HomeMy WebLinkAboutStreet Cut Permits 75 Cadbury (3) 1200092 TOWN OF SOUTH WINDSOR
PERMIT NUMBER C T
STREET CUT PERMIT
DATE: 05/31/12 -
GIS ID: 15900075
MUNIS APPLICATION_#_2012006R1 - - FEE:
- -- - - - -- - -- - PIRATION DATE:
05/31/13
APPLICANTlaor AN LOCATION
NAME: GENERAL PAVING ANDSONs'TRM&QM
ADDRESS: 1218 CROMWELL AVENUE - rDDRESS � CADI3URY
BIER EICHELAN MARTIN&JEAN E
ROCKY HILL CT 0666 = - �S ,tAjjURY
PHONE -= = „ INDSOR,CT 06074
i
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE 1;OWIcJ Olt SOUTH EI}S<}R ILE"AMO�tI�1T OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E'iIFENSI;S�NUIE1MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE API'LTCAItIT IS FAMILII�R W-IAA- l-- WII7 ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 01 SOi3TH WJIDSR' T p{JT pEIT MANUAL.
Ab
ISSUED BY DATE-INSPCTED INSPECTED BY
5/31/20122:25PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1d coo9 CONTRACTOR: (T,�rr►P�a.����
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C�� DATE:
W 2007 Town of South Windsor INPSECTION 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
Name of Firm ti<,r 4C. oQ v ,% Phone No. Pra - A s`7" 10 3
Address of Firm I D %3 Gra,n,,,,c,11 4 et 1 e k'!z L41 L1 CT Zip Code OS06-7
Location of proposed worker ?5
Describe fully nature of permit requested Ri I 424 t L -e
'ar
Starting date__' 6 (f_( 1 It. Approx.time for completion w1a
Cali Before You Dig-No.al LA.7 A o 5134 Existing Water Supply: ❑Public Water El Well
Existing Sewage Service: [IPublic 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 -- --
- P Po - This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
n No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fft
Est.Curb Cost-
Est.Traffic Unit-Cost$ fir
Est.Traffic Control s
Amt.of.Deposit$
Total Due s
{ )Cash ( )Check#
ntis-responsible-for-contacting- -- - ----- ---. - -- ---=---- -- Paid-6y-
-Appl�► `a ---- -the Police Dept.and C.0,Y-1
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
PER 'AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed• Date:
Title: %jar!r ccA Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UN71L A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
:3u Pvn
�p �` GENERAL
l �A PAM Allen COUMCM COIF
�j Telephone 860-257-1231 • Fax 860-257-1233
Contractor No.565642 Propwal C M�� ,
PROPOSAL SUBMITTED TO: DATE:
NAME: 1 JOB NAME:
- - ` 'a - - -- - - - - ---
sTREET: Sketch of Work Area:
STATE: -- --_-_
.v -
PHONE#:
Work to be performed: qq
1. Fine grade existing base material,add process ` a
stone for fine grading as needed and pave w/3'of 3 C,a i"
asphalt.
2. Remove existing asphalt,add processed aggregate for r Z ,
fine grading as needed and pave w/3"of asphalt.
3 Excavate existing driveway,install 6"of processed
aggregate and pave w/3"of asphalt. ,j 7 ' r
Type of work to be performed will be circled above.
Back filling curb or edges of pavement is not included in
our price and shall be completed by others.Not responsible
for Dama e to Concrete Sidewalks.
Start Date:within 45 days from transaction date
Sk z cn �l�p� ,._.e
Completion Date:within 45 days from start date r 6� T