HomeMy WebLinkAboutStreet Cut Permits 121 Stonefield Trail (3) 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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MUNISAPPLICATION# 201801449 ° ' <`� � �� ^ � `�° � r IRATIONDATE: 08/17/2019
APPLICANT r ''
�' . F r; a5` �' � OCATION
NAME: GENERAL PAVING ANDC1SJC'II1�1 ApbIES 5, 121 STOIFIELD TRAIL
ADDRESS: I2I8 CROMWELL AVEITE f fi ov�rElz ' D 4 IyEHANGIR&TASNEEM K
r '2S�'bNEIELD TRAIL
ROCKY HILL,CT 0606i
PHONE 03 � <n 4
WORK DESCRIPTION: DRIVEdAf n{
APPLICANT AGREES TO FURNISH THE T GIST WINDS3 T A ,1TiOF
r � 01ID12EQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI M S S I1iCiJRIYrIT;TbWN FIi'I ENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THCAxd$I AMZI;TAWITH
E� AID'WI $ DE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF,QUTHSWIN OIt'SWREET GU T PERMIT';IvIANUAL.
ISSUE Y DAB SPECEp INSPECTED BY
8A 7/2018 12:07 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH-1NINDSORINSPECfION REPORT
PERMIT NO.: 4C� CONTRACTQR: �a P v1 4- ears
-01
LOCATION: 4.11 1-6rn em-rp)el
TYPE OF WORK: T, )Xy hoaoaW
DATE INSP NEEDED: DATA INSP:
INSPECTED 8Y: t
WORK:IN
PROGRESS: y /
SEPTIC TANK PUMPED,,SMASHED, FILLED ; WITNESSED ❑YES ❑ NO*
AS-BUILT;
INPUT.'--,j DATE:_ I`&„
S/M610Y/t ms 2014 Taws of South Win&or INP80&ft REPbRT 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. d 577`
Address of Firm 1 e vQ t zip Code 06()6�77 _
Location of proposed work 1
Describe fully nature of permit requested
Starting date Call Before You Dig No �tic`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_ QE-- 0' -- L A-y Date: S A o
Street Ex ;a tion Per
2014
�► Rio 11 1 M . _
1278 Cromwell Ave Rxky Hot,ConnecticutW"7
Telephone 880-257-1231 • Fax 860-267-1233
Contractor No.565642 PrapoJal
PROPOSAL SUB.mrFTED TO: DAIMNWE:
r
Z f r JM NAME
sr r Sketch of Work Area:
crrr srATE
PRON2M i
Work to be performed:
l. Fine grade existing base material,add process
sta a for fine grading as needed and pave w/3"of
asphalt.
Z. 1zemoye existing asphalt;.add processed aggregate for
3. we:grading-as needed acid page w/3"of asphalt.
ale exisfng driveway,instal€5"of processed.
aggregate and pave w/3"of asphalt.
Tpe 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 Date:wid ii 45 days from transacdon date
Couzgletion Date ,w thin 45 days from start date
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