HomeMy WebLinkAboutStreet Cut Permits 85 Sweet Meadow Drive (2) 1200205 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/22/12
GIS ID: 88700085 FEE: 25.00
MUNIS APPLICATION# 201201408 EXPIRATION DATE: 10/22/13
APPLICANTIF LOCATION
NAME: ADVANCED CONSTR�JCTION A15D ES 8 WI ET MEADOW DRIVE
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ADDRESS: 5 CHESTNUT HILL ROS gf
STER FILINGRI BRUCE S&TARA RAND
STAFFORD,CT 0607 ,-- BSEIT MEADOW DR
PHONE 860-519-8442 ff ` " i
SOUTH WINDSOR, CT 06074
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WORK DESCRIPTION: INS I'AL RE' iVV E
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH W-bp jyS.$' IrAM013Nf OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN XP Y EEN-sES IN TGWNFOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC APISI,ICANT IS I?AMI IAR VifITH ANTS WIIfL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOi��II yVINDSR �TRI 1 UT P�R1Yf T MANUAL.
ISSUED BY DACE INSPECTTD INSPECTED BY
10/22/2012 9:31 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1 0 0 ®S CONTRACTOR: )Vmm'e0`
LOCATION: S 'sw , t "J o
TYPE OF WORK: I V1.59A
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
13 w,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
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APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR TPermit No. —
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR, CT 06074 — `—
F_FF _1t25-n_ n
Name of Firm -
0� �'\CCo
Phone No. 'SriC CAA - 2 4L Z
Address of Firm `'.�_ Y(}'ski l
Location of proposed work �T _aRoc� C,\ —Zip Code.()
Describe fully nature of permit requested
Starting date__ )yJ)o Approx. time for completion JjJ j 7
Call Before You Dig No. ExistingSupply: ❑ 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 '-------
two copies of separate drawing — This section to be filled out by
0 Indicate North Town of South Windsor
�CA
0 No.cuts
0
Est. Patch Size(s)_V_
Est. Pvt. Thickness_, in.
Est. Patch Unit Price$_ /sf
Est. Patch Cost$
Est. Curb Replacement
Es'. Curb Unit Price$
Est. Curb Cost$
Est. Traffic Unit Cost$ _/hr
Est. Traffic Control $
Atnt. of Deposit$
Total Due$
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Applicant is responsible for contacting ( ) Cash OCheck -----------
the Police Dept. and C.B.Y.D. Paid B
— . . . Y
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTI ITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL,ABIDE BY THE RULES AND REGULATIONS
THE
PERMITS S OU LINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. TIONS FOR
Signed: /
Date:Zicen,'r-it-
-------- f 7 . ---
Title: �.—
Drive
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