HomeMy WebLinkAboutStreet Cut Permits 42 Country View Drive (2) 1300173 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/16/2013
GIS ID:24300042 / FEE:
MUNIS APPLICATION# 201300976 25.00
EXPIRATION DATE: 07/16/2014
EX
APPLICANT'
-% �� V LOCATION
NAME: GUARCO CONSTRUGI01 %-ADDRESS he'
VIEW DRIVE
ADDRESS: 167 DAY STREET / C ER KORNASSER THOMAS CRAIG&
GRANBY,CT 06035
-7-42 ldduATRY VIEW DR
i
PHONE ` H INDSOR, CT 06074
WORK DESCRIPTION: DRIVfV► YAlf
APPLICANT AGREES TO FURNISH THE rQW1 F «UTI4D MOk OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANTEPFES IN � 36N"1RMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH> AI I, -A IS I�'�A�W 1,- WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 0 i i TI WINfj��R'��TRI 3 p I fTT MANUAL.
C ►no/log
ISSUED BY DATA OPTED INSPECTED BY
7/16/2013 3:33 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1100113 CONTRACTOR:
LOCATION: Ll Q c4 o n W V i C LA 2 br"►\a te
TYPE OF WORK: Df \ �pe o_qa_ f,1
DATE INSP NEEDED: DATE INSP: - 9- I
INSPECTED BY: 13 t)
WORK IN
PROGRESS: w -R w k
4V 61-6 i( Up J o �""tzx�-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:' DATE: 1- )
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
"1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm 65 f d_: Gt CQM�5�-\3 Phone No. e) 0-^7 5
Address of Firm Det- Zip Code
Location of proposed work
Describe fully nature of permit requested ('It ,i-OU-27 l t jNaUV 1--07r -tQ
Starting date 7 I`� 'I Approx.time for completion
Call Before You Dig No. Existing Water.Supply: Q Public Water 0 Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT.IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patoh Unit Price$ /sf
Est.Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price_$: it
Est.Curb Cost-$
Est.Traffic Unit Cost$ /hr.
Est.Tmffto 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 OUTLINED IN THE TO N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
i
ed: 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 P"10-22-08