HomeMy WebLinkAboutStreet Cut Permits 75 Cardinal Way (2) 1300210 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 08/07/2013
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GIS ID: 16600075
MUNIS APPLICATION# 201301125 FEE: 25.00
EXPIRATION DATE:
08/07/2014
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APPLICANT 3 LOCATION
GENERAL PAVING A Ia ONIST
ADDRESS: 1218 CROMWELL AVM E �� RE &ARDINAL WAY
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ROCKY HILL, CT 06(1-6�— %� OF
j O . Y MARK A&LOREE B
% - -- 5 CAQD NAL WAY
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PHONE j , NDSOR, CT 06074
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WORK DESCRIPTION: DRIAV M4Iaff
APPLICANT AGREES TO FURNISH THE Tb �
WJF`�QUTIT.�
� �AMOU (1 B( VD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN l kj%oN E AI �_ II N R AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH> I�IT� IW, AIIW
FOR PERMITS AS OUTLINED IN THE TOWN OF Sl�Lt I jl� j, SIDE BY THE RULES AND REGULATIONS
IN
4CI'E7IT MANUAL.
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ISSUED BY DATE T CTED INSPECTED BY
8/7/2013 8:25 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN Of SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l jon a In CONTRACTOR: G ens'f A V'l aq `r Cl)
LOCATION: '7� i->o_ CCj' Vi gj WQ U
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP: I-,-A-1 y
INSPECTED BY: �A
WORK IN
PROGRESS:_
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: U DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
& WI. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
'1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE$25.00
Name of Firm L. Phone No. F40
Address of Firm a Zip Code Q6a6'7
Location of proposed work —7 S Qe-j,.o;L t,'j A*
Describe fully nature of permit requested Q J La ac Q x i' -_ _ �, LJ A-.
Starting date Approx.time for completion 1 ® wnrAL
Cali Before You Dig No. olc=\3 E;?o0 In Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
' PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
¢ PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
i.ENGTH;TRAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH 1S TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
-Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
EsL Patch Size(s) sf
EsL Pvt.Thickness - in.
Est.Patch Unit Price /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Pdoe_$. /ft
Est.Curb Costa
Est.Traffic Unit Cost$ Jhr
Est.Traffic Control$
ArnL of Deposit$
Total Due$
O cash O Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.S.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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: a'Ir. !!
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 10-22-08
IZ�z(rV*ec
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' � GENERAL
PAYING AND CONSTRUCTION CORP.
1218 Cromwell Ave. • Rocky Hill,Connecticut 06067
Telephone 860-257-1231 • Fax 860-257-1233
Contractor No.565642 ��'�po3a* 7—�J I^ r -Zoo- 1
PROPOSAL SUBMITTED TO: DATE' L 1
NAME: JOB NAME:
\,
STREET.. �� Sketch of Work Area:`
CITY: STAT
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PHONE#:
Work to be performed:
1. Fine grade existing base material, add process 0� �
stone for fine grading as needed and pave w/3 of r
asphalt.
2. Remove existing asphalt,add processed aggregate for
fine grading as needed and pave w/3"of asphalt. 2
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
our price and shall be completed by others. Not responsible
for Damage to Concrete Sidewalks. °
Start Date: within 45 days from transaction date
Completion Date: within 45 days from start date p
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