsor INPSECTION REPORT 07
Zeasa123A APPLICATION FOR STREET EXCAVATION PERMIT &'off
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS.DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
-r -rr�.c #�Z9sg8 FEE $25.00
Name of Firm_ T�QP9AnU4n1"r C pA/S i,2Uc.7% A/ L LC, Phone No.
Address of Firm- hla L cv 7"Q GrLf 4/V- NCP✓/N 7 L i` ZiD Code� (o
Location of proposed work__ U W 1%e 6.(®mi- Pe)d A/y,,/y,47_',�rp /r/pk7-/f
Describe fully nature of permit requested y_9lc.q✓A�(-9' g kI 4 LV1-C7? 1 �, i, A ej7,y„V
Starting date Approx.time for completion /
Call Before You Dig No. 9 v'/
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THEFULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS-TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing indicate North Town of South Windsor
�� ArT,A�L1J
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness_ - in.25 0
r Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
gEst.Curb Unit Price
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
`R 6 4Q CUT Amt.of Deposit$
Total Due-$_
( )Cash Check# )693
Applicant is responsible for contacting Paid By?APAm.,, rr Co!NsT
the Police Dept.and C.B.Y.D.
AGREE TO.FURNISH TO THE TOWN OF SOUTH WINDSOR-THE AMOUNT OF BOND REaUTRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WIT THIS DORMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OU N WN OF SOUTH WINDSOR'S STREET CUT PERMIT VAlsJUAL.
-Signed: Date: �p
Title: Driver's License#: 6 i�.) ®i`I G;L -c l
PERMIT SHALL BE KEPT ON JOB.SITE AT ALL TIMES
Street Excavation Permit 08.doc
374 STRONG RD 0 88 STRO IG RD
10 NUTMEG RD NO
01 NUTMEG RD R H
NUTMEG RD NORTH
'N �20
0 65 NUTMEG RD NO
60 NUTMEG RD NO
Legend
NewPipeSamples
—Water Main
• Address—Pt
—4 Railroad
[_1 Bldg_Poly
0 nmProperty_Poly
C.37own Line
a')a nn rrneGr cn nin
LOCATION OF THE WATER MAINS SHOWN 340 N NUTMEG RD
ARE APPROXIMATE AND WERE OBTAINED
FROM THE MDC'S WATER MAIN GIS LAYER
• MDC WATER DISTRIBUTION SYSTEM NP-20 AUG-US 2008
PIPE SAMPLE LOCATIONS SOUTH WINDSOR CT
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