HomeMy WebLinkAboutStreet Cut Permits 2701 Tamarack Avenue (2) 1400276 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUTYERMIT
DATE: 09/19/2014
GIS ID: 89302701 FEE: 25.00
MUNIS APPLICATION# 201401315 EXPIRATION DATE: 09/19/2015
APPLICANT LOCATION
NAME: EARTH DYNAMICS I1LC ADDRESS: 2761 TAMARACK AVENUE
ADDRESS: 116 SEAN CIRCLE OWNER: EVERGREEN WALK LLC
COVENTRY,CT 06238, 1109 ROSE LANE
VIRGINIA BEACH, 23451
PHONE
WORK DESCRIPTION: PAVEMENT&CURB FOR ONE WATER TRENCH INCLUDES HYDRANT,
DOMESTIC SPRINKLER&ONE FOR CL&P,CABLE,PHONE
APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERI�IIT MANUAL.
ISSUED By!�
DATE INSPECTED INSPECTED BY
9/19/2014 11:49 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: J Z/00_ 7 CONTRACTOR: &Ce&A v jQ rn)C S L�,
LOCATION: J 70 I l7a in a r Ac IG tA` -e
TYPE OF WORK: Oavp"n t e,�h��-C. rL 1-10 6G���o%'e
DATE INSP NEEDED: DATE INSP: Ia r
INSPECTED BY: Pj)
WORK IN
PROGRESS: All =1a
,2701
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [] YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
A4rrL1�H I IV II a 1 K= I t1U:A A I IVN PF- M17-
Appl. No. TOWN OF UTH WINDSOR PUBLIC WO KS DEPARTMENT Permit No.
TOWN HALL 1 SULLIVAN AVENUE SOUT WINDSOR,CT 06074 FEE $25.00
Name of Finn o�54C7,Y D Y-vAlcle z[e- Phone No. 8G 0 y2y 277(Q
Address of Firm l// ,S,,--4lv Cvv.:✓n/Ti� c Zip Code oG.2 3T
Location of proposed work T�1 .o,L ClC 14vF Sn -re CT
Describe fully nature of permit requested ✓E ov ea e ► rye TrzCN ,Jctrvn
4 .,J- ,o r-ST1G S L-1' e-M) AAfh ONE 1 CL 6E.c- I A Nrt, PH N
Starting date 2 2 z oi Call Before You ig No 2b 1`+� Q I a 3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANI EENT PAVEMENT PATCH AND CURB PLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FfNAL COST OF THE PERMANENT PATCF AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRA FFIG CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD I IE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut E2(Pavement Cut Id
Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driv Widening ❑ Proposed New Driveway .
Water Supply: ❑ Pubi ic.Water ❑ Well Sewage rice: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish lrxficate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) JIFlr7 sf
Est, Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost; /j2
Est. Curb Replacement ft
Est. Curb.Unit Price; 0,L> /ft
Est,Curb Cost$ f-!1 �Ct OCR
Est. Sidewalk Replacement 6t
Est Sidewalk Unit Price
9-
Eat.Sidewalk Cost$
Est.TrafBo Hours hr
Est. Traffic Unit Cost$ /hr
Est.Traffic Control;
j Amt.of Deposit$ � �'—
V Total Due$ D 71
Applicant is rDept
( )Cash (heck#
responsible for contacting the Police t:and C.B.Y.D �. ,
PERMIT$HALL BE KEPT ON JOB AT A L TIMES Paid By I-U S� 4= /" A e
(AGREE TO FURNISH TO THE TOWN OF SOUTH INDSOR THE AMOUNT OF BOND RE IRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FORAW EXPENSES INCURRED BY TFff TOWN FOR MAINTENANCE OR REP kIR WORK IN CONNECTION WITH THIS PERMrr AND
THAT I AM FAMILIAR-WITH AND WILL ABIDE BY 1 HE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S S EET CUT P ja MANUAL.
r
Signed: - Print Name JIM &A L Date:
Street Bwavatkin permit 2014
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