HomeMy WebLinkAboutStreet Cut Permits 112 Homestead Drive 1200028 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/22/12 -
GIS ID:44700112 - FEE: 25.00
MUNIS APPLICATION# 201200293 - IRATION DATE: Q3/22/�3
APPLICANT =- =; , , LOCATION
NAME: GENERAL PAVING AND)CONSTRU-TION #CADRE ; 1 T21OMESTEAD DRIVE
W ME
ADDRESS: 1218 CROMWELL AVENUE { IR, FREDIv11N ARTHUR P&EILEEN
ROCKY HILL, CT 0641- = = =01A I t51 ESTEAD DRIVE
OVT WINDSOR,CT 06074
PHONERIP
44
WORK DESCRIPTION: DRIVEWII�
APPLICANT AGREES TO FURNISH THE AWN_�IfOIJTFIDSC}LTI�E AMOJ7t3 O BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANtffPENSI S INCURI3EJ➢BY TH=E T WIv FOR 1 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI AP II� T IS R M rAK W I TlE9kN),.,WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SJLITHIII55SRTRE1 CUT1' RMIT MANUAL.
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ISSUED BY DATIISPEC ED INSPECTED BY
3/22/2012 11:03 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: - a OWO CONTRACTOR: Gene(a I P V l nu
LOCATION:_-- 11
TYPE OF WORK: `� y
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: $1)
WORK IN
PROGRESS:_
SEPTIC TANK PUMPED SMASHED FI - - NO
'AS-BUILT:
INPUT:- c DATE: % - 7-1.3
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT /a n22ag
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
.1540 SULLIVAN AVENUE 2,
SOUTH WINDSOR,CT 06074
FEE $25.00
ame o =irm A o%Act -- Phone No. —O ' 3
Address of Firm-jAjAj--L ll ►A� a,c�ti t�`.1 Zip Code coGoB 7
Location of proposed work !f.2 arrics..5;4mg t,z
Describe fully nature of permit requested_ c�la�• �r_,c ram..,:_ _ �,���,A
Starting date V Approx.time for completion
Cali Before You Dig No. oi,2 /,p o 0 3 s 1 Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer [I Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
ILENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish
two copies of separate drawing This section to be filled out by
indicate North Town of South Windsor
No.cuts
`` Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ #sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price_$_ /ft
iEsL Curb Cost.$
Est.Traffic Unit Cost$ fir
Est.Traffic Control$
Amt.of Deposit$
Total Due$
Applicant is responsible for contacting Paid By
the Police Dept.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 PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITSt:TLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed Date-,
Title: —/e J7 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
k,
AIL.
GENERAL
PA►==CONMUCTM CoRP. h e--
1218 Cromwell Ave. • Rocky Hill,Connecticut 06067
Telephone 860-257-1231 • Fax 860-257-1233
ontractor No.565642 jinajaxisal
PROPOSAL SUBMITTED TO: DATE:
WE; � ^ ' JOB NAME:
'REE: ` lt/ STREET
TY: v
LAI
®V O f J/U CITY: STATE:
ATE.-el
„ ARCHITECT DATE OF PLANS:
Jork to be performed: Sketch of Work Area:
1. Fine grade existing base material, add
process stone for fine grading as needed
and pave w/3" of asphalt.
or
2. Remove existing asphalt, add process
stone for fine grading as needed and
- Dave w/3"_of asnhnit
or
3. Excavate existing driveway- install 6" of
process stone and pave w/3" of asphalt.
ype of work to be performed will be circled above. �--
ackfilling curb or edges of pavement is not included in
it price and shall be completed by others.
of Responsible for Damage to Concrete Sidewalks.
tart Date: within 45 days from transaction date e
ompletion Date: within 45 days from start date