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Home My WebLink AboutStreet Cut Permits 71 Quarry Brook Drive (4) 1300306 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 12/05/2013 GIS ID: 74100071 FEE: 25.00 MUNIS APPLICATION# 201301789 " EXPIRATION DATE: 12/05/2014 APPLICANT LOCATION NAME: LAYDON INDUSTRIES LLC ADDRESS 7f RRY BROOK DRIVE ADDRESS: 51 LONGHINI LANE OWNBR PLATTtIS ALAN M&TERESA A NEW HAVEN, CT 0651-9-1 71 :_VJ MRY BROOK DRI SOUTI WINDSOR,CT 06074 PHONE WORK DESCRIPTION: PAVEMENT T ORAL I4N FOR M IN FR-6r- Q-F ROUSE I fs 39 AND 7-1- APPLICANT AGREES TO FURNISH THETOWN OF SOUTHXMS- CIR T7HE AMOLII IT pF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI y ?RI'$1q ES IN iJ"RREI `$YTIHE TOWN F9I IAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND Tk APPLICANT IS-1FAMILIAR WITI'I AND WALL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN QII SOUTH WINDSR,S-STREET GUT PERIv1IT MANUAL. ISSUED BY DATE-INSPECTED INSPECTED BY 12/5/2013 2:01 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 13bD3OCo CONTRACTOR: �,ln�n LOCATION: TYPE OF WORK: �S ' n ft 1\7 rnnT" o-( DATE INSP NEEDED: DATE INSP: i INSPECTED BY: WORK IN PROGRESS: A S � X f�,5' QA+ "e rPYl�a � P✓►� PA�-G a Ste; f� PQ -e— r n h �- 1 i 4s w4 `l t 6�� ra 2 r� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014 Town of South Windsor INPSEMON REPORT 14 e5 APPLICATION FOR STREET EXCAVATION PERMIT V3-`316- Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm e �dd 'n Phone No. Address of Firm 5 l z�x ,r ne,,3 (!X Zip Code s �� Location of proposed work Describe fulnature of permit requested Starting date if Approx. time for completion Call Before You Dig No.C,___�313y90 Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price Est. Patch Cost$ ' Est. Curb Replacement ft Est. Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt. of Deposit$ Total Due$ O Cash ( ) Check# Applicant is responsible for contacting Paid By the Police Dept. and C.B. . - - -1 AGREE T4FUR H TO THE-T WN OF-SOUTH-WINDSOR THE AMOUNT-OF BOND-REQUIRED AND TO REIMBURSE-THE-TOWN OFINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTHIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS' EL H�TN F SOUTH WINDSOR'S STREET CUT PERMIT h MANN Signed: Date: l Title: Driver's License#: PLEAS 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 ExravAhan Permit 0R RFV 10-J7-OR f MD•Q39,Rev 2f32 TIME METROPOLITAN DISTRICT a PAVEMENT-CUT DATE:��' ADDRESS C. 1A G t'q froa BILL JOB 0 YES llf�0 WO# CLOSEST STREET 1! IlCX i �� TOWNIA Ly rV1IXS0✓" STATE HIGHWAY ❑YES Q�, !O DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN � CROSS SECTION OF PAVEMENT i [ STREET 5BITUM. 0 CONC. I]PREMIX " !IL I ❑SIDEWALK 0BITUM. El CONC. 0 FLAG " O CURB la BITUM ' 0 CONC. 0 STONE 0DRIVEWAY ©BITUM. " O CONC. " Of V 0 GRASS LOAM&SEED NEEDED ❑YES L O REASON FOR CUT: DEPTH OF EXCAVATION: .LP►(� NUMBER OF CUTS: I 1 n DATE OF FIRST CUT-,Ipf o . IS JOB COMPLEI • DYES ©NO a - ��i � FOREMAN: Y �•t✓- �I t REPLACEMENT PAVEMENT CONTRACT NO.: ' alb . BITUMINOUS p CONCRETE © PREMIX !� DATE COMPLETED: i (� ACCOUNT NUMBER:^ o ry f Y CALCULATIONS O CUT ITEM ITEM# ITEM# ITEM# N PRESS HARD, 3 COPIES aAvl(ORIGINAL)TQR CONTRACTOR (