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HomeMy WebLinkAboutStreet Cut Permits 660 Governors highway (3) 1500204 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/10/2015 GIS ID: 36900660 FEE: 25.00 MUNIS APPLICATION# 201501233 - EXPIRATION DATE: 09/09/2016 APPLICANT = LOCATION NAME: GENERAL PAVING ATID CONSTRUCTION ADDRESS: ; 660 GOVERNORS HIGHWAY ADDRESS: 1218 CROMWELL AVENUI: = OWNER: S<KQRAPHILIP A&LESLIE P ROCKY HILL, CT 0606'n 60OJERNORS HIGHW SOUTHVINDSOR,CT 06074 PHONE = WORK DESCRIPTION: DRf-V1,WAY AND WALKWAY APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH tWINDSOR THE t�MOLt1t7T OF HAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY XPENSES N-`U-RREI I��THE TO WAt FOR I IAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THIS APPLICANT ISFAMII IAR WITH AII�WELL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 6f s7OUTH WINDSOR'S STREET CUTPERNIIT MANUAL. l v ISSUED BY D TE INSPECTED INSPECTED BY 9/10/2015 10:40 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** �J TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: I,'`0 Dd e2 CONTRACTOR: Gen fa v LOCATION: ( 0 2olleV-n0r S y TYPE OF WORK: Z` U wa DATE INSP NEEDED: DATE INSP: INSPECTED BY: 6h WORK IN , PROGRESS:---- DOkLk SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED 0 YES ❑ NO AS-BUILT: INPUT: DATE: S/moiloy/forms 2014 Town of South Windsor INPSECTTON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $26.00 Name of Firm Phone No.- jo- a�C2 l:a I? Address of Firm /4"// G T' Zip Code C2QC2 :'7 Location of proposed work Describe fully nature of permit requested Starting date Call Before You Dig No j0lsE,?&,'o c2V. PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut I4xisting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch.Cost$ Est. Curb Replacement ft Est. Curb Unit Price$ /ft Est.Curb Cost$ Est. Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ O 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 'S STREET CUT PERMIT MAN AL. Signed: Print Name 0 r� l�j�L.t Fri Date:��y Street ExcyVation Permit 2014 GENERAL � NOW ono CORPRocnau cony. 1218 Cromwell Ave. • Rocky Hill,Connecticut 06067 Telephone 860-257-1231 • Fax 860-257-1233 Contractor No.565642 PrOF0.4al CAD mil\ PROPOSAL SUBMITTED TO: DATEe N 46 NAM d !f d s E JOB NAME: STREET:7`i Sketch of Work Area: �.ry - crrY: STATE: PHONE#: , r[ cPf " Work to be performed: 1. Finq grade existing base material,add process ,. ,Fjt�Ilv�}?Zi st©ne'for fine grading as needed and pave w/3"of A/t!N asphalt... 2. Remove existingas halt add processed aggregate for P P fine grading as needed and pave w/3 of asphalt. g g P s 3. Excavate existing driveway;install 6 of processed aggregate and pave w/3"of asphalt. VL 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 '� �. ;�, ZY `�-