HomeMy WebLinkAboutStreet Cut Permits 49 Stedman Circle 1900082 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/31/2019 :x
GIS ID: 85300049
MUNIS APPLICATION# 201901082 FEE: 50.00
EXPIRATION DATE: 05/30/2020
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APPLICANT
NAME: QUALITY PAVING GO, y LOCATION
ADDRESS: 120 STRONG ROAD,"1 ` ^ ADDRESSuSTEpMAN CIRCLE
O�VNIt NIADAIENA MANUEL&FATIMA N
SOUTH WINDSOR,��CT 06Q7 ` 4 ` STEDMAN CIRCLE
PHONE 860-523-4182 �1
WORK DESCRIPTION: DRI / SAI'
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APPLICANT AGREES TO FURNISH THE�YTOW`N Q��OUTII��1NDSC�R THE"AMOC?1�T�QF BIDND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN,I':EXPENSES IN�URREI�,BY THE OR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TITSPI,ICANT IS FAMILIAR VVIT$Ai�FD WI1 L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS ASOUTLINED IN THE TOWN YOF 7 S'Ov.. H WITVDSQR'..S STREET CUT PEIYMITMANUAL.
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ISSUED BY
DATE INSPECTED INSPECTED BY
5/31/2019 2:55 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH'WINDSQR nom REPORT
PERMIT NO.: • 26009r-)- CONTRACTOR:
LCCATTQN:
TYPE OF WORK.---J��-')
DkTE rn[SP NEEDED: DATE INSP:;
INSPECTED BY., . .b:
PROGRESS: Vic' S//
SEPTIC TANK PUMPED,.SMASHED; FILLED .. wrMESSED ❑YES CI ND'
INPUT.
REPORT i4
DATE: `
5/mollay/for9 2014 Town of South Windsor I{VPS>Tom
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 $25.00
Name of Firm Phone No. 6y
Address of firm Zip Code c2 C,a 7 y_
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion
Call Before You Dig NoaI49W ell b-_O 7 1":�. 5—. Existing Water Supply: EJ-PUblic Water ❑Well
Existing Sewage Service: J�ublic Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE.PERMANENT PATCH IS TYPICALLY
COi IPLETED vriTHIN A YEEAR OF HE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
t Est.Pvt.Thickness in.
—(L— Est.Patch-Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
r 4
Est.Curb Unit Price$. /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Anif.of Deposit$
1 Total Due$ -
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)Cash )Check#
Applicant is responsible for contacting Paid By
the Police Dept.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 FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLINED H fTOVYN OF SOUTH INDSOR'S STREET CUT PERMIT MANUAL:
Signed: Date:__
Title: E74 1 Driver's License M & 5 —3 K Y -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
Street Excavation Permit 08 REV 10-22-08