HomeMy WebLinkAboutStreet Cut Permits 565 Nevers Road (2) 1100109 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/04/11 = =
GIS ID: 62400565 FEE: 25.00
MUNIS APPLICATION# 201100867 EXPIRATION DATE: 08/03/12
APPLICANT' = t_ LOCATION
NAME: HILLS PAVING - = ADDRESS:-- 565 NEVERS ROAD
ADDRESS: 245 SCANTIC ROAD OWNER: PATRIA DAVID A
EAST WINDSOR,CT-'06088 56SNEVERS RD
SOUIHWINDSOR,CT 06074
PHONE
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWS- OF SOUTH INIDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES IN BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE�APPLkCANTJS FAMILIAR WITH AID WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TgO�WN OF SOUTH WII*IDSR'S STREET CUT PERIv1IT MANUAL.
V4,1- 1 3 d
ISSUED BY DATLf INSPECTED INSPECTED BY
8/4/201110:21AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
....
TOWN OF SOUTH WINDSOR INSPECTION REPORT
7 e
PERMIT NO.: I 0 f O CONTRACTOR: 41111,5
LOCATION:
TYPE OF WORK: 1 V coa
DATE INSP NEEDED: DATE INSP: 15
INSPECTED BY: Sb
WORK IN
PROGRESS: ]e
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: v DATE: I
W(2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm Tl )I 1. Phone No. G�6` 65L 1�O
Address of Firm C Zip Code o i✓
Location of proposed work '51,z Qd )Z j j.
Describe fully nature of permit requested L W RZ(j �-,� -�
Starting date_-�1y Approx.time for completion
Call Before You Dig-No. 96 1 Existing Water Supply: Q-Pabrc Water ❑Well
Existing Sewage Service: Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY.ESTIMATE. THE APPLICANT tS RESPONSIBLE FOR THE FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
'LENGTH,TRAFFIC CONTROL AND-THE TOWNS CONTRACT COSTS.-THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A-YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN•A YEAR.
Show sketch of proposed work or furnish
two copies of separate drawing This notion to.be filled out by
Indicate.North Towg of-South Windsor
No.cuts
Est.Patch Sizes) . sf
Est.-Pvt..Thickness in.
Est.Patch Unit Price$ Jsf
Est.Patch-Cost s
Est.Curb Replacement ft
Est.Curb Unk Price
Est.Curb Cost s
Est.Traffic unit cost$ Au
Est.Traffic Control s
Amt.of:Deposit s
Total Due s
( )Cash ( )Check�
Applicant is responsible for contacting Paid By
the Police .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 AS OJJTUPED I TOWN OF`SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
11
Signed: Date:
Title: Drivees'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
Weet Excavation Permit 08 P"10-22-08