HomeMy WebLinkAboutStreet Cut Permits 76 Ronda Drive (2) 1500025 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/15/2015
GIS ID: 77100076 FEE: 25.00
MUNIS APPLICATION# 201500316 EXPIRATION DATE: 04/14/2016
APPLICANT: LOCATION
NAME: GENERAL PAVING AND CONSTRUCTION ADDRESS: 76 RONIDA DRIVE
ADDRESS: 1218 CROMWELL AVENUE OWNER: CANCIAN SHIRLEY I
ROCKY HILL, CT 06067� 76 RONDA DRIVE
SPUTH WINDSOR, CT 06074
PHONE
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE'AMOUNT OI~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' STREET CUT PERMIT MANUAL.
-yv\&-" t �
ISSUED BY 0 DATE SPECTED INSPECTED BY
4111/201112:19PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /T 60e42� CONTRACTOR: getlera
LOCATION:
TYPE OF WORK: �v ��-,
DATE INSP.NEEDED: DATE INSP:
INSPECTED BY: P
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: vim' DATE: '
S/moiloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm 67� L Phone No5tg n •a S'7 ID'.? (
Address of Firm d Zip Code C=C*L2
Location of proposed work
Describe fully nature of permit requested
Starting date """ Call Before You Dig No o
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept:and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
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
TH T 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WIN R'S STREET C MIT MANU
Signe Print Name Date:
Stre Excav tion Permit 2014
PAVM AND CONSTRUCTION COOP.
1218 Cromwell Ave. • Rocky Hill,Connecticut 06067
( Telephone 860-257-1231 • Fax 860-257-1233
e
Contractor No.565642 11I)q f �; po3aQ
L
U105 15
PROPOSAL SUBMITTED TO: DATE`
NAME: r JOB NAME:
STREET: 7 Sketch of Work Area:
CRY: TT
PHONE#:
Work to be performed:
1. Fine grade existing base material,add process fit`
stone for fine grading as needed and pave w/3"of �N11
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. �r
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. 4*4 Z
Start Date:within 45 days from transaction date
Completion Date:within 45 days from start date
v1c,)—F 1 �ccs S
PAVM All®CONMUCTION CORP.
c "] 1218 Cromwell Ave. • Rocky Hill,Connecticut 06067
Telephone 860-257-1231 • Fax 860-257-1233
Contractor No.565642 ; PropoJal
- 1,►� wit;- �
WT PROPOSAL SUBMITTED TO: DATE' -
NAME: r c JOB NAME:
STREET 1 -
Sketch of Work Area:
CITY: s
PHONE M
Work to be performed:
1. Fine grade existing base material,add process
stone for fine grading as needed and pave w/3"of
asphalt. Q`
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 e'
aggregate and pave w/3"of asphalt.
Type of work to be performed will be circled above. �P
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. , Z
Start Date: within 45 days from transaction date
Completion Date: within 45 days from start date