HomeMy WebLinkAboutStreet Cut Permits 9999 Nevers Road (8) 1300264 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/16/2013
GIS ID: 62409999 - FEE: 0.00
MUNIS APPLICATION# 201301499 " " EXPIRATION DATE: 10/16/2014
APPLICANT LOCATION
NAME: NEW ENGLAND CONCRETE. ERVIOE-INC ADDRESS: NP--V ROAD
ADDRESS: 92 MOODY STREET Oi?NERD TbWN OF SOUTH WINDSOR
P O BOX 317 1540is
IJLLIVAN AVE
LUDLOW,MA 01056 „ SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: SIDEWALK REPI.fACE�AIT/REPAIRPER NIISC COI --- SIDEWALK
2013 CON-TRA—T TOWN PROJ NO FEE ;
APPLICANT AGREES TO FURNISH THE TOWN OF SOUThI WINDSOR THE;AMOi7IaIT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'EJOINSES INQURRE1 13Y THE TOWN FOR MKINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICA�S FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ORSOUI H WINDSR'S STREET CUT IERMIT MANUAL.
ISSUED BY DATE INSPECTED SPECTED BY
10/16/2013 10:48 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Ud�` (a CONTRACTOR: eu) sn' '
LOCATION: MCVpc-5`��c��Q
TYPE OF WORK: S �a�O t�`�a (� lP ►tg� �
DATE INSP NEEDED: DATE INSP: 11-2'9-13
INSPECTED BY:_
WORK IN
PROGRESS:_ %v .K e�n� L 'tlla �rrT 1Vjf°c �►P�v�►,k c� -�r�' i3�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED 0 YES [-] NO
AS-BUILT:
INPUT: L DATE
`.,` 2007 i i r: of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: 1019 10
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm u7 6'D Jfevie-IRE:5 1l�lL Phone No. `6 13 —547 --6668
Address of Firm Z S� LU ®uJ Zip Code ®l fo
Location of proposed work m
Describe fully nature of permit requested S j � �IC-
Startingng date Qrii� i t Approx.time for completion 7t il1ot 5
Call Before You Dig.No.' Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: [] Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY.ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
-LENGTH,TRAFFIC CONTROL.AND THE TOWN-S CONTRACT COSTS.-THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN-A YEAR.
Show sketch of proposed work or furnish two copies of separate drawing This section to.be filled out by
co.waw�,;iry
indicate.Norih Town of.So(dh Windsor
No.cuts
Est.Patch Sizes) sf
Est Pvt..Thickness in.
Z Est.Patch Unit Price$Tn
isf
. .
Est.Patch Cost$
Est.Curb Replacement it.
O' Est.Curb Unit Price$- Ift
Est.Curb Cost-$
d Est.Traffic unit Cost$
Est.Traffic Control$
Arnt.of.Deposit$
Total Due$ -
Is"D R ILC. P_OA-L7 { )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Porice Dept.and C.B.Y.D, � ►Tio�
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 W
CONNECTION WITH. RMiT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLIN IN. E TOWN OF'SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed Date: to �O/
Title: 5�� Driver's License#:- 3 ` V 0 3 30
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08