HomeMy WebLinkAboutStreet Cut Permits 72 Oxford Drive (2) 1600038 TOWN OF SOUTH WINDSOR, CT-
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/02/2016
GIS ID: 68100072 FEE: 25.00
MUNIS APPLICATION# 201600509 EXPIRATION DATE: 05/02/2017
APPLICANT LOCATION
NAME: AYOTTE BROTHERS CONST. CO.INC. ADDRESS: 72 OXFORD DRIVE
ADDRESS: P 0 BOX 498 OWNER: PARROTT MAXINE S TRUSTEE
SUFFIELD, CT 06078 72 OXFORD DRIVE
SOUTH WINDSOR, CT 06074
PHONE 860-654-1800
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 WINDSOR'S STREET CUT PERMIT MANUAL.
(2
ISSUED BY DAT SPECTED INSPECTED--BY
5/2/2016 10:55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT N6:: 16 X0 CONTRACTOR: '
P
LOCATION: c
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: ob
WORK IN .
PROGRESS: al
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
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 1 0 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm �U6-�k� ( ost .Ca . Phone No._U(00 bl+ieco
Address of Firm —Sc=, I GF,e1j) CT' Zip Code Q(-oUr78
Location of proposed work 2
Describe fully nature of permit requested Q Z� C I %_ / ?Ve(A)Cc r
Starting date Z<1/ Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
X Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish -- Indicate North This section to be filled out by Town
two copies of separate drawing
s No.cuts
1 Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
r9 ` Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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 FOR A PENSES INCUJ�R D BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FAM IAR ITH AND WILL IDE BY THE RULES AND REG TIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S ST EET UT PERMIT�ANU L. [ I
Signed: I U Print Name A �e— Date: k4 I D `� l
Street Excavation Permit 2014