HomeMy WebLinkAboutStreet Cut Permits 150 Nevers Road (5) 1400314 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/21/2014
GIS ID: 62400150 - FEE: 0.00
MUNIS APPLICATION# 201400738 iPIRATION DATE: 10/21/2015
APPLICANT. LOCATION
NAME: COMPASS ENTERPRIStS INC ; ADDRESS: 14I?7EVERS ROAD
ADDRESS: 6 ANDREWS STREET = OWNER SOUTH WINDSOR TOWN OF 41
BRISTOL,CT 06010 NVIRS OAD
` SOVTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: EXCI V tIOI� 11D CQIET> WOE FOR SKATI PA15K
TOWN-I PROJEC-4-0-TEE = ;
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH NI)SOR fiHE AMCSiJIIT OF BOLD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXT'ENSES INCFIRRED B THE TOW 1 FBI IIYAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIf XRP I ANT IS IAMII IAR WITI AND WIC ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN #NDSOR S STREE I CCJT PEI IIT MANUAL.
t' 'pl/ l
ISSUE Y DE INSPECTED INSPECTED BY
10/21/2014 8:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
--------------------- --------- ----- - ----
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l Da `'. F CONTRACTOR: Co m pas_s gc 4alerises
LOCATION: >s'l3 Veyas had
TYPE OF WORK:_ G ocf%yir\ 4- cnv eirpf r i z)r t` S af-e p a_
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: B
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �'r`� DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm Comm) &Irtpoy l Inc. Phone No.
Address of Firm (G 1 AcVeus '$nsm er Zip Code OGeolo
Location of proposed work_/Tb 2z S(a,",
Describe fully nature of permit requested e+occua J6u a,,.�_ LLncee k t kiyif Q- si llee (Ear(c
Starting date Call Before You Dig No
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.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Sizes) 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.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By L'xz"4
I 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 ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET ZCUTMIT MANUAL.
Signed: Print Name Mk'Ct I Wel)fin Date: Ce 4 Imo(
Street Excavatioi �rmit 2014