HomeMy WebLinkAboutStreet Cut Permits 9999 Hayes Road (4) '1100127 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
` STREET CUT PERMIT
DATE: 08/23/11
GIS ID:40209999 - FEE:
MUNIS APPLICATION# 201100951 = 00
RXPIRATION DATE: 08/22/12
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APPLICANT, = LOCATION
NAME: KING CONSTRUCTION �RESS: IYES'RZOAD
ADDRESS: 16 NORTHWOOD DRF QWNER T WN(V SOUTH WINDSOR
BLOOMFIELD, CT 06002 = I54O`SIJT? IVAN AVE
PHONE 860-242-2263 = „ DIJTH WINDSOR,CT 06074
WORK DESCRIPTION: HAYtS ROAD R-- OITRJCIQNQWI�1'ROEGT
FROM QFIA RQAD.TQNEVE $ROAD _
APPLICANT AGREES TO FURNISH THE T WI�OF SOUTH-WINDSOR WX
TIDE AMOU�YT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'E E--- S IN I REI y 3 HE TC}FYI1 FORMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI �1PRLLCAITI IS F MI Its WITH s,ND WII,I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OE QU H=WINDSR SjJ TREEV0JT P RIvI11 MANUAL.
ISSUED BY DATE---INS INSPECTED BY
8/23/20114:OOPM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
p goy/yo175/ APPLICATION FOR STREET EXCAVATION PERMIT /i ao/a7
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
r PUBLIC.WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date: :3
SOUTH WINWOBeCT 06074
c 76 77 Y FEE 0
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Name of Firm KING CONSTRUCTION,INC. 001pa - phone No. 860-242-2263
Address Of Firm 16 Northwood Drive - Bloomfield Ct. Zip Code 06002
Location Of proposed work Hayes Road - South Windsor
Describe fully nature of permit requested Hayes Road Reconstruction Excavation, Drainage, Road'
bases & pavements, Reconstruct driveways- Restoration
Starting date 8/2.2/11 Approx.time for completion
Cali Before You Dig No. -2-0 11140 It G Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑Public Sewer [1 Septic
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.
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
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No.cuts
HAYES ROAD RECONSTRUCTION <
Est.Patch Sizes) f,
V
FROM GRAHAM ROAD TO NEVERS ROAD Est.Pvt.Thickness m, y
SOUTH WINDSOR, CT. Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$. /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
AmL of Deposit$
Total Due$
)Cash ( )Check#
Applicant is responsible for contacting Paid B
the Police Dept.and C.B.Y.D. y
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 EX �IAIM
ES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION W T S PERMIT AND T FAMILIAR-WITH AND WILL ABIDE BY THE RULE S AND REGULATIONS FOR
PERMITS AS O I D E TOWN SWINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date• it
Title: z Vice-President
Driver's License#:
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
LETTER OF TRANSMITTAL
pW N SFq<
ENGINEERING DEPARTMENT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE 5
SOUTH WINDSOR, CT 06074
(860) 644-2511 FAX (860) 644-7280 �r�SOR•CON �`
TO: Robert King Date: August 24, 2011
King Construction, Inc.
16 Northwood Drive
Bloomfield, CT 06002
WE ARE SENDING YOU: Re: Hayes Road Reconstruction
Copies Date Description
1 8/23/11 Street Cut Permit
THESE ARE TRANSMITTED AS CHECKED BELOW:
X For your use For your file
As requested Returned with revisions
For review and comment Other
COMMENTS:
Copy To: Jeff Doolittle, Town Engineer From:
Robert Grillo
Project Engineer