HomeMy WebLinkAboutStreet Cut Permits 150 Nevers Road (6) -- --
1300263 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: .10/16/2013
GIS ID: 62400150 FEE: 0.00
MUNIS APPLICATION# 201301498 EXPIRATION DATE: 10/16/2014
APPLICANT - LOCATION
NAME: NEW ENGLAND CONCRETE SERVICE II�IC ; ADDRESS: 150 LIEVERS ROAD
ADDRESS: 92 MOODY STREET OWNER SOUTH WINDSOR TOWN OF 41
P O BOX 317 NVI�RSROAD
LUDLOW,MA 01056 SOUTH WINDSOR,CT 06074
PHONE ,
WORK DESCRIPTION: SLAH RA ING SIDRRAALK REP RPER=-ISC CO_ 0-RETE
SIDEWt K 2043 CONTRACT TOWN IjOI ISO EEE
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH W. SOR it-AMOULNT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN EXPEN-SES INCT,IRREIS BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMII IA1 WITHAND WILOABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ORSOUTH WINDSR'S-STREET CUT PERM
I MANUAL.
ISSUED BY DAZE INSPECTED WSPECTED BY
10/16/2013 9:16 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ('D CONTRACTOR:_ ' r4119,7al
LOCATION:_ ISO
TYPE OF WORK: S ,
DATE INSP NEEDED: I -7,177,_--t3 DATE INSP: It-zc�-l3
INSPECTED BY: ,;J f
WORK IN
PROGRESS: (;'nry k.?r4V QP-r r�f: ('Al D .yAL.iL C,Av
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:___ _ � �
DATE: 'I
V.,"2007 i o;vr of South Windsor MPSECTTON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: 018 2.00
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm—Kg- W k_14&L.Ar-4-D CoNGRa✓T� ,515JU ,6S NJG Phone No. 1}13- 5L41- 6(4'6�
Address of Firm 2 tA00 -r
D T LU D L.Bt J . M,� Zip Code n MT6
Location of proposed work LanGJ
Describe fully nature of permit requested_ 5 L H8 R-4 i 's i-D -c.y R-LK A-►P_
� � S st ZD-J Cerr\lTP.gc�
Starting date 13 Approx.time for completion 11 >1 z o 3
Cali Before You Dig•No. Zo i3 4 I t) z-29 3 Existing Water Supply: [j Public Water ❑Wet!
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY.ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.-THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN.A YEAR.
Show sketch of proposed work or furnish This section to.be filled out by
two copies of separate dravring ("cate.Nortlr Town of.South Windsor
/5® No.cuts
Est.Patch Sizes) - st
Est;Pvt.Thickness in.
= Est.Patch Unit Price$ !sf
10
Est.Patch Cost;
7 Est.Curb Replacement ft
- Est.Curb Unit.Pdoe;. fit
PL
Est.CurbCost•$
l� Est.Traffic Unit.Cost$ fir
Est.Traffic Control$,
AmL of.Deposit;
c� Total Due;
Z
( )Cash ( )Check#
Apprmca t is responsr'ble for contacting ?�PA&- Paid By
the Poke t.and C.B.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
CONNECTIQN WITH THt RMIT AND THAT 1 AM FAMILIAR WITH AND WILL.ABIDE BY THE RULES AND REGULATIONS FOR
PERMETS AS UTLINE IN E TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date-_ � 3
Tithe:- �,)� � Driver's License# rJ 1w 'J
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
Sheet Excavaffon Permit 08 RW 10-22-08