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Home My WebLink AboutStreet Cut Permits 31 Barbara Road (6) 1400345 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 12/12/2014 GIS ID: 07500031 MUNIS APPLICATION# 201401783 FEE: 25.00 I1 PIRATION DATE: 12/12/2015 APPLICANT- LOCATION_ NAME: BCI INC DBA BUTLER COMI�ANY ADDRESS: 848 MARS14ALL PHE)yP GA = ADDRESS � ARI3ARA ROAD WINDSOR, CT 06095 © ER RAMIRL RUBEN&STACY 31ABRA RD PHONE WINDSOR, CT 06074 WORK DESCRIPTION: PERM --A I'AATCHIsT4TI� 9R MSC ON APPLICANT AGREES TO FURNISH THE T�WI�I OF SOUTH WM'D }R TH-E. fOUIti r P B D REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E6E*ES INCURRED I3Y THE TOWN FIJR 1kEAAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH gppLICI - IS FAMM-fAR WITH AND WIC ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Oi SOUTH WINDSOR'S S REI T CUT 1'E134VIIT MANUAL. ISSUED BY 1 -�- DATE INSPECTED INSPECTED BY 12/12/2014 3:43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ----------------- -- -- --- ----- -------- -- -- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: 3I Zlslaxka. ad TYPE OF WORK:= Lcg DATE INSP.NEEDED: DATE INSP: INSPECTED BY: °r, WORK IN PROGRESS: l X SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: L `'' DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON 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 $25.00 Name of Firm T&n-c- A, l Phone No. %0 FF2--072f Address of Firm a-r' 4 1( e Zip Code Q�^o�S Location of proposed work Describe fully nature of permit requested ter,» . pa.'e-" fi e 5 le,; -r Starting date / 2 It ! Call Before You Dig No Z0/rf 5,0C10-? S�1 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut 94 RPave ent ut ❑ Curb Cut ❑ Sidewalk Cut e s ��- ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts 0Est. Patch Size(s) sf t) G Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price 6$ Est.Sidewalk Cost$ ,. Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ S+ 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 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 C T MANUAL. Signed:_ Print Name ( Yh '8,1 b1 Date: Street Excavation Permit 2014 MD 039,Hev2l12 THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE:_ ADDRESS /I Ag-(z ko SILL J08 DYES 11 �O WO#54"AL41ll.2e CLOSEST STREET L TOWN;4f'-7'H-(r(�tbvy S a aZ STATE HIGHWAY 0 YES LOGO DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN CROSS SECTION OF PAVEMENT &?STREET &H5 TUM. 40' " D CONC. 0 PREMIX,,' ©SIDEWALK [IBITUM. " Ll CONC. " 0 FLAG ❑CURB ❑BITUM. 0 CONC. 0 STONE ' L]DRIVEWAY 0 BITUM. " D CONC. » ❑GRASS LOAM&SEED NEEDED p YES 940 m REASON FOR CUT: RA94#C10 124 Fy— -©P w �! ° x DEPTH OF EXCAVATION: 6 r-7- v ' NUMBER OF CUTS: DATE OF FIRST CUT: IS JOB COMPLETED: N,'rE'S ❑NO FOREMAN: �' LI� 4.t&i O-u $ REPLACEMENT PAVEMENT CONTRACT NO., FBITUMINOUS L7 CONCRETE 0 PREMIX 0 DATE COMPLETED: ACCOUNT NUMBER.---! .1�. CALCULATIONS 2 O CUT ITEM# ITEM# ITEM# ITEM# +„ PRESS HARD 3 COPIES PAVING INSPECTOR CO PRESS (ORIGINAL) (YELLOW)