HomeMy WebLinkAboutStreet Cut Permits 9999 Hayes Road (2) 1100127 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/23/11
GIS ID:40209999 FEE: 00
MUNIS APPLICATION# 201100951RXPIRATION DATE: 08/22/12
APPLICANT — LOCATION
NAME: KING CONSTRUCTION., AI�DRE&S IM T§ROAD
ADDRESS: 16 NORTHWOOD DRL-V LWtER - TpWN OF SOUTH WINDSOR
BLOOMFIELD,CT 0�I)O2
„_- '= I54G- &IVAN AVE
Q UTH VKINDSOR,CT 06074
PHONE 860-242-2263 = law
WORK DESCRIPTION: HATS READ R ( iGT4�NWII'RO ECT
APPLICANT AGREES TO FURNISH THE 1�g C1F SQ . BOjb REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY IxETSES ItiffT4i1O INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH APP-tV IS 1�7 WI FH ANI WII "ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OkgOH1VS�' TT P MANUAL.
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ISSUED BY DATA NSRECTED INSPECTED BY
8/23/20114:OOPM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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2/10021V APPLICATION FOR STREET EXCAVATION PERMIT _//00/a7
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
SOUTH WIN O �CT 06074 `
76 77, FEE W5.00
KING CONSTRUCTION,INC. 'k '
Name of Firm Phone No. 860-242-2263
Address of Firm 16 Northwood Drive - Bloomfield Ct. Zip Code 06002
Location of proposed work Hayes Road - South Windsor
Describe fully nature of permit requested Hayes Road Reconstruction - Excavation, Drainage, Road*
bases & pavements, Reconstruct driveways - Restoration
Starting date 8/22/11 Approx.time for completion
Call Before You Dig No. o 111 L+o 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 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 This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
HAYES ROAD RECONSTRUCTION Est.Patch Sizes) sf
FROM GRAHAM ROAD TO NEVERS ROAD Est.Pvt.Thickness in.
SOUTH WINDSOR, CT. Est.Patch 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
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 WINDSOR FOR ANY EX SES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WI T S PERMIT AND T 1 AM FAMILIARWITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS O: TLI D E TOWN S TH WINDSOR'S STREET CUT PERMIT MANUAL.
1
Signed: Date: �'�` )tj
Title: Vice-President Driver's License#:
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 Permit 08 REV 10-22-08