Loading...
HomeMy WebLinkAboutStreet Cut Permits 205 Kent Lane (3) 1600138 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/18/2016 GIS ID: 50100205 MUNIS APPLICATION# 201600983 4k r s FEE: 25.00 i _ EXPIRATION DATE: 07/18/2017 l } } t t �,; 2 r .4 APPLICAIIZT LOCATION NAME: GENERAL PAVING�1ND CONS 1 R�JCTION ADDRESS 20 "K 1T LANE ADDRESS: 1218 CROMWELL ERI&FINA MARIE ROCKY HILL,CT 0¢067 2Q5"KIT LANE iYl OUTIA INDSOR,CT 06074 PHONE 5 s WORK DESCRIPTION: DRIVEIA k s ; rt h s xh v r THE DRAIN LAYER ASSIGNED TO THIPERIv1IT�I1S A VALI�7 LIG'BTSE" `SiJE1'B 1 I III?STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORT IN FIE ATTAHEI7" O1TIOlS ALLRK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARD AL OSHA REQUT EME 1$,A l }TI ATTACHED CONDITIONS. ISSUED BY DATE INSPECTED. INSPECTED BY 7/18/2016 11:51 AM - S t h5 y R� ri "?j'L so ` k n-d £" P 3 Or y � S LY ,yha ' TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 16001- CONTRACTOR: Q ) (I LOCATION: a� �SJ� r7 `�" ►'`-� TYPE OF WORK: V-e L49 a-q DATE INSP NEEDED: DATE INSP: INSPECTED BY: j-b WORK IN PROGRESS: • �c �w-..c•� �' m. hem--' �.-�.l�c:'_ C�L� SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: DATE: ' S/molioy/forms 2014 Town of South Windsor INP5EMON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm e nS Phone No. _ —2 Address of Firm C� T Zip Cade G%©ram,., Location of proposed work ©S Describe fully nature of permit requested Starting date '��wCall Before You Dig No 2 So PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut W/Existing Driveway, No Changes Vproposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No. cuts AAA- � 0 Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost$ Est. Curb Replacement ft Est. Curb Unit Price$ /ft Est.Curb Cost$ Est. Sidewalk Replacement sf Est.Sidewalk Unit Price$ Isf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cast$ /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 PER T MANUA ( p C Signe Print Name ���i� Date: Street Exc vatio Permit 2014 zz CrEMVERAL PAYII46 AND CON8iRUCiION CORP i2i8 CCronw�lCA ackyHr!!,tonnscfcuf 06.Q67 TelePfro{�e 86Q-257-i23=9 • Fa W 257:1233 C:ontractorNo.565642 ►'r� o3r�C PROPOSAL SUBMI77ED 7D: nars NAME JOB NAJ1�lE: _ .sTREEr Sketch of Wot1t Area : "� .,� .. .. 9 1 ,�. 1 sJ STATEw PHONE# �` l Walk to be performed: .. .: i .. Fine grade existing base material,add process ! stone for fine grading as needed and pave.w/Y-of: aspliait :: 2. Remove existing asphalt,add processes aggregate for fine grading as needed and pave 4/37.o£asphait. 4 .°I 3. Excavate existing driveway,install$":of processed , + � � ' aggregate and pave w T aif;aspl Alt Type of work to.be pe161, Od`wip be circled above. Buck.filling curb or edges of paiiement is not included in our price and shall be eazzapleted by others.1Votrespo 616 nsi f for Damage to.Csizicrete Sidewalks,. . Start'Date:within:45 days from transaction date�.. Completion Date: within 45-days.frorir start date . 1