HomeMy WebLinkAboutStreet Cut Permits 176 Kent Lane (2) 1600188 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
MAX
DATE: 09/29/2016
GIS ID: 54100176 i mg, - FEE: 25.00
MUNIS APPLICATION# 201601378 3 4 EXPIRATION DATE: 09/29/2017
APPLICANT k� '" n x, LOCATION
NAME: GENERAL PAVING AND CONSTRUCTdi k .4�DR); S 15 KNT LANE
ADDRESS: 1218 CROMWELL AEI 1UI~ OWNFRk GEARIJART CHRISTOPHER A&JEANNE
ROCKY HILL,CT 006 _ '4 -' =1�$'IEIT LA
€1 LlO UTH W �4 INDSOR,CT 0607
PHONE
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WORK DESCRIPTION: RE%' v E I 'SING I)]IVETjX'1�Yr� TT �JVI Iy IDE
APPLICANT AGREES TO FURNISH THAVOWN OF S�i7TB WINDS01 HE34uvl 15u1o'IutND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1Y` �£P1; 1$Ir5 INjIID I3rIE�OWI[FMATNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIDN F E f�PPLICA'NT,I.S PA-II".IAR WTI H Al T `W L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOW ROUTH W,31'.1R'S,STREET CU "ERIVIIT MANUAL.
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ISSUED BY DAT IN PECD INSPECTED BY
9/29/2016 12:34 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
CONTRAST-0R: _ - _ -
LOCATION: 1 -76 1,,1eiiT 4.aln
TYPE OF WORK: ( i�!°c
DATE INSP NEEDED: DATE INSP:_ 10holl,
INSPECTED BY: S )
WORK IN
3 ..
PROGRESS.� -� :� � a . ,1...� .
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:----
INPUT: G'd DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm 02 /-7 Phone No._,rS8 '4 -
Address of Firm a 1 a �L� ---'� Zip Code '7
Location of proposed work ket4q
Describe fully nature of permit requested V1- w„ 15aK- C-C%,L`w W 44- rt &a
t-cAFA -L.
Starting date Call Before You Dig No ,!),
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: El No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
M Existing Driveway, No Changes Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out bM Town
two copies of separate drawing
No, cuts
Est. Patch Size(s) sf
1 ►�� """' Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est. Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est. Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt. of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
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 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 THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL. ff
Signed: Print Name •� � L � _ Date: l
Street Exc ion Permit 2014
_ 'um
:1218 Cromwelt ve:.:?�gtzcttyHill Gcnnech�ut�B067•
Telephar $6Q-2.r7`T 37 • F fiQ 257-.2 :.;. .
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DATE S S J
PROPOSAE.SU6MtTXE-0 TO
MM7. Sketch of Work Area:
1-76
MY.6.
PI TONE# _•
Work to be performed: -
1. YFine grade existing base material,add process "' F
stone for fine grading as needed and pave w/3"of t f
asphalt. M-
2. Remove existing asphalt,add processed aggregate for
fine grading as needed and pave w/3"of asphalt.
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3./ Excavate existing driveway,instalLeOf processed
aggregate and pave w/3"of asphalt. ° `
'lope of work to be performed will be circled above. d .
Back filling curb or edges of pavement is not included in
pn,price and shall be completed by others.Not responsible
Damage to Concrete Sidewalks.
Start Date:within 45 days from transaction date
Completion Date:within 45 days from start date
- ,. - .•-wc a .. . . .. .. .'�R: :i
e GENERl�L
:.7278 CrorgYM Ave.. • Roc(zyH1l1,Goirneclrciit�BOBTr ,
Teleplioire 83� 7"� 87 • alr$�11-25�1233
ContractorNo.5-6- �[Jp .
DF7I~
PAOPO44,4USMCTf
• ' ' + e� �i3s NAM ii-AME
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sT>aEEc ! Sketch of Work Area.:
6 ��
/ .
CITY. � STATEe,v'
PHONE R
Work to be performed: f
1 Fine grade existing base material,add process
stone for fine grading as needed and pave w/3"of _
asphalt., .._
2. Remove existing asphalt,add processed aggregate for
fine grading as needed and pave w/3"of asphalt.
3. Excavate existing driveway,instalIA rof processed