HomeMy WebLinkAboutStreet Cut Permits 33 Herman Way 1900121 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/25/2019
GIS ID:41700033 ; ,, FEE: 50.00
MUNIS APPLICATION# 201901558 F EPRATION DATE: 07/24/2020
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APPLICANT ' CATION
NAME: QUALITY PAVING CO rl ALI�RESS� 33'IIRMAjN WAY
ADDRESS: 194 S. MAIN STREET ' OWNED k^pAI1*T THRYN A&JOHN C JR
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EAST WINDSOR,CT 06088,
PHONE 860-523-4182
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WORK DESCRIPTION: DRIVEW. Y t
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APPLICANT AGREES TO FURNISH THE TOWNbF . UTH WINDS�. OF BO D I QUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E {' I�TS INCTIRRED3Y hIE TORN F�L' yINANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE)WIR .ICANT IS FAMILIAR WITH AND WILI t1 B pE BY THE RULES AND REGULATIONS
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FOR PERMITS AS OUTLINED IN THE TOWN OF SIUI;H WINDS R'S S 12EET CUT PERMIT'lv{ANUAL.
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ISSUED BY DAITE INPEC' $D , +INSPECTED BY
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7/25/2019 2:51 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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PERMIT NO.: CONTRACTOR•
LOCATION: 3 . l�
TYPE OF 1NQRK: �.
DATE+INSP NEEDEQ: DATE
INSPECTED BY: - - .
WORK.IN
PROGRESS: e,u U�
SEPM TANK Pl1MPED,,SMASHED, FIL;L!V .:-- W-rMESSED ❑'YES [] N0
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SimdoyRomns 2014 Tom of South Windsor•INPSkrjON REPbRT 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. `t�Cn0 < S c� .�-t t'`�`�
Address of Firm i „ `S 4: _ �— Qip Code
Location of proposed work
:Describe full '.nature of pe(mil4equested
Starting-date Approx.time for completion
CaII Before.You Dig No; c—1 � . � 3 $ Existing Water Supply:. Public Water. 0 Well
Existing Sewage Service: ❑ Public Sewer 0 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
. Iru'Siv3r LETEt'i'i1vI T HIN A`i EAR OF T'HE TEMPORARY PATCH BUT IT COULD BE LATER THAN A`fEAR.
Show sketch of.proposed work or,furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No:cuts'
Est.Patch Size(s) sf
0-4
i.
._. Est.Pvt.Thickness in.
Est:Patch Unit Price
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Est.Patch Cost$
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Est:Curb Replacement ft
Est.:Curb Unit Price$ /ft
Est.Curb Cost$
Est.Traffic Unit Cos#
Est.Traffic Control i
Depoolt y:
Total Due$
OGash. (.).Check# G .
Applicant is responsible for contacting.. Paid By . .
the Police De t:and C.B.Y.D:
1.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 A lJT IN IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL:
Signed: Dater
Title: Sl✓, , . -- E s A, l i..g _; �, Driver's License#: 2 y G1 C. ? a
: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.KEP.T.ON JOBSITE AT ALL TIMES
Street Excavation Perndt.0 PEV 10422 08