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HomeMy WebLinkAboutStreet Cut Permits 290 Beelzebub Road (3) 1400279 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/22/2014 GIS ID: 09000290 FEE: 25.00 MUNIS APPLICATION# 201401329 EXPIRATION DATE: 09/22/2015 APPLICANT , LOCATION NAME: GENERAL PAVING AND CONSTRUCTION ADDRESS: 290 BERLZEBUB ROAD ADDRESS: 1218 CROMWELL AVENUE- OWNER: " EICHELMAN FREDERICK ROCKY HILL, CT 06067 29© BEELZEBUB ROAD SOUTH WINDSOR, CT 06074 PHONE WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS 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. ISSUED BY DATE INSPECTED INSPECTED BY 9/22/2014 11:06 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -------- ------------------------ ------- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: /y ®d7_9 CONTRACTOR: LOCATION: 0 13toe Z I � TYPE OF WORK: DATE INSP NEEDED: DATE INSP: rs- INSPECTED BY: IiW WORK IN PROGRESS: 11) v� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: G DATE: S rIS' S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. "TOWN OF SOUTH WINDSOR Permit No, PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: / SOUTH WINDSOR,CT 06074 FEE$25:00 Name of Firm qv kno. Phone No. Address of Firm j Tip we Location of proposed Work bescrihe fully rrnture.of permit requested R Starting Gate ► I Approx.time for completion r Cali Before.You Dig No 1`-14:k tmQ\,U I x sin Water Supply: (]Pt6li Water, (]Well Existing Sewage Service: []Public Server Septic PLEASE NOTE: THE.DEPOS T FOR THE PERMANENT PAVEMENT PATCH AND CURB.REPI:ACEMENT IS A PREUMINARY ESTIMATE.."7" APPUCAN'I'IS RESPONSIBLE FOF�THEFIILL FINAL COST�OO THE PERM WENT'PATCW AND CURS REPLACEMENT;i1NCLUDINO ANY INiCREASES IN PATCH 1RFA,CURB. L.EN&H,-ThAF011000NTROL AND THE T�f?WN'S.00NTRACT COSTS:�i'IiE PERMANENT PATCH IS TYPICALLY COMPLETED:WITHIN A.-YEAR,OF THE TEMPORARY PATCH BUT IT COULD-BE LATER THAN A YEAR. Show skefch of proposed work or furnish T1 is befMal by two copies of separate drativir>6. InclicawNorth Town,,,,,of South Windsor No.cuts, Est.Patch Sizes) sf -Est.Pvt.Thidcr>Qss in. Est,Patch Unit Price$ fsf Est.Patch Cost Est.Curb Replacement Est.Curb Unit Price$ fit Est.Curb Cost"$ Est..Traftic Unit Cost.$ Ihr Est:Traffic Control$ Aunt.of Deposit$ Total Due$ (`)Cash O Check# Applicant is responsible for contacting Paid By the Police Dept.and I AGREE TO FURNISH TO.THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF.SOUTH.:WIINDSOR FOR ANY EXPENNSES INCURRED BY fiHE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS;PERMIT.AND THAT 1 AM FAMILIAR WlTHAfiIQ WILL ABIDE BY This RtiLES.ANt3 REQULAIIONS FOR PERMITSAS OUTLINED IN,THE,TOWN OF SOUTH WINDSt)R'S ST#3EET 'PERMIT' MANUAL. Signed: Title: Driver's License#:1 R , Ll 4/-Z y3 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 JOSSITE AT ALL TIMES shed ecccavation Permit 08 REV 1042-08 SEH 164-eb14 1f:013 1-rom:Ubb-dtlb-yzfd6 t'aoe:1/1 ic--, z� c ' Ole GENERA.. �Is�nioeucnaNtM. 1218 Cr'Wn*W Ave. • ROCAY Hin,Co rMffad 0M7 W ` Ta00"860-257-1231 9 Fax 860-257-1233 Cont"No.56SU2 Pmrojal- - - - 1 PROPOSAL SUBMITTED TO: °ATE .roe NAME t'c - Sketch of Work Ann. CMY- Work to!be performed: ')too S F 1. One grade existing base material,add process gone for fine grading as needed and pave w/3"of 2. Remove existing asphalt,add processed aggmgaW for O r // k"A r l< fine 9MdW9 as Needed and pave w/3"of asphalt. 3. cavate existing driveway,instaVof processed aggregate and pave w/3"of asphalt. Type of ork to be performed will be circled above. Back ng curb or edges of pavement is not included in our ptxcel and shall be completed by others.Not responsible for Da t,go to Concrete Sidewalks. Stilt Date within 45 days from transaction date Completion DOW.within 45 days from start date --- I--- Ha9e:1�z QC-Q ci 6��O i -JI N-1 I 6 G. �G 4t i