HomeMy WebLinkAbout150 Nevers Road (8)1000062 TOWN OF SOUTH WINDSOR, CTPERMITNUMBER
STREET CUT PERMIT
DATE: 04/19/10Ifull,
GIS ID: 62400150 So
x FEE: 00MUNISAPPLICATION# 201000414 PIRATION DATE: 04/19/11
APPLICANT3 LOCATIONNAME: EVERGREEN CONSTVt CTI( N DRE i( I E%ERS ROADADDRESS: 39 SULLIVAN ST
d -OUTH INDSOR TOWN OF 41
SPRINGFIELD,MA C j
S- OAD
PHONE 1VINDSOR,CT 06074
WORK DESCRIPTION: REPL1 L DICAP RAMPS
AT T1D
APPLICANT AGREES TO FURNISH THEWU I l`'
O 413 - REQUIRED AND TO REIMBURSETHETOWNOFSOUTHWINDSORFORAINTENANCEORREPAIRWORKINCONNECTIONWITHTHISPERMITANDTHEISABIDEBYTHERULESANDREGULATIONS
J"lEaFORPERMITSASOUTLINEDINSHETOWNOpMANUAL.
y
ISSUED BY DA ED INSPECTED BY
4/19/20108:57AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO. CONTRACTOR: r,
LOCATION: /S 0 Akukp
TYPE OF WORK:—"-pcp
DATE INSP NEEDED: DATE INSP: $ 3
INSPECTED BY:
WORK IN
PROGRESS: _i0 or k L
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED n YES NO
AS-BUILT:
INPUT: CAN, DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR $TREET EXCAVATION PERMIT —0000c&Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm C0 Phone
Address of Firm 3 v \1 Zip Code
Location of proposed work 6bmAtltt LP6ML"%
Describe fully nature of permit requested Si yKTft-A—
nI Gam- 1
Starting date LMI ,k-¢ 7 0 Lc7 Approx.time for completion
Call Before You Dig No. 1-/As Existing Water Supply:Public Water Well
Existing Sewage Service: Public Sewer Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out bytwocopiesofseparatedrawingIndicateNorthTownofSouthWindsor
SOL No.cuts
Est.Patch Size(s) sf0
Est.Pvt.Thickness in.
Est.Patch Unit Price$ sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ft
Est.Curb Cost$
Est.Traffic Unit Cost$ hr
0 MGvfrf RGl Est.Traffic Control$ —•
ur w P rr aJ jcl Amt.of Deposit$
7y eS W R[V 04, Total Due$
Cash O Check#
Applicant is responsible for contacting Paid BthePoliceDept.and C.B.Y.D. y
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THETOWNOFSOUTHWINDSORFORANYEXPENSESINCURREDBYTHETOWNFORMAINTENANCEORREPAIRWORKINCONNECTIONHTHISMNTATM.FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FORPERMITSDSOINDSOR'S STREET CUT PERMIT MANUAL.
SipnPd• Data: Zt7to
Titlo: Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKI a DAYS AFTER APPLICATION FOR ISSUANCE OF PERMITWORK: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
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Town of Sorrth Windsor Purchase Order
i Finance Department
M 1540 Sullivan Avenue Fiscal Year 2010 Page 1
860)644-2511;ext 264 a
Fax(860)648-2179
Purchase 10070142-00
E." Important; Read terms and conditions provided as part of this purchase order.
When complete shipment Is made,mail your invoice itemizing all charges to the above address.
sx'. EVERGREEN CONSTRUCTION Town Halt39SULLIVANSTREETTownofSouth WindsorSPRINGFIELD,MA 01104 1540 Sullivan Ave
El°-South Windsor,CT
06074
03/15110 008297 FACILITY SERVICES
001 PER PURPOSAL, REMOVE "STEPS" IN"1.0 4920.16000 4,920.16SIDEWALKATFLAGPOLEANDINSATLLEA
s HANDICAPPED RAMPS, PROPOSAL INCLUDES
z REMOVAL.OF ALL DEBRIS.
44057300L00320 4,92'0.16
85, PO Total 4,920.16
1216
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