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Home My WebLink AboutStreet Cut Permits 31 Barbara Road (4) 1300304 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 12/05/2013 / GIS ID: 07500031 FEE: 25.00 MUNIS APPLICATION# 201301787 - - EXPIRATION DATE: 12/05/2014 APPLICANT LOCATION NAME: LAYDON INDUSTRIIIS-LLG ADDRESS; 31 BAIBARA ROAD CNk ADDRESS: 51 LONGHINI LANEX J MI R Z RUBEN&STACY NEW HAVEN,CT OIS 3 L BAR$ARA RD OUfNDSOR,CT 06074 PHONE ,. WORK DESCRIPTION: PAV�II�II NT ISI ORATION 14?R I�II3G / APPLICANT AGREES TO FURNISH THE 'OWN OF SOUTH INDSt2R THE AMOLI1eif T QF IDND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI 'B PENSES IN URREI BY THE TOW—N F&4MI�AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TN—APPI ICANT IS FAMILIAR WITH AND WJILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN�I*9,OUTH WI1_fDSR'SSTREET CUTI'ERMIT MANUAL. ISSUED BY DATE SPECTED INSPECTED BY 12/5/2013 1:48 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1300,:3®y CONTRACTOR: J yclo n -zndustr ie_c LOCATION: 1 Sa fl�(cx Q cA TYPE OF WORK: Paw o R fin+ P-es >�rc 't0y> 40c ✓I1 , DATE INSP NEEDED: DATE INSP: 7 /o I INSPECTED BY: �_ WORK IN PROGRESS: S X / C SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014 Town of South Windsor INPSEMON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT ►��' Appl. Mo. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: / J SOUTH WINDSOR, CT 06074 i FEE $25.00 Name of Fi rm tC t'1 1 Phone No. Address of Firm c '\i a e � i1 LT Zip Code '11 Location of proposed work :a> C Describe fullynature of permit requested Starting date j CI f Approx. time for completion I —� Call Before You Dig No.'s CAZLACI0 Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. J Est. Patch Unit Price$ /sf y , 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$ ( ) Cash ( ) Check# Applicant is responsible for contacting Paid By the Police Dept. and C.B.Y,D. ,s -1 AGREE TICTO-THE-TOWN-OFSOUTH WINDSOR THE AMOUNT-OF BOND REQUIRED-AND-TO-REIMBURSE-THE-TOWN OFDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK 1N CONNECTIS PERMIT THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS 1N THE T OF SOUTH WINDSOR'S STREET CUT PERMIT1 MANUAL. Signed: Date: � I_ 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 Excavation Permit nR RFV 10-22-08 MO-o39,Rev 2l12 THE METROPOLITAN DISTRICT PAVEMENT CUT DATE: ADDRESS - q, ",�,� �.� BILL JOB ❑ YES 0<0 WO# t CLOSEST STREET 157,_ TOWN- --5; r�t .Sa�STATE HIGHWAY DYES C DRAGVV SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN CROSS SECTION OF PAVEMENT TREET LWrTUM. ❑CONC. ❑PREMIX ❑SIDEWALK ❑BITUM. p CONC. ❑FLAG ©CURB ❑BITUM. ❑CONC. ❑STONE ' r ❑DRIVEWAY OBITUM. " ❑CONC. " ❑GRASS LOAM&SEED NEEDED ❑YES. [Ail REASON FOR CUT: • 0 ,•-.• 1J o DEPTH OF EXCAVATION: Ste- ® ° :o NUMBER OF CUTS: � a o DATE OF FIRST CUT: ��,7.—u A2 IS JOB COMPLETED: EKES NO FOREMAN: �� C� ° ��dv-� o ' REPLACEMENT PAVEMENT CONTRACT NO BITUMINOUS ❑ CONCRETE ❑ PREMIX ❑ DATE COMPLETED: ACCOUNT NUMBER: CALCULATIONS NO. N e OFOU ITEM# TEM# ITEM# TE # y PRESS BARD 3 ®P[�S PAVING INSPECTOR CONTRACTOR 3 (ORIGINAL) (YELLOW)