HomeMy WebLinkAboutStreet Cut Permits 75 Heritage Drive (2) 1600190 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/29/2016
GIS ID: 41500075 FEE: 25.00
MUNIS APPLICATION# 201601380 EXPIRATION DATE: 09/29/2017
APPLICANT LOCATION
NAME: QUALITY PAVING CO ADDRESS: 75-HERITAGE DRIVE
ADDRESS: 194 S. MAIN STREET OWNER: TROIANO DANIEL R&PAULA B
EAST WINDSOR, CT U6088 7$HERITAGE DR
SOUTH WINDSOR, CT 06074
PHONE 860-523-4182
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 WINDSOW STREET CUTPERIvIIT MANUAL.
ISSUED BY DATE INSP TED INSPECTED BY
9/29/2016 12:44 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
- 19/q--O---- -- CONTR-AC-T'OR:- - �E-��- -C/- - --- ---- -
LOCATION: � .5 / �•
J
TYPE OF WORK: " e "Ja C
DATE INSP NEEDED: DATE INSP: 'z ? 1�
INSPECTED BY:
WORK IN .
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE: 16
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR :STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: ^(o,
SOUTH WINDSOR, CT 06074
EE:$25-00
Name of Firm - ICJ Ph ':ne No.
Address of Firm Zip-Go e -
Location of`proposed work
Describe fully nature of permit requested.
Starting data Approx.time4or completion.
Gall Before You Dig No. r1� �i7 Y'S o`f ,Existing Water Supply: ;Public:Watee ❑Well.
Existing Sewage Service: [I-Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR,THE PERMANENT PAVEMIENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE THE APPLICANIMS RESPONSIBLE FOR THE FULL FINAL COST OF"THE
PERMANENT PATGH:Ai*6, RBAEi LAB ME�IT�I UVING.A,Adl�f a�t�¢t E6'4I -PAT�k RSA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE:PERMANENT;PATCHIS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BELATER THAN A YEAR.
Show sketch,of proposed work or furnish This section to.be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf ;
Est.Pvt.Thickness in.
Esu-,,Patoti Unit Price$ /sf.
1 Est.Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
/ Est.Curb Cost$
{ Est.Traffic Unit Cost$ fir
Est.Traffic Control$
Atnt."of Deposit
Total'Due$
( )'Cash O Check#
Applicant is responsible for contacting Paid By
the Police Dept.-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-POR'ANY"EXPENSES INi URI�ED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN,CONNECTION WI H THIS PERMIT AND.THAT I,:AM FAMILIAR WITH' WILLABIDE BY;THE`i�ULES:ANQ RE,GULATIONS'FOR
PERwsT AS O INED TH 'I`O' N O1=SaUTH 1MNDSOR'S:STREET CUT PERMI//T MAN/U,AAL -
Signed: Date:
Title: Driver's License#: ( `
PLEASE ALLOW AT LEAST 40 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,ExcavationPermit 08 REV 10-22-08