HomeMy WebLinkAboutStreet Cut Permits 421 Quarry Brook Driv (4) 1400028 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 02/27/2014
GIS ID: 74100421
MUNIS APPLICATION# 201400179 FEE: 25.00
EXPIRATION DATE: 02/27/2015
APPLICANT LOCATION
NAME: SCHADTLE CONSTI�iICTION, - ADDRE 42�' JARRY BROOK DRIVE
ADDRESS: 259 WEST ROAD Q
OWNER LACAVA CONSTRUCTION COMPANY
MARLBOROUGH,C 9 4�47
L$ SIdkS DEANE HWY
MW WETH131ZSFIELD,CT 06109
PHONE
wimw
WORK DESCRIPTION: NE V I OME GpI`1S PRU TIpN"I}RIVEt�VAY AI b T3TI ITIES
APPLICANT AGREES TO FURNISH TH TO 1 QF OUTHWINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-= XPEN ES-1NCURREI2PY THE TOWN FOIE-MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP'LICANT IS FAMILIAR V-j AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN
OF SOUTH WINDSR'S=STREET:CUT PERMIT MANUAL.
ISSUED BY J DA, E SPECTED
INSPECTED BY
2/27/2014 11:25 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1 %C h CONTRACTOR: Sc- )y S _
LOCATION: 1 C
a
TYPE OF WORK:- 9 j rFr,%�
DATE INSP NEEDED: DATE INSP - z /r i5
INSPECTED BY: ��
WORK IN
PROGRESS: >
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS—BUILT:
rr
INPUT: DATE: J
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Dater- 4
SOUTH WINDSOR, CT 06074
FEE $25.00 uo-
Name of Firm w A v-R t C0 yZUCT \0 M Phone No. `6(o Q 2e1S 1
Address of Firm �Z`-)g W G S-T �Z ,m n a 1--Q)0 201JG V1 Zip Code G(o`i L-i-1
Location of proposed work__L/,�� QJqt-/LV ro o/L ®�C.
Describe fully nature of permit requested Ale- ,,r- 49,,w— (z i j dal;Lets
Starting date Approx. time for completion
Call Before Y u dig No.2 0 c d 02 2 Existing Water Supply: ublic Water/'i/J L ❑Well
Existing Sewage Service: [v]Public Sewedj j,/j j F] Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
0
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price$ !sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
V d y i V e G M Cj� Est.Curb Cost$
V� Est.Traffic Unit Cost$ /hr
r / �! /I V G �Jl . Est.Traffic Control$
Amt.of Deposit$
fold �`ft �I� �� � �� >�� �� � a�
,,
p Total Due$
b e � ,�f e 7 /l�c" ( )Cash ( )Check#
Applicant is responsible for contacting �r GV (/Z `Z VV l J Paid By
the Police Dept.and C.B.Y.D. 1�—j
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 CUT PERMIT MANUAL.
Signed i,7) Date: — /D `�
Title: Driver's License#: OS ;0 J,f'j D_S
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
, vi v.Jw : v, i vrkw_�..r - NRC JnvvviV /11'�'1R1 VIV If11J f{J11V I VI\ l.(V'\I\Il I VIVLt::
'ROPOSED SILT FENCE * N/F 3 VIBURNUM
ow
STUART
PPROXIMATE LOCATION OF
10 EAR FLOOD LI IT
4 WINTERBERRY SETH L.
AULA J. PRO
PO TREE LINE V
3 ELDERBERRY Y #63 BE
70 ECH OD LA.' ' 3 DE BERRY
L BLANKET, SC P P. CONSERVATION EASEMI
UFACTURED BY 4 VIBURNUM
AERICAN GREEN
EROSION. CONTRO
150 BN A MAW
\ WF2 3N 8' 10" \ NORTH AM RICAN
LINE ;
130.0 ' EXI TING
— —
NSE VATION
URNUM "
wFa A D D AINAGE
� . S MENT
VO 5L. 1, PG. 185
In b 3 WINTERBE RY
:f 30' R.Y. ,�
PROP `SED FC
RODE: T C P
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& DHEERAJ ``
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FERSWEET,
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ON LIMITS14
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4L MEANS \ � I 130.00' -- — — — -
f x , ,
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y� W �J -
8"CLDIP WATER '\ \ Q U AR\R Y BROOK DRIVE
8 S N. PVC
SMH
\ 2fiF=76.46
v' `L� FL=66.88 S,N&W;
SILT FENCE 15"RCP / /
VERIFY LOCATION_
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