HomeMy WebLinkAboutStreet Cut Permits 1010 Pleasant Valley (3) 1400353 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 12/23/2014
GIS ID: 72901010 - FEE: 25.00
MUNIS APPLICATION# 201401824 EXPIRATION DATE: 12/23/2015
APPLICANT ` - Amgi�.- LOCATION
NAME: BEHRMANN EXCAV4TING LLC A75�Y�ES 1414PIASANT VALLEY ROAD
ADDRESS: 512 TAYLOR STREET - ,�f TEIo -RITZ AHN
MANCHESTER, CT Ot042 1 �
PHONE 860-649-7583 =;
�ARLB( OUGH, CT 06447
WORK DESCRIPTION: HOQ ,f}` CPPROIVII�QI� Oj '�NAIN
APPLICANT AGREES TO FURNISH THE TDWN OF SOIITH, 15 ?I T =AIvfOi#i C-F BCtD REQUIRED AND TO REIMBURSE
AI
THE TOWN OF SOUTH WINDSOR FOR (B6PENSES IN IIRREI)$Y THP TOWN FOTf MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI APPLICANT IS FAMILIAR VVI PIAIVD WII ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP SOiTH WI1<IIISI?Rr STREET CUT1'IIUIIT MANUAL.
ISSUED BY DATE-INPEETED INSPECTED BY
12/23/2014 11:37 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-------- -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1-/®0 3 CONTRACTOR: ' be r tr;»r
LOCATION: ��/� ��� s�o7- V41l OV 2�
TYPE OF WORK: Hg)0k v l `' �o 'pcv( ►h t+osg 'rO
DATE INSP.NEEDED: DATE INSP: a I 13 j 1'S
INSPECTED BY: gD
WORK IN
PROGRESS: C'K Cc,vevV to LL C r
ct. g. /b X t
va-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L DATE:
S/molloy/forms 2014 Town of South Windsor INPSECIION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $26.00
Name of Firm +.e CL Phone No. 76P- (og Lf-�`2`'t5 Q-
Address of Firm J' Zip Code Q5(o6 DLO
Location of proposed world®/o
Describe fully nature of permit requested f-a s6 k rr�-)`�k c-�.p stir- N a,j sx �C o
Starting dates,n y ZsRZ.25J11 Call Before You Dig
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut >(Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: )K Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) 42 sf
Est.Pvt.Thickness 8 in.
Q<� Est. Patch Unit Price$ 3✓r' /sf
Est.Patch Cost$ 4�®•
Est.Curb Replacement N/A ft
1
I Est. Curb Unit Price$ /ft
t
t
Est.Curb Cost$ —'
O
r Est.Sidewalk Replacement A-)14 sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
b,er Est.Traffic Control$
Amt.of Deposit$ 14-70-ad
Total Due$ 495
( )Cash tl/ Check# v37
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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.
Signed _ Print Name` 5"- Date:
Street Excavivti n Permit 2014
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT
ADDRESS PERMIT NUMBER
INSPECTOR TEMP. PATCH DATE
INSPECTOR COMPLETION PATCH DATE
AM
IOiC