HomeMy WebLinkAboutStreet Cut Permits 9999 Quarry Brook Dri (5) 1300240 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/17/2013
GIS ID: 74109999 FEE: 25.00
MUNIS APPLICATION# 201301351 � � � �/ �� -
I✓ PIRATION DATE: 09/17/2014
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jr kAPPLICANT; %! ; LOCATION
NAME: HENKELS&MCCOYYAANC 11 DREG BROOK DRIVE
ADDRESS: 985 JOLLY ROAD /' C R
6UTH ikI DSOR TOWN OF
BLUEBELL„PA 1944
:1 4.6nilIVAN AVE
� J V INDSOR,CT 06074
PHONE 1-508-987-3977
WORK-DESCRIPTION: ROADONI� StifNf3`F��� T
APPLICANT AGREES TO FURNISH THE TAW RSOUTM 0-wk MOF f('F ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANFI �/ T1RAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THiI AT�S 1I WL AIk WIZ ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP� ?U TVI1aIIS C PI3I11T MANUAL.
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ISSUED BY DATET9CTED INSPECTED BY
9/17/2013 10:59 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 0 0 CONTRACTOR: W J" 0,- me C 0 c
LOCATION: zs\,,/
TYPE OF WORK: CQnA ® 1� l�In a 3 �DnCIPQ
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: (�
WORK IN
PROGRESS:_ y C
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [] NO
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION"PERMIT
Appl. No. TOWN OF SOUTH WIND on , Permit No.'.
PUBLIC WORKS DEPARTMENT
"1540 SULLIVAN AVENUE Date: ^tn--J3
SOUTH WIN OR.CT .074
FEE $25.00
Name of Firm h o r I Phone No, Pa g92 - -7
Address of Fjj*Ilj&l 'rt
Zip C�1S3'
Location of proposed work , rzttK _
Describe fully nature of permit requestedti , (1 g
Starting date `Q; .6= l Ap(xoxv time f�`c mpietion ^'p1�y.
Call Before You�►ig No.._ OIL 3Y Exbft Water&-4*y; Public Water
0 Well
ExistIng Sewage Sem4oe: 0 Pubrre Sewer ❑Septic
PLEASE NOTE; THE DEPOSIT FOR THE PERMANENt PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE PULL FINAL COST QP THE
PERMANENT PATCH AND.CURB REPLACEMENT,INCLUDING ANY lNCREA$ES IM 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 Thts section to be filled outbv
two copies of separate drawing Incloate.North �n of South Windsor
-No.cuts,.
Est.Patch Sizes) sf
Est.PyL Thk�atess in.
Est.Patch Unit Price /sf
Q U' 2r� �ft0p : EsL Patch Cost$
Est.Curb Replacement_it
Est.Curb Unit Price
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control
Amt.of Deposit$
Total Due i
{ ) O Check
Applicant is responsible for contacting Paid By
the Police t.and C.B.Y.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
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLI D IN THE TOWN'OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL:
Sigma Date:_ - q--16-13
Title: odvees 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 Pem-it 08 aEV 10-22-08