HomeMy WebLinkAboutStreet Cut Permits 44 Simcka Drive (2) 1200082 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/30/12
GIS ID: 82800044 -, FEE: 25.00
MUNIS APPLICATION# 201200668 EXPIRATION DATE: 05/30/13
APPLICANT - LOCATION
NAME: PRECISION LANDSCA'ING „ ADDRESS;, 44 IMC, A DRIVE
ADDRESS: 280 WEST STREET JeC�RzNER HUGHEVIRGINIA R
BOLTON,CT 06043 = 44 IMCRA DRIVE
SOUTH WINDSOR,CT 06074
PHONE ;
WORK DESCRIPTION: WALK IN FRONT OF
STONI WALL AND IDRAMNT0�3 IN STREI T
APPLICANT AGREES TO FURNISH THE TQWI*I OFSOUTHWII*1I? (}R TEE AMOUNT QF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E3 'ENSI S INI?URREI BY TIF> TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE�P-Pf tCANT IS FAMII,TA*WITI�AND WI- ABIDE BY THE RULES AND REGULATIONS -
FOR PERMITS AS OUTLINED IN:T14E TOWN OF SOUTILII�I WbR SST I CUT PERMTT MANUAL.
P 1 0 G
ISSUED BY DATE INSPECTED INSPECTED BY
5/30/201211:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPEMON REPORT
PatMITNO: • OONTRACrol
LOCAMON
- rME OF woR[c• r;Q� r 1 n
WE INSP NEEDED;_ DATE W. LLILI
MSPECFED
WORK IN
-PROGRESS: fay
/ho f 4,4 i6ka-e +`tiAck a. 4 G, o C
o ------------------
SEPTIC TANK PUMPED,SMASHED, FILLED WI'[i`EssED ❑YES ❑ NO
AS-BUILT
INPUT: - DATE: 3�
W12007 Town of South Windsor INPSEmom REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00 f L,
Name of Firm Pret4s)cvl b3. S l.1 �LG Phone No.
Address of Firm V3 r atb F 19D1Un, T06643 zip Cade 460q3
Location of proposed work H $i a V1 r lvz
Describe fully nature of permit requ sled Zn 4411 ,n 4� an 3 0 u ' w41k, h o M
an�, dtA 1W M� � ►„ sir
Starting date 6 `1 a Approx.time for completion„�3
Call Before You Dig-No. 1),L�O01S I Existing Water Supply: .Public 11Vater [ Well
Existing Sewage Service: (,Public Sewer I Septic
PLEASE NOTE: THE DEPOSIT FOR THE PER iNT PAVOMENT PATCH AND Oft. 114PU ENT IS A
PRELIMINARY ESTIMATE. THE APPUCANIr1S NE$PQN$l.0�12 FOR TH I',` �'`
PERMANENT PATCH AND CURB REPLACIIIItfi,INCLUDINQ Al!1Y INGR� ACH At CURD
i.ENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT H`IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TE PORARY PATCH BUT IT ttO LD R R THAN'A YLAR.
Show sketch of proposed work or furnish Y . au
two copies of separate drawing fridicate.North _gyl hdsor
t No.cuts
Est.Patch Size{s) sf
pfma, loL
Est.Pvt.Thickness- in.
Est.Patch Unit Price$ /sf'
Jj a ft�Jt ��- 4 l J "S Est.Patch-Cost$
QN, dra'ri - ► ew. 5�o W 4
�rro,n r�ML�j P,o�.40511R Est.Curb Replacement ft
35 Soi;�Q
,pipe Est.Curb Unit Price$ /It
Est.Ourb Cost.$
\04 k Est.Traffic Unit Cost$ Ihr
Est.Tmfno Control$
.
,n
AmL of.Deposit$
1 4U� Total Due$
{ )Cash ( )Check#
> s
Applioant is responsible for contacting °; Paid By
the Police De pi.and C.B.Y.D.
1 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 ERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS O I ED THE TOWN OF SOUTH WINDSOITS STREET CUT P FIRM IT MANUAL.
Signed: ✓° _ ++ - Date: J
Title: D �J bGSI L� sL4 r 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 Pernilt 08 REV 10-22-08
i
Doolittle, Jeffrey
From: CallCenter@CBYD.com
Sent: Tuesday, May 29, 2012 1:20 PM
To: CBYD
Subject: Locate Request-20122200751
(CALL BEFORE YOU DIG - CT) 05/29/2012 13:19:52
-5G -C1 -GV -OT
11-SW SWINDS -T5 -W3
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .13:19 DATE. .05/29/2012
REQUEST NO. . .20122200751
LATITUDE. .41.8152095 LONGITUDE. .-72.5875419
TOWN. . . . . .SOUTH WINDSOR �U
ADDRESS. . .44
tl�
STREET. . . .SIMKA DR
NEAREST
CROSS STREET. .NORTHVIEW DRIVE
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TYPE OF WORK. . . . .DRAINAGE
AREA IS MARKED. . .YES
REMARKS:
DRAINAGE - WORKING FROM CURBLINE INCLUDING CATCH BASIN IN FRONT OF HOUSE, ENTIRE FRONT
YARD.
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START DATE. . . . . .06/01/2012 START TIME. .07:00
CALLER. . . . . . . . . .TIM WHITE
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-659-9645
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .PRECISION LANDSCAPING LLC ADDRESS. . . . . . . . .280 WEST STREET
CITY. . . . . . . . . . . .BOLTON STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06043
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EXCAVATOR DOING WORK. .PRECISION LANDSCAPING LLC
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DA1' TIME: BY: 2) DATE: TIME'-. BY:
PERSON CONTACTED: PERSON CONTACTED:
1