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HomeMy WebLinkAboutStreet Cut Permits 290 Quarry Brook Driv (2) 1200064 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/30/12 GIS ID: 74100290 FEE: 25.00 MUNIS APPLICATION# 201200500 = E iI'IRATION DATE: 04/30/I 3 APPLICANT LOCATION NAME: GENERAL PAVING AND Q 9L -RU��'I�1�J ��RESS 290 QUARRY BROOK DRIVE ADDRESS: 1218 CROMWELL AVI N E = C "� R RGNATPETER P&RAJKUMARIE ROCKY HILL, CT 06067 2�0 QUARRY BROOK DR TH! �� SOU PHONE VINDSOR,CT 06074 WORK DESCRIPTION: DRIVIyWAY = ; APPLICANT AGREES TO FURNISH THE T OtJTH D qIWE v10T3N OT;BO D REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI�-1 kPE SE&-INCUIM $gf"HI TD 1 FAR M AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FvI1J WITH ANIJ WILE ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQUTH WIItl7SR' = TRI I QUT PERII�IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 4/30/201211:06AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** JA 26 28" j / R TOWN OF SOUTH WINDSOR MSPEMONW REPORT _'. PERMTT NO: • (X� CONiRr4CTOR: C e e LOCATION: .'TYPE OF WORK: .DATE INSP NEEDED: DATE INSP: J 3 - .cm BY: WORK IN . P�tOGRFSS: � SMASH . WrWESSEDYES El NO 'AS-BUILT.- INPUT: ; L - 3 DATE: W12007 Town or South Windsor INMMON REPORT07 APPLICATION FOR STREET EXCAVATION PERMIT AI iZo6 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date:_! c? 2- SOUTH WINDSOR,CT 06074 FEE $25.00" Name of Firm v e OA L Cc w%., Phone No. Y6 O Address of Firm '� Gr l v t� %\t Crt Zip Code ©g 0 6'7 Location of proposed work 0 c le 10 r , Describe fully nature of permit requested Starting date t 2 Approx.time for completion / Mczal Call Before You Dig No. a 7co 33 '7 Existing Water Supply: ❑ Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts t t _ Est.Patch Size(s) sf ' Est.Pvt.Thickness in. Est. Patch Unit Price$ fsf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ Cash—( 1 ,;, Applicant is responsible for contacting Paid By the Police De Dt.and C.B.YD. 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 PERMIT AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT.MANUAL. � . Signed: 1 Date: 26 Y 2— Title: 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 08/29/2001 23:08 18602362837 PAGE 01 u., P , ��&KCMIML PAZ 1218 Ct M eq Ave. . Rocky yg! COnnBcdcut DW67 T®lAph0ne860-257-7239 • Fax860-257-1233 Cc ntractor No.565642 Alma PROPOSAL SUBMITTED TO: DATE: NM G c ,2 e L• ,� JOB NAME: STREET: Sketch of Work Area: can h � PHCNE We rk to be performed: 1. Fine grade existing base material,add pr less stone for fine grading a$ needed and pave w/3'of asphalt. Z o Sg 2- Remove existing asphalt,add processed ag regate for fine grading as needed and pave w/3"of aqpbalt- 3. ,Excavate existing driveway,install 6"of processed aggregate " gg gate and pave w/3 of asphalt. Type of work to be performed will be circled abovo, ,Back filling curb or edges of pavement is not included in our price and shall be completed by others_Not responsible i s-c. for I amage to Concrete Sidewalks, Star[Date: within 45 days from transaction date Completion Date: within 45 days from start date