HomeMy WebLinkAboutStreet Cut Permits 49 Stedman Circle (2) 1900082 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/31/2019
GIS ID: 85300049
MUNIS APPLICATION# 201901082 FEE: 50.00
EXPIRATION DATE: 05/30/2020
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APPLICANT
NAME: QUALITY PAVING GO LOCATION
ADDRESS: 120 STRONG ROADt,"! ` ^ ADDRESSuTIpMAN CIRCLE
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��'NR NiADALENA MANUEL&FATIMA N
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SOUTH WINDSOR,��CT 06A7 ` `TEIMAN CIRCLE
PHONE 860-523-4182 �1
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WORK DESCRIPTION: DRI�/ AY
APPLICANT AGREES TO FURNISH THEYTOWN ClOUTI11ND5C7R THE'AMOU1iTQF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY<E PEN..5Es INcURREI.By TIIE 7' WI TxFOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI;TE )'I,ICANT IS FAMIEIAR VVIT$AID WI1 L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN t7F SOUTH WINDS(]R'..S STRl3ET CUT PEIYMITMANUAL.
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ISSUED BY
DATE-IIVSPEt✓TED
INSPECTED BY
5/3 1/20 19 2:55PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH'WRADSOR nON REPORT
PERMIT NO.: 660 COMMCTU G.
LOCATION:
TYPE OF WORK:
DATE INSP NEEQED: = DATE INSPi; S I't
INSPECTED
VMAK:IN
PROGRESS: • . �v- S//��- . -,�jc'y •� . . -
SEPTIC TANK PUMPED,.SMASHED; FILLED WrMESSED ❑ 0 ND
AS BUILT: ••
INPUT.
. . , • L DATE:
!MojllayAtmss 2014Town of Saulh Windsar•INPSOM ON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No..
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm Phone No. �(oC� •�'a 3 -�-1/ o�
Address of Firm Zip Code . (f, '�-
Location of proposed work
Describe fully nature of permit.requested rNlC
Starting date �' - 3 l- j Approx.time for cornpletion G` •"� l
Call Before You Dig 1 b 7 Existing Water Supply Ull"ublic Water ElWell
Existing Sewage Service: apumc.Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB:REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT.IS RESPONSIBLE.FOR THE FULL FINAL COST OF THE:
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING.ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS:. THE PERMANENT PATCH:IS TYPICALLY
Cviv7lrirET ED`r'viT'rill�i i+.ism_ ►n t�E-iilti'E T EMPcii`�sARY FATC BUT:iT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section#o be filled out by.
two copses of separate drawing Indicate North` Town of South Windsor
JIB No.cuts
Est.Patch,Sizes) sf.
1 Est.Pvt.Thickness- in.
J Est.Patch-Unit Price$ /sf
a
l Est. Patch Cost$
.Est..Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost.$ '
Est.Traffic Unit Cost$ /hr
Est.Traffic.Control$
And..0 Deposit r . . .
1 Total Due$
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Cash . ( )Check#
Applicant is responsible for contacting Paid By
the Police De 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
CONNECTION WITH THIS PERMIT AND THAT I AM F MiLIAR WITH AND WILL ABIDE.BY.THE RULES AND REGULATIONS.FOR
PERMITS AS OUTLINED ?TO N OF SOUTH INDSOR'S STREET CUT PERMIT MANUAL:
Signed: Date: ^ o� j
Title: Driver's License#: 0 T73 `I —7
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
Shvet.lbx&zuon Permit.0.REV 10-22-08