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HomeMy WebLinkAboutStreet Cut Permits 153 Krawski Drive (2) 1300224 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/26/2013 GIS ID: 50700153 00 = FEE: MUNIS APPLICATION# 201301217 25.00 M EXPIRATION DATE: 08/26/2014 APPLICANT „ LOCATION NAME: QUALITY PAVING CGS S T53-KRAWSKI DRIVE ADDRESS: 194 S. MAIN STREETcw GOLDMN ROBERT W& EAST WINDSOR,CumQB , � 3 4MAVSKI DRIVE ff PHONE 860-523-4182 - J ?INDSOR,CT 06074 WORK DESCRIPTION: DRIV-fWY APPLICANT AGREES TO FURNISH THE TWJF SOUTIIDR1 �EQI © BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANV- 1}I BI S IAt UI F �I �fS JN }R IY AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THI �L GAI CIS rAlVg-,LIllR W A Ik WTI ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S9OILY WI "" R THE 1 CI3T,.pERvIIT MANUAL. C [ p � � ISSUED BY TED INSPECTED BY 8/26/2013 1:12 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** to 415, IN i = i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: A3 DO aaV CONTRACTOR: U I p0-N1!y)q LOCATION: L 3 � M tUS k-1 -t)f'\V.ie TYPE OF WORK: 1 w^j \{ DATE INSP NEEDED: DATE INSP: ! INSPECTED BY: Ill WORK IN PROGRESS: ol" SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: q b q 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 SULLNAN AVENUE.' Date,: SOUTHsWiNDSOR,CT 06074 FEE`$2500 Name of Firm �' Phone No, ; Z Address of firm Zip Code O� Location of proposed work Describe fully rture.of permit requested "' Starting date f Approx_time for completio Call Before.You ig No.' 2C�j 3` � �� Existing Vliater Supply: ' ]Public Water: ' Well F is rig Sewage Service Public SeWer ❑Septic: PLEASE FOCI THEPERMANIO NT=PAVEMENT PATCH AND�URB REPLAC MENT IS A E DEPOSIT PRELIMINAF;tY.ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULi.ErlNAti C45T OF THE 0ERMANLNT PATC -ANDaCURB:REPLACEMENT;INCLUDING:ANY iNCRE�kSES II4 P-ATCH'ARRA,CURB i:RNQTH TRAFf IC CONTROL AND THE TOWNS-CONTRACT:CO$TS. THE PEF-04ANF-W PATGH-IS TYPICALLY COMPLETED,WifiHIN A>YEAR�F TNL TEMPORARY PATCH BUT IT COULD 3E EATER THAN A;YEAR. Show sketch of proposedworit or furnish, This sartien'to befilled out by iyvo copies of separate-drawing Ir d�cate.North Town of Sc>tnh Windsor No.cuts Est.Patch Sizes) sf Est.P t;Thickness in. Est.Patch Ury Price$ /sf Est.Patch Cost$ 1 Est.Curb Replacement ft Led Est.Curb Unit Price$ lft Est.co cost;-:, Est..Traffic Unit Cost$ htr Est:Traffic Control Z_ Amt.of Deposit Ir Total Due$ i I check# Appiont is responsible for contacting Paid By tho,Police.De t-and CAY.D.. 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 CONECTION WITH THIS PERMIT AND THAT t.AM FAMILIAR WITH AND WILL.ABIDE BY THE RULES:AND REGULATIONS FOR. PEW' iTS AS OUTLINED rN THE TOWN OF SOUTH WINDSOR'S STREET CUT PEAMiT MANUAL. signed: Date: f1 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 Mr.Donald D'Avanzo 182 Carriage Dr. Manchester,CT 06040-6650 §ded Excavation Pertllit 08 REV 10-22-0$