HomeMy WebLinkAboutStreet Cut Permit Kelly Road 900066 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 06/18/09
GIS ID:49509999
MUNIS APPLICATION# 200900681 FEE: 25.00
EXPIRATION DATE: 06/18/10
APPLICANT LOCATION
NAME: ASHE CONSTRUCTION LLC
ADDRESS: 17 GRAMAR AVENUE ADDRESS: KELLY ROAD
PROSPECT,CT 06712 OWNER: TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVE
PHONE SOUTH WINDSOR, CT 06074
WORK DESCRIPTION: EXCAVATE TO INSTALL WATER MAIN TAP
FOR WATER SERVICE T()THE HILLCREST DEVELOPMENT
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDS_-OTHE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E�PEN8ft?S INCIJRRED,BY T,H0 T6 -- FOI MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APP3 ICAf IS FBI YAK WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINEDIN THE TOWN OF SOVfi:KWINISSI 9T*+� -�E�2MIT MANUAL.
T ,Q
ISSUED BY DA E INSPECTED INSPECTED BY
6/18/20099:38AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 20006 6 CONTRACTOR: A-S Cd 05`rP,
LOCATION:_ u (Loa at
q, �
TYPE OF WORK:_ 1't)5` 311 uDaA-ek_ yY1o�,'t►1 `ot�' ( F►� ��L'(t°�
DATE INSP NEEDED: DATE INSP: 7 Ig? /0?
INSPECTED BY: �b
WORK IN / f�
PROGRESS: 4 cow ec�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: Cam-' DATE:
WJ2007 Town of South Windsor INPSECTION REPORT 07
z.0>0:) t APPLICATION FOR STREET EXCAVATION PERMIT 90cc,64
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm SE CbK�M W LC_ Phone No. T7_56_,S
Address of Firm 19 CaVA M M A\)i^ E Zip Code O U'71 Z
Location of proposed work t^L
Describe_ fully nature of permit requested -7A-0
Starting date �C 2 Approx.time for completion u r1 E_
Call Before You Dig No. Qcv Z 10 2 i 9 Existing Water.Supply: �ublic Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: TIRE 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 fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts.
Est.Patch Size(s) sf
Est.Pvt.Thickness 4— in.
14
Est.Patch Unit Price$ 1,5 ago /sf
. � t:Patch Costs.
"� G Est.Curb Replacement 4)
.
V1j ; r _ �.�"-'�,��__._ _�.�_ Est.Curb Unit Price$_ Zo,p /ft
S 5 Est:Curb Cost$ I'o•��
Est.Traffic Unit Cost$
a 14 Est.Traffic Control$
1 \ �
AtnL of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
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 UTLINED IN THE N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Sign Date:- .1/ �l
Title: Driver's License M D :1/G f V 3 3 Q
PLEASE A BLOW 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 Permit 08 REV 10-22-08.
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