HomeMy WebLinkAboutStreet Cut Permits 70 Stanley Drive (2) 1200093
PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT
STREET CUT PERMIT
DATE: 05/31/12
GIS ID: 85200070
MUNIS APPi,IC'A TICiM_,9_7m�,,.
EXPIRATION DATE: 25.00
05/31/13
APPLICANT
NAME: ASPHALT MAINTENAIycE PAVING LOCATION
ADDRESS: 9 MILLENNIUM DRIV> `' - ADDRESS,.- 70 S'TANLEY DRIVE
CROMWELL, CT 064�� 4IER HAiID LUC&RITA
,
7 "RANI EY DRIVE
PHONE
SOJTII VVINDSOR,CT 06074
WORK DESCRIPTION: DRIdE
VEY
APPLICANT AGREES TO FURNISH THE Tfl '
THE TOWN OF SOUTH WINDSOR FOR ANI,.EXPENSOES I � �� A D REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE AP�LI�AItIT IS RA1IT IAR WITH ANTS WIC I ABIDE BY THE RULES AND
FOR PERMITS AS OUTLINED IN THE TOWN OF S�`1L�TH W___ -R'S STREg CHT PERMI I MANUAL. E OR REPAIR WORK IN
REGULATIONS
ISSUED BY �1 '
DAE3NSpECTED
5/31/2012 2:28 PM ***
PERMIT INSPECTED BY TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1d oDO q� CONTRACTOR:A6ph_ i fi M4l nyifr y P"cv!y
LOCATION:� Ie1 770
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: /'- 1? S
INSPECTED BY: �L>
WORK IN
PROGRESS:
D ti'1X
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: ` DATE: 1 a 1
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appi.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date: _S 1310
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm ANA A�— a tj Um hone No.
Address of Firm_ _ lit Zip Code (to .
Location of proposed work "7 0
Describe fully natVre of permit requested c'e
Starting date 11�2- Approx.time for completion
Call Before You Dig-No. 1 Z l Q 21 Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indioate North Town of.South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
- Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Trafric Unit Cost$ /hr
Est.Traffic Control s
AtnL of.Deposit$
Total Due s
O Cash ( )Check#
Applicant is responsible for contacting Paid By
the police Det.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
PERMITS AS OUTWED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PE MIT t UAL.
Signed: Date:
. *4dL . . f . .
Title: Driver's License#: to L�y fir_
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"SITE AT ALL TIMES
.Street Excavation Permit 08 REV 10-22-08