HomeMy WebLinkAboutStreet Cut Permits 2 Paper Chase (2) 1400281 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/22/2014
GIS ID: 69000002 FEE: 25.00
MUNIS APPLICATION# 201401330 EXPIRATION DATE: 09/22/2015
APPLICANT LOCATION
NAME: GENERAL PAVING AND CONSTRUCTION ADDRESS: 2 PAPER CHASE
ADDRESS: 1218 CROMWELL AVENUE, OWNER: SIRACUSE AMY C&JOSEPH W
ROCKY HILL, CT 06067 2 PAPE--CHASE
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 WINDS R'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/22/2014 11:14 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO CONTRACTOR: 67e ea dayia
LOCATION: n2 PcL Pe z Chase
TYPE OF WORK: L7 b si e Lk)a U
DATE INSP NEEDED: DATE INSP: A
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L, DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATI0N•POR 8;l'RfET gkAVATION PERMIT
Appil.No. TOWN OF SOUTH WINDSOR Permit NO.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: 11 I L
SOUTH WINDSOR,CT 06074
FEE$25.00
Rame of Fla v k\w" Phone No.
Address of Firm a \ $ &VL u . -Zip Code (0 0 �
Location;of proposed work ex
Describe:fully rrature:ol permit reque ted Q
arting.d2►te �. :i Approx.tim$for completion 1
Well
it Bef re.You :No '� b (O� --Ois' W erSu PublicYVater ❑ e
Ca q fit _ 3
bng ppiY' . .
YEXisting Se+�age.Service. ❑Public Sewer ❑Septic _
t r
PLEASE.NOTE, THE DEPOSIT FORTHE.PERMANENT-PAVEMENT PATCH AND CURB.REPLACEMENT IS A
P�tttEL;MINARY"ESTIMATE. Tf�APPLICANT 1,S f ESPONSIBLE FOR THE FUL4 FINAL COST OF THE
PERMANENT:PATCH-ANO CMRBfit#EPLACE#AENT;INCLUDINQ ES IN RA'f'CM�AR"CURB.
1: i17HY TR�1Ff?IC: Ni'ROt AN9 THE TiWMS CONTRACTt`.OSTS. THE P iiMAN�NT PATCH f1S TYPICA#.LY
t" OMPLETED WiRHIN A YEAti;OF THE TEMPORARY PATCH°fE3UT fT C4ULD 6E`I ATER THAN A YEAR:
Show sketcfi of proposed work or fum_ish This section to be filled out by
two oopies of separate draKnrq Infcate.North T�wn.of South Windsor
No.cuts
Est..Patch Sizes) sf
Est.Pvt Thickness in.
Est.Patch Unit Price$ !sf
Est Pate Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /it
ESL.Curb Cost;
Est..Traffic Unit Cost
Est:TraM Control$
Atnt.of Deposit;
- Total Due�
C Cash: "O Check#
Applicant is resporisible for contacting Paid By
tfte.poliCe 0e #..and`C.B.YD..
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT.OF BONE)REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTHWINDSOR FOR ANY EXPENSER INCURRED BY THE TOWN FOR,MAINTENANCE O.R REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND.THAT I.AM FAMILIAR WITH AND WILL.ABIAE<BY THE RULE$:AND'REGULATIONS FOR.
PERMITS AS UTLINED.( ;1` TOW OF SOUTH WINDSOI3`S.STREtT CUT PERMIT MANUAL.
Signed: ' bate:
Title: Driver's License#:�ag 61
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 KtPT.ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
t:E1V
1218 Cromwell:Aye. •'R Hill Connecficut 06067
Telephone 860 257=123i • Fax 860-257-1233,
Contractor No 565642 ��'1D
PROPOSAL SUBMITTED TO:
NAME: s rr JOB NAME:
STREET�- / y- S,etch of Work AEU;,,
r
t STATE:
CITY:
PHON
Work to be performed: s
1. Fine grade existing base material,add process
stone for fine_ grading as needed and pave w/3"of
asphalt.
2. Remove existing asphalt,add processed aggregate for
fine grading as needed and pave w/3"of asphalt.
3. Excavate existing driveway,install 6"of processed
aggregate and pave w/3"of asphalt.
Type of work to be performed will be circled above.
Back filling curb or edges of pavement is not included in
our price and shall be completed by others.Not responsible
for Damage to Concrete Sidewalks.
Start Date:within 45 days from transaction date
Completion Date:within 45 days from start date