HomeMy WebLinkAboutStreet Cut Permits 39 Rockledge Drive 1200043 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 04/11/12
GIS ID: 76800039
IS-APP_LICATICYN I# 2nl')nn2nn FEE: 25.0.0_
PIRATION DATE: 04/11/13
APPLICANZ = "" LOCATION
NAME: QUALITY PAVING CO ADDRESS- 31 ROCILEDGE DRIVE
ADDRESS: 194 S.MAIN STREET f-WNEI MERMAN TRACEY B&DEBORAH W
EAST WINDSOR,CT 061I$8 39 R"OCKLEDGE DRIVE
S JUT11V INDSOR,CT 06074
PHONE 860-523-4182 - =
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN pF SOIJTIT= II±IIOR TIE gMOUI{T OF,B(3ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EIs1JN3ES INOC7RRI% $ TITB TOWNFQR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT„IS FAlvill IAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSRATREETCTJTPERMIT MANUAL.
L � 1 7.� �3
ISSUED BY
DATE INSPECTED INSPECTED BY
4/11/20123:11PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH MKD' SOR INSPECTION REPORT
PERMITNO.: •IoZO '�/c3 ooNrnacnoR:
LOCATION ,2 I�cc
TYPE OF WORK:
:DATE INSP NEEDED: DATE INSP., /- y
INSPECTED BY.-
WORK IN
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W12007 Town of South Windsor INPSECnON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: l
SOUTH WINDSOR,CT 06074
_ FEE $25.00
r _
Name of Firm - - - lc.t -2 Phone No. —
Address of Firm ' - -
--1� - �' �%�z� -- � �,lU���ry _Zip Code 406 e9�<-P
Location of proposed work- 3 i /-ve-_- e - 1 P �' , S -�-
Describe fully nature of permit requested °
Starting date Approx.time for App o completion
Call Before You Dig No. Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,-TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
-Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
L2 �� Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price-$ /ft
Est.Curb Cost$
/ C y Est.Traffic Unit Cost$ /hr
I
Est.Traffic Control$
' Amt.of Deposit$
7 Total Due$
OCash OCheck#
Applicant is responsible for contacting Paid By
•be_ooi;.,,
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 PER T MANUAL.
Signed: Date: 2,_
Title: Q�rn �CKrhExar�Xayi 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