HomeMy WebLinkAboutStreet Cut Permits 9999 Christine Lane (3) 1300266 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/16/2013
GIS ID: 19809999 FEE: 0.00
MUNIS APPLICATION# 201301503 -EXPIRATION DATE: 10/16/2014
APPLICANT , LOCATION
NAME: NEW ENGLAND CONCRETE,SERVICE I1VC AI3DRSS: 9999IRI-CfSTINE LANE
ADDRESS: 92 MOODY STREET OWNER" TOWN OF SOUTH WINDSOR
P O BOX 317 = 1540A ULLIVAN AVE
LUDLOW,MA01056,11 - �VNDSflR, CT 060742734
PHONE ;
WORK DESCRIPTION: SIDEyVAI RPA CGCT RETE SIDEWALKD
2013 CONTRACT
WN PROJ`N0 FI B
APPLICANT AGREES TO FURNISH THE iOWN OF SOUTH INDSOILTFIE 1MOU3*IT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES IN�URREI�BYTI�E TOWI�1 FOIZ MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TII API'LIC- --T IS FAMILIAR WFT-IT-i- WILL"ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S0�3TH WIDSR S=STREET=CUT PRMI MANUAL.
ISSUED BY DATE INSPECTED 611VSPECTED BY
10/16/2013 11:03 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
T'OWN'OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: �a�(o CONTRACTOR: e a eYCo G✓L
LOCATION: _ C V t 1 o
TYPE OF WORK: ,5 ) 0 00-l K Ce Ol ace✓n�T 1 �fpAa 1 Q
DATE INSP NEEDED: I i -T?-13 DATE INSP: 11 V5
INSPECTED BY:
WORK IN
PROGRESS: EwAL4-C
SEPTIC TANK PUMPED, SMASHED, FILLED Q/A WITNESSED ❑ YES ❑ NO
AS-BUILT: �:)/;1
INPUT: DATE:
4Y12007 i o:,r,n 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-A ?S/ 3
SOUTH WINDSOR,CT 06074
FEE $26.00
Name of Firm A1k7 S Jere t Phone No. e-11-3 �
Address of Firm �l u. J IVt Zip Code ::P�
Location of proposed work LA,uU
Describe fully nature of permit requested L,ACZM. W. 1 Z ZMAj(Z-
Miscryt V�r� �Sn1c.('J fii 5«r�t+s- - �!'3 ConrsR�c�'
Starting date o 1 20 t3 Approx.time for completion_ 11.1a-�
Call Before You Dig-No. - 2-013 `f io 2-z90 Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
'LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.-THE PERMANENT PATCH IS TYPICALLY
COMPLETF.A WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filed out by
two copies of separate drawing � Indicate.North Town of South Windsor
No.casts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Q( Est.Patch Cos#$
Est.Curb Replacement ft.
Est.Curb Unit Price
EsL Curb Cost.$
test.Traffic Unit.Cost$ /lu
EsL Traffic Control$
AmL of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.9-Y.D.
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 OWN OF-SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: lblklol /13
Title: t S tPACCT Driver's License#:_ c.�3 61603-30
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 JOSSITE AT ALL TIMES
Street Excavation Permit 08 REV-10-22-08