HomeMy WebLinkAboutStreet Cut Permits 421 Abbe Road (2) 1300268 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 10/17/2013
GIS ID: 00600421 = = - ;
MUNIS APPLICATION# 201301528 FEE: 25.00
„ EXPIRATION DATE: 10/17/2014
APPLICANT , _ LOCATION
NAME: KRULL CONSTRUCTI4�N
AbDRoSS: 421 ABUE ROAD
ADDRESS: 44 ELM STREET = I3WNER SCHAEhR ROBERT W&CHERYL A
SOUTH WINDSOR, CT 0b74 421 ABBE ROAD
PHONE 860-558-6756 ,
SOUTH WINDSOR,CT 06074
WORK DESCRIPTION: DRIVEWAY -
APPLICANT AGREES TO FURNISH THE TOWN OF SQUTH WINDSOR THE AMOiJ J1 OF 1301D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'E} 'ENSES INCIRREI�"3y-CIE TO WI1 FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI&APPLICANT IS FAI4IIT IAR WITH AND WILL"ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OIL SOUTH WIND$R STREET CUT P1 RNII MANUAL.
Pr
ISSUED BY DATE INSPECTED INSPECTED BY
10/17/2013 2:10 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
.......
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APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC-WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: 'J'
SOUTH WINDSOR,CT 06074
FEE $26.00
Name of Firm Phone No. °'^✓!��'1�7f(o
Address of Firm Zip Code 06
Location of work
proposed
Describe fully nature of permit requested 17
Starting date 140-22•t Approx.time for completion '2 cvO
Call Before You Dig No. Zo 0 ,�Zo ZZ I 1 Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH TRAFFIC CONTROL AND THE TOWN%CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
Est.Patch Size(S) sf
® Est.Pvt.Thiftess in.
14d(t5 q
a,� Est.Patch Unit Pace; Jsf
Est.Patch Cost;
Est.Curb Replacement ft
Est.Curb Unit Price.;_ /ft
Est:Curb Cost$
Est.Traffic Unit Cost; /hr
Est.Traffic Control;
Amt.of Deposit;
Total Due;
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.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 AS OUTLINE IN IEJOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed Date:_ 6-P-1 -/3
Title: Driver's License#:
PL E 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.
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: i 3 0" : %2 CONTRACTOR:_
LOCATION:
TYPE OF WORK: �:)ra t&1a
DATE INSP NEEDED: DATE INSP: /5
INSPECTED BY: t3S-'>
WORK IN
PROGRESS:_ Sze >l�
O
AS-BUILT:
INPUT: DATE: )
W/2007 Town of South Windsor INPSECTION REPORT 07
Molloy, Catherine
From: Cal[Center@CBYD2.com
Sent: Thursday, October 17, 2013 7:27 AM
To: CBYD
Subject: Locate Request-20134202211
(CALL BEFORE YOU DIG - CT) 10/17/2013 07:26:22
-5G -C1 -CW -GV
-OT, 1-SW SWINDS -T5
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***** ROUTINE *****
TIME. .07:26 DATE. .10/17/2013
REQUEST NO. . .20134202211
LATITUDE. .41.8654914 LONGITUDE. .-72.5412582
TOWN. . . . . SOUTH WINDSOR
ADDRESS. . .421
STREET. . . .ABBE RD
NEAREST
CROSS STREET. .GARNET LN
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TYPE OF WORK. . . . .EXC TO RMV&RPLC DRIVEWAY
AREA IS MARKED. . .YES
REMARKS:
WORKING ST TO GARAGE
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START DATE. . . . . .10/2212013 START TIME. .07:00
CALLER. . . . . . . . . .JEFF KRULL
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-558-6756
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .KRULL CONSTRUCTION COMPANY
ADDRESS. . . . . . . . .44 ELM ST
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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EXCAVATOR DOING WORK. .SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
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