HomeMy WebLinkAboutStreet Cut Permits 46 Beechwood Lane (2) 1300039 TOWN OF SOUTH
PERMIT NUMBER W I N D S O R, C T
STREET CUT PERMIT
DATE: 04/09/2013
GIS ID: 08700046
MUNIS APPLICATION# 201300401ea FEE:
EXPIRATION DATE: 25.00
04/09/2014
APPLICANT -
NAME: GENERAL PAVING - LOCATION
A�1DONSTR �T� LDDRE .' 4�BEECHWOOD LANE
ADDRESS: 1218 CROMWELL AEUIE p PEINIIEIMER CRAIG M &CINDY A
ROCKY HILL, CT 06C7
-djWOOD LANE
PHONE INDSOR,CT 06074
WORK DESCRIPTION: DRIVggEW� %Y
APPLICANT AGREES TO FURNISH THEVOF SOUTII M-W �E.AMOT 41 AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC EPIVSE I1•JCU�7 T ptRTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH7 1P�) CANS IS PA1 I I W- H A l W L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP9LTTH WII7B STET GUT PENT MANUAL.
ISSUED BY DATE SPECTED
INSPECTED BY
4/9/2013 3:20 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
i
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;
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / 3 06o,9 CONTRACTOR: gen ev-a I pot")-,
_
LOCATION: �'� Aeeg,a \Ood
TYPE OF WORK: U
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: Cif DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION.PERMIT
-Appi.-No. TOWN OF SOUTH WINDSOR _ Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE , Date: y
SOUTH WINDSOR,.CT 06074
FEE S25 OO
Name of Firm VI. 4%dW Phone No.
Address of Firm . Zip Code -
Location of proposed work •1
Describe fully nature.of permit requestedft
Starting date Approi.,time for completion
k Publio Water ❑Well
Call Before You Dig"No � a/_3JSoc�C:l,6 Existing Water Supply: Q .
-Existing:Sewage Service: 0 PU,Wi c Sewer ❑Septic
RLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND-CURB-REPLACEMENT IS A:
PRELIMINARY ESTINfATIL,THE APPLICANT IS RESPONSIBLE FOR THET-ULL FINAL COS'TVF THE
'PERMANENT PATCH ANO CURB REPLACEMENT,INCL'UDING ANY INCREAS99,IN BATCH AREA,CURB
"LENGTTH TRAFFIC CONTROL AND THE TOWIC&CONTRACT COSTS. TVE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY.PATCH BUT IT COULD; LATER THAN A YEAR
Show sketch
opi ofi proposed work or furnish This ctlon_L he filled out by
two copies of separate drawing : seIndcate.North �n South W-bds°r
No.cuts
Est.Patch Sizes) sf
-Est.Pvl Thickness in.
Est.Patch Unit Price
.,.Est Patch Cost S
Est.Curb Replac ernent ft
Est.Cuib U6k Price$ !it
Est.Curt Costs
Est..Traffic unit costs Ihr
Est.Trafft Control;
Amt.of Deposit$
Total Due S
( )Cash O:Che*#
Applicant is responsible for contacting Paid By.
the Police•De t.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 MAINTENANC E OR REPAIR WORK IN
CONNECTION WITH,THIS PERMIT AND THAT I:AM FAMII�IAR;WITH AND WILL ABI RULES: REGULATIONS FOR:
DE BY THE AN
P S OUTLINED,IN,TH TOWN OF SOUTH WINDSOR's STREET CUT PERMIT ANUAL.
Signed: Date:
Title: 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
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-0$
GENERAL
PAVING AND CONSTRUCTION CORP.
1218 Cromwell Ave. 9 Rocky Hill, Connecticut 06067
Telephone 860-257-1231 * Fax 860-257-1233
Contractor No.565642 Propo3aC
PROPOSAL SUBMITTED TO: DATE:
NAME:
JOB NAME:
STREET-
Ctv YA Sketch of Work Area:
CITY.
PHONE#4,
Work to be performed:
I Fine grade existing base material, add process
stone for fine grading as needed and pave w/3'of
asphalt.
2. Remove existing asphalt, add processed aggregate for
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.
Type of work to be performed will be circled above.
Back filling curb or edges of pavement is not included in
price and shall be completed by others. Not responsible
Damage to Concrete Sidewalks.
Start Date: within 45 days from transaction date
Completion Date: within 45 days from start date