HomeMy WebLinkAboutStreet Cut Permits 334 Strong Road (2) 1600114 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/28/2016
GIS ID: 87000334 FEE: 25.00
MUNIS APPLICATION# 201600884 EXPIRATION DATE: 06/28/2017
APPLICANT LOCATION
NAME: AYOTTE BROTHERS CONST. CO. INC. ADDRESS: 334`STRONG ROAD
ADDRESS: P O BOX 498 OWNER: JACKSON JAMES H&GAIL J
SUFFIELD,CT 06078 334'STRONG ROAD
SOUTH WINDSOR, CT 06074
PHONE 860-654-1800
WORK DESCRIPTION: REMOVE AND REPLACE EXISTING DRIVEWAYSTREET TO GARAGE
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.
G f raX./6
ISSUED BY DATE INSPECTED INSPECTED BY
6/28/2016 9:08 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 160 CONTRACTOR: A y nT-Ve AA 6YA er S ccir?s Pl�' Cc)
LOCATION: d
TYPE OF WORK: 1 V-,Pa.�
DATE INSP NEEDED: DATE INSP: ���AI
INSPECTED BY: �c
WORK IN
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:_ .Ste. DATE:_jo�
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 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of FirmAva-�+e, Nit hers 5 . Co • _1,__n C- Phone No. Scow 654• b8m
Address of Firm (CL r 0 Zip Code 6
Location of proposed work '334 d nkaY4 fLA
Describe fully nature of permit requested pc(
Starting date Oz4ilu Call Before You Dig No 0(4 -Ua 1413 5
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑l No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
2 Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
/\ No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
ZZ" Est. Patch Unit Price
6 Est.Patch Cost$
Est.Curb Replacement ft
1 c66 Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
I Z Est.Traffic Unit Cost$ /hr
28 Est.Traffic Control$
Amt.of Deposit$
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( )Cash ( )Check#
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 ANY EXPEN S INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I A F MILIAR ITH A D WILL ABIDE BY THE RULES AND REGU TIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR EET C TT IT MAN L. L l,, l
Signed: Print Name D 1� Date: lX/'04 ! G(l
Street Excavation Permi 2014