HomeMy WebLinkAboutStreet Cut Permits 49 Tudor Hill Road (2) 1400073 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 04/23/2014
GIS ID: 90300049
MUNIS APPLICATION# 201400417 O FEE: 25.00
EXPIRATION DATE: 04/23/2015
APPLICANT LOCATION
NAME: QUALITY PAVING an
Q ADDR1 S: 49 TUI)OR HILL ROAD
ADDRESS: 194 S.MAIN STREET ONE�Z GrENDAEAU DOUGLAS E
EAST WINDSOR, CT Qy0Bg 49 l`[7D JR HILL ROAD
AN
PHONE 860-523-4182 = - - SCUT INDSOR,CT 06074
WORK DESCRIPTION: DRFV&WAY
APPLICANT AGREES TO FURNISH THE TOV OF SOUTH WIND �)R THE AMOUNT 9F BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY I XPENSF -INCURRFg By THE TOWII FOL2 MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC APPLLCAI?IT IS AMII IAR W TH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN C3 T PI RIVIIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
4/23/2014 1:45 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1'10607 3 CONTRACTOR: Quo i t w
LOCATION: ::rQ&T? tc\\�
TYPE OF WORK: Y
DATE INSP NEEDED: DATE INSP: r ;i As
INSPECTED BY:
WORK IN
PROGRESS:
\)c:, � c�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: i> DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PER IT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: oZ�l
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm Phone No. ' v TA Sc/:C-Q
Address of Firm Zip Code
Location of proposed work vcL
Describe fully nature of permit requested
Starting date Approx.time for completion '� ' ( 1 N
Call Before You Dig Noy 1�7 8 / Existing Water Supply: Public Water Well
Existing Sewage Service: ❑Public Sewer. ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY.EST'IMATE'r THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE,
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.;THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR;
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor.
No.cuts
Est.Patch Size(s) sf
L Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
1, Est,Curb Unit Price$ Ift
Est.Curb Cost$
Est.Traffic'Unit Cost$ /hr
Est.Traffic Control$`
Amt.of Deposit:S
Total Due,$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and'C.B.Y.D.
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 AOYT D 1N TH TOWN OF SOUTH WINDSOR'S;STREET CUT PERMIT MANUAL.
Signed: Date: 7 `aka -/ y
Title: . Driver's License#:_CJ 15'3 tf �3o
PLEASE 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 08 REV 10-22-08