HomeMy WebLinkAboutStreet Cut Permits 12 Raymond Road 1700183 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/29/2017
GIS ID: 75300012 FEE: 25.00
MUNIS APPLICATION# 201701146 EXPIRATION DATE: 08/29/2018
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APPLICANT x' s'; LOCATION
NAME: QUALITY PAVING CO ADDR>; 12 RAYMOND ROAD
ADDRESS: 194 S.MAIN STREET(K� ji Q NEB WI ALhN RICHARD J&LOUISE J TRUSTEES
EAST WINDSOR,CST Ij6088 12 RAI'1VIOND ROAD
SQU PH"WINDSOR, CT 06074
PHONE 860-523-4182 `r
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WORK DESCRIPTION: DRIVFsu?At
APPLICANT AGREES TO FURNISH TH&OW-N OF OU'PH WINm ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A ,Y=EXPEh1SE9 INCD 13 THE I OWI FO1 IVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI AI3PTIGAIT IS FAI4III iE4R WITH AII1 WIT L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN dF SOUTI VVINDSCIR'S STREET GUT PERMIT MANUAL.
ISSUED BY DATE 8PECTED INSPECTED BY
8/29/20 1 7 2:57PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ) CONTRACTOR:�e.7, �0 l,Z �r
LOCATION: L,l�cj ti _
TYPE OF WORK: 4Lke iAr)
DATE INSP NEEDED: DATE INSP: v
INSPECTED BY: 'V110
WORK IN
PROGRESS: -- s)r L."
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: 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 LL 154 LLIVAN AVENUE SOOUUTH.WINOSOR,CT 06074 FEE $26.00
Name of Firm t? ✓.` �ji,� 0 -�'� Phone No.
Address of Firm !✓ S'� 'j .�� •-Tip Code 0(ae Y P
Location of proposed work c C,
Describe fully nature of permit requested
Starting date - --/ Call Before You Dig No ;W I ��
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATC14 AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk'Cut
E)(sting Driveway;Na Changes ❑ Proposed Driveway Widening ❑ Proposed New i?riyeway
Water Supply: ❑ Public Water ❑ Well Sewage Service: 11 Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This sectlon to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft .
Est.Curb Unit Price$ 'fi
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$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the,zoning'regulations
( )Cash ( )Check#
Applicant is resportslble 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 TOW4 OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENF ES INCURRED BY THE TOWN FORMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I.AM•FAMIL-JAR:WITH,e,ND WILL ABIDE BY THE RULES AND,REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH ,
wwDSOR'S STREET CUT PERMIT MANUAL.