HomeMy WebLinkAboutStreet Cut Permits 121 Stonefield Trail (2) 1800110 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/17/2018 3 « s
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GIS ID: 86100121 u FEE: 50.00
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MUNIS APPLICATION# 201801449 <`� �� ^ � ter IRATION DATE: 08/17/2019
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APPLICANT
OCATION
NAME: GENERAL PAVING ANDC1SJC'II1<1 AIJbIES ', 121 STOIFIELD TRAIL
ADDRESS: I2I8 CROMWELL AVEI TEIyQ.EHANGIR&TASNEEM I{
r '2STbNEIELD TRAIL
ROCKY HILL,CT 060d ; il
PHONE iO3 <n 4 5
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WORK DESCRIPTION: DRIVEVA
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APPLICANT AGREES TO FURNISH THE T 6FOrST WINDSs3 T A I1 iOF
r 01D12EQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN I S I1iCiJRI Y r IT;TbWN FOWINU I ENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND THE CA xd$FAMZI;IA WITH AIND'WI $ DE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFUTII�WIN OIt'$STREET G;U T PERIVIIT MANUAL.
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ISSUE Y DA4, SPECTEp INSPECTED BY
8/17/2018 12:07 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH-1NINDSOR INSPECTION REPORT
PERMIT NO. CONTRACTOR:
LOCATION: 1.a in c.-rp)
TYPE OF WORK: T, )Xy waoaW
DATE INSP NEEDED: DATA INSP:
INSPECTED 8Y: t
WORK:IN
PROGRESS: y
SEPTIC TANK PUMPED,,SMASHED, FILLED ; WITNESSED ❑-YES ❑ NO
AS-BUILT;
INPUT: . DATE:_ I`&„
S/M610Y/Forms 2014 Tom of South Winftr INp3kM N REPbl.0 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit ,,���
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE 6
Name of Firm Phone No. o --�5 77`
Address of Firm 1 e vQ t Zip Code O `7
Location of proposed work 1
Describe fully nature of permit requested
Starting date Call Before You Dig No �ti z 3 D o 4-7 �
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ;/Existing
N avement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ElSidewalk Cut
Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No. cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
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 JOSSITE 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
WIND R'S STREET CUT PERMIT MANU
Signed: Print Name_ E- C'xr— L A-,, Date: S
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Street Ex ;a tion Per
2014
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121'8 Cromwell Ava -'Racky HlA,Connecticut 08067
Telephone 8W-257-1231 • Fax 860-267-12W
Contractor No.565642 Prowl
PROPOSAL SUB.MTTTED TO: DAIF-
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sr r Sketch of Work Area: I
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PNONE�: �
fork to be performed:
I. Fine grade existing base material,add process
stone for fine grading as needed and pave w/3"of
asphalt.
Z. remove existing asphalt;add processed aggregate for
e:grarling•as needed and pave w/3"of asphalt.3. ware exisfing&iveway,instal€5"of processed.
aggregate and pave w/3"of asphalt.
lope of work to be performed will be circled above.
Back filling curb or edges of pavement is not included in
our price and shall:be completed by others.Not responsible a`
for Damage to Concrete Sidewalks.
Start Datie:withifi 45 days from transacdon date
Completion Date ,w thin 45 days from start date
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