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HomeMy WebLinkAboutStreet Cut Permits 105 Fairview Drive (2) 1300040 TOWN OF SOUTH WI PERMIT NUMBER N D S O R, C T STREET CUT PERMIT DATE: 04/09/2013 � = GIS ID: 31500105 MUNIS APPLICATION# 201300402 FEE: EXPIRATION DATE: 25.00 _ = 04/09/2014 APPLICAN L LOCATION NAME: GENERAL PAVING AD �I`TSTR �T.IQ ADDRESS: 1218 CROMWELL A E U> �� DRE RO gVIEW DRIVE ROCKY HILL, CT 06ERDDERTEPHEN C&SYLVIA J 10 -FAIVIEW DRIVE PHONED VINDSOR, CT 06074 WORK DESCRIPTION: DRIAY _ APPLICANT AGREES TO FURNISH THE r W �JI SOUT11��0-00- O T©F BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC EFNSES INCH CONNECTION WITH THIS PERMIT AND THIPLCAT�S �� � Q446ig-IAINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN o46 YT I WI1 J151SR'S RI ET 1 PEI IIT MANUAL. /ITA WL ABIDE BY THE RULES AND REGULATIONS yn ISSUED BY DATETNPTED - INSPECTED BY 4/9/2013 3:25 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** WA 1 i mow A, �� TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 13 000 CONTRACTOR: LOCATION:_ /y-s- Fa`i 2 V i n o TYPE OF WORK: h>,-k v-e tau DATE INSP NEEDED: DATE INSP: INSPECTED BY: ab WORK IN PROGRESS: d S " �� u o k SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR STiEET-EXCAVATION PERMIT Appi bio. TOWN OF SOUTH 1NINDSOR Permit No. .PUBLIC.WORK DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE`$2500o Uarne of Firm 0c02.ee A . AU Phone No ^42 67 7' la,j J Address of Firm ZA ArZip CodeOG'oE Location of proposed work Describe fully r»ture.of permit requested Starting date i pwt x. ime tciuwmptetion Call Before.You:Dig"No 4j 3 /, ""o G�l�" Existing_Water Supply.. :- C'Public Water ❑Well Eitisting-Sewage Service: (. Publio Sewer [>SepFio PLEASE NOTE:;THE DEPOSIT FOlkTHE PERMANENT PAVEMENT PATCH AND CURB.#tEPLACEMENT IS A ;PRELIMINARY ESTIMATE.=THEaIIPPLICANT IS.R.ESPONSIBLE POR THE FULL FlNAL"COSH'OF THE EI1MANENT PATCH AND CURB REPLACEMENT,INCLUDiNQ.ANY INCREASER iN PAtdWAREA,CURB. tCNGTW TRAFFIC•CONTROL AND THE TOWN'S CONTRACT=CASTS. THE PERMANENT PATCH I$TYPICALLY COMPLETED w.rrHIN A"YEAR OF THE TEMPORARY PATCH BUT IT COULD 6E�LATER THAN-A YEAR: :Shaw sketch of proposed work or famish This agm to be-fft out by two copies of separate"drawing I►xscate.North Tow .of South Windsor No.cLft , Est.Patch.-Size(s) sf Est.Pvt,Thickness in. Est.Patch Unit Price$ /sf ' - Est.Patch Cost S Est.Curb Re. ft Est.Curb Unit Price$ /It Est.Curb CostA Est.Traffic"Unit Cost$ fir Est:Traffic Control S Amt.of.0epost s Total Due S )Check#.�_ Applicant is responsible for contacting Paid By the Police Oe` t.ami-C.B.Y.O. . AGREE M,FURN1SH TO:THE TOWN OF SOUTH W'INDSOR THE AMOUNT OF BOND REQUIi�ED AND TO REIMBURSE THE TOWN OF SOUTH.WINDSOR FbR ANY.'EXPENSES INCURRED BY:THE TOWN FfJR"MAINTENANCE OR REPAIR WORK IN C ECTION WITH THIS PERMIT AND THAT I'AM FAMILIAR"WITH,ANDWILL AI31DE BY THE RULES AND REGULAfiIONS FOR. PE TS AS 4UTI INE THE TOWN Oi=SOUTH WINbS(5R'S STtEE `CUT l�EfiffullT MAlVt1Al: Sign Date: f Tit 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 TIMF Street Ekcavation Permit M REV"10-22-08 �jM oh-'Al Tip ff/10' C- PAWNG AND MURDER CORP. 4- �)As dud►c �3� `` 1218 Cromwell Ave. • Rocky Hill,Connecticut 06067 �C Telephone 860-257-1231 • Fax 860-257-1233 Contractor ac or No.5 ro 65642 o3al !- p 2.(�t�j1�Sb PROPOSAL SUBMITTED TO: DATE: . NAME: JOB NAME: STREET !, Sketch of Work Area: CITY: 4 r STATE: PHONE#: �, i r�r ✓ � Work to be performed: ws' 1. Fi ne grade existing ..i in base material a g g add process stone for fine grading as needed and pave w/3'of asphalt. 2 r4' Remove existing asphalt, add processed aggregate for ; x y;. fine grading as needed and pave w/3"of asphalt. 3 y Excavate existing driveway, install b"of processed aggregate and pave w/3"of asphalt. Type of work to be performed will be circled above. 4 „ ; 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