HomeMy WebLinkAboutStreet Cut Permits 135 Ridgefield Drive (2) 1100074 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/28/11
GIS ID: 75900135 FEE: 25.00
MUNIS APPLICATION# 201100676 = EXPIRATION DATE: 06/27/12
APPLICANT LOCATION
NAME: AYOTTE BROTHERS CDNST. CO. ADDRESS: 135 RID+GEFIELD DR
ADDRESS: P O BOX 498 t3W TER: -6uKELLIS COSTAS P&ATHENA N
SUFFIELD,CT 06078 - 135 RIDGEFIELD DR
SOUTH W INDSOR,CT 06074
PHONE 860-654-1800
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN-OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN�'E_ ENSES-INCURRJID BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT;LS V_ IAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF So)UTH VIND�R'S'STREET AN
MANUAL.
ISSUED BY DATE 1NSPECTED INSPECTED BY
6/28/20119:48AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 11 D0 0 -7 y CONTRACTOR: AV. o T-fe
LOCATION: 13,T 9'%c4 ce k � e 1 of -PA .
TYPE OF WORK: V e (_�')a UI
DATE INSP NEEDED: DATE INSP: 3i -
INSPECTED BY: a�
WORK IN
PROGRESS:.��A
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [-] YES [:] NO
AS-BUILT:
INPUT: DATE: d
W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT 11000 -7`"
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm OU4=eZ0 dA,9,1Z CM21:� 7 Phone No.
Address of Firm 11 n �3 Zip Code D 7<P'
Location of proposed work 1 - v • LO L V coo
Describe fully nature of permit requested itm u
Starting date Cv- ,3 c)—/ / Approx.time for completion 3 o
Call Before You Dig No. op -�)j4 Inc Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWdN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
N No.cuts
VJ_ )
Est. Patch Size(s) sf
a v Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
3a Est.Curb Replacement ft
Est.Curb Unit Price
3v Est.Curb Cost$
n —
Est.Traffic Unit Cost$ /hr
q,5
# Est.Traffic Control$
�z Amt.of Deposit$
Total Due$
( )Cash ( )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 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 OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: /!
Title: Te aka u 4Ae— 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