HomeMy WebLinkAboutStreet Cut Permits 230 Brook Street 1200033 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/02/12 /
GIS ID: 14400230 = FEE: 25.00
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- EXPIRATION DATE: 04/02/13
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APPLICANT-
I
LOCATION
NAME: CITY PAVING COMPAfiLY INC ADDRES% 23 BROOK STREET
ADDRESS: 165 SILAS DEANE HWY - W IER - SONS MICHAEL E&WINDY A
NEWINGTON,CT 06fll- I9 o 130 BROOK STREET
$10 7 T'gINDSOR, CT 06074
PHONE 860-667-4900
WORK DESCRIPTION: DRIVEWAY
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APPLICANT AGREES TO FURNISH THE TO
whrOplsOUTY31 SIDS 3 TL =AIGIOUI I OI BODD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY,EW10-9ES�Di �?$ '1 #E T�3WN IyOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APP1 IAIF1 IS FAfifI r =WISH AI*1T?W1I�I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ON -gTRI E T'CUT I'ERMfT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
4/2/2012 10:46 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1 02033 OONTRACTOR: �� P��,n
LOCATION: .fin �e►�n S-tY���
.TYPE OF WORK:
:DATE INSP NEEDED: DATE INSP: 1_ 7
INSPECTED BY: �
WORK IN
PROGRESS:_ �
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INPUT:______Z� _._. DATE:______
W12007 Town of South Windsor INPSEmw REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
3 O PUBLIC.WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:03-25'- Z
SOUTH WINDSOR,CT 06074
FEE $26.00
Name of Firm - - - - - - Phone No..F —
--
Address ofrmf°�l APli / 1-- L , Cd/ 4Cr----- -__-Zip Code
Location of proposed work ° 0--- B EO D / ----
Describe fully nature of permit requested
Starting date e) D _ 4!"L Approx.time for completion 424
Call Before You Dig NoPl.2 iyd .3 y-yD Existing Water.Supply: . ❑Public Water D Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,-TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish Ibis section to be filled out by
two copies of separate drawing indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
-- Est.Curb Unit Price.$. /ft
i Est:Curb Cost$
/Z Est.Traffic Unit Cost$ Ihr
Est Traffic Control$
AmL of Deposit$
Total Due$
Applicant is responsible for contacting Paid By
the Police Dent.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 A OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signe 2� Z
Titled/ REf77 tZ- 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
Street Excavation Permit 08 REV 10-22-08