HomeMy WebLinkAboutStreet Cut Permits 58 Country View Drive (2) 1300172 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 07/16/2013
GIS ID:24300058
MUNIS APPLICATION# 201300925 i = FEE: 25.00
EXPIRATION DATE: 07/16/2014
APPLICANT =/
LOCATION
NAME: GUARCO CONSTRUC�'I
DRESS 58 COUIITRY VIEW DRIVE
ADDRESS: 167 DAY STREET - � /
Ag
ACINN t)LIVER&JAJET
GRANBY,CT 06035 y`
_ _ 8t�UIRY VIEW DR
PHONE �� V INDSOR, CT 06074
eggWORK DESCRIPTION: %�
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APPLICANT AGREES TO FURNISH THE I QWgF SOIJTI ` 1D �E ANONA&,BQKD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN NSFS I Or
gh WN POR AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH1 PI�I
It- IS I
A T WIST1 AI*II WI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OI` ij l H( INS SEE
T CUTPERITT MANUAL.
ISSUED BY
DATt ll D INSPECTED BY
7/16/2013 3:18 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7 ,p i 7:;L CONTRACTOR: 6(Aa (Z-6 6 60 V1.51-1Z ,
LOCATION: n Co o nY' L
TYPE OF WORK: Dr \v- UD a
DATE INSP NEEDED: DATE INSP: -a 7
INSPECTED BY: �
WORK IN
PROGRESS: c
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: G DATE: `i
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
`1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of FirmA-�%G e) coy
_u C'7/1
Uti Phone No. 8 � a`
Address of Firm G.> Ldd215sr Zip Code09_a ..T S-
Location of proposed work_ S C , f�.u. Pr►_
Describe fully nature of permit requested-
Starting date 3 Approx.time for completion
Call Before You Dig No. .='2l?LL a s 1 D 7� Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
'PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,'TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
` No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price', /sf
Est.Patch Cost S -
Est.Curb Replacement ft
Est.Curb Unit Price t. lit
Est.Curb Cost$
Est.Traffic Unit Cost t Ihr
Est.Traffic Control
Amt.of Deposit$
Total Due t
( )Cash O 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 A WEED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMI UAL.
Signed. //L Date-,
G ���
Title-._� Driver's License#: D J /
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 10-22-08