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HomeMy WebLinkAboutStreet Cut Permits 10 Joseph Lane (2) 1500014 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/07/2015 GIS ID: 48000010 FEE: 25.00 MUNIS APPLICATION# 201500282 EXPIRATION DATE: 04/06/2016 APPLICANT „ _,,LOCATION NAME: GENERAL PAVING AND CONSTRUCTION ADDRESS: 10 JOSEPH LANE ADDRESS: 1218 CROMWELL AVENUE OWNER: RYS DAtEL J JR ROCKY HILL, CT 06067 10 JCSEPI LANE SOUTH WINDSOR, CT 06074 PHONE WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUN 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 B DATE INSPECTED INSPECTED BY 4/7/2015 11:40 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: f,'Y 0D® iy CONTRACTOR: 6-en(ffv'Q LOCATION: /off TYPE OF WORK: .) , u)e w a- �f DATE INSP NEEDED: DATE INSP: INSPECTED BY: RSk WORK IN PROGRESS: a�� o Si {,� �� - 0L/ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: 1� S/molloy/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 $26.00 Name of Firm Phone No. 6&a Address of Firm do G Q Zip Code 6.O 6 7 Location of proposed work 10 4 Describe fully nature of permit requested ot it Starting date Call Before You Dig No c;zOYx/y&zz�s' PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE: THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. �G Est. Patch Unit Price$ /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 O 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 THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDS ITS STREET CUT PERMIT MANUAL. ` Signed: Print Name &3EE a2E— IL�k2 Date: `1 Street Ex ation Permit 2014 '17 rOIs AM IMSi>i0c119AI CORP. 1218 Cromwell Ave. • Rocky Hill,Connecticut 06067 Telephone 860-257-1231 • FAK 860-257-1233 Contractor No.565642 Prof 0-4a/ ILA 01 PROPOSAL SUBMITTED TO: NAME: r t JOB NAME: STREET: ` Sketch of Work Area: CRY A. PHONE#. Work to be performed: 1. Fine grade existing base material,add process f R 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 emtg�driveway,install 6"of processed aggregate and pave w/3"of asphalt. i o x Type of work to be performed will be circled above. Back filling curb or edges of pavement is not included in i l our price and shall be completed by others.Not responsible for Damage to Concrete Sidewalks. a Start Date:within 45 days from transaction date Completion Date:within 45 days from start date '.4, { "` f wnnrs quo CMST MM Z� 1218 Cromwell Ave. • Rocky Hill,Connecticut 06067 v Telephone 860-257-1231 • Fax 860-257-1233 Contractor No.565642 Pror-4al PROPOSAL SUBMITTED TO: DATE: x. NAME: a JOB NAME: d r STREET: / `� .� Sketch of Work Area: - MY: � � STATE: PHONE# — '! Work to be performed: 1. Fine grade existing base material,add process d w stone for fine grading as needed and pave w/3"of ' j 4 asphalt. '"`" 1 2. Remove existing asphalt,add processed aggregate for fine grading as needed and pave w/3"of asphalt. ' 1 3 Excavate eidRRT'8driveway,install 6"of processed aggregate and pave w/3"of asphalt. .:;. 4# s ` -3 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 g a for Damage to Concrete Sidewalks. Start Date: within 45 days from transaction date - Completion Date:within 45 days from start date -+. {,, "