HomeMy WebLinkAboutStreet Cut Permit 399 Foster Street ;i
1700157 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/21/2017
GIS ID: 33600399 FEE: 25.00
MUNIS APPLICATION# 201700962 EXPIRATION DATE: 07/21/2018
APPLICANT LOCATION
NAME: ALL SOURCE OF NEW ENGLAND ADDRESS: 399 FOSTER STREET
ADDRESS: P O BOX 706 OWNER: MIKE SORINA
ELLINGTON, CT 06029 580 FOSTER STREET
SOUTH WINDSOR,CT 06074
PHONE 860-432-9911
WORK DESCRIPTION: INSTALL FOOTING DRAIN TO CATCH BASIN ON THE SOUTH
APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY J INSPECTED BY
7/2 1/201 7 2:30PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: LION S7 CONTRACTOR: 411
Tdhn
LOCATION: 39 c 4:i�,siec &•Wpm. I
TYPE OF WORK: - 11 0 c4 lain la
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: ' SG� 3� foaitd edleil rnigl6l ih holly+ 4i, beh, ioA
6_V0 t 1 d G1c /f lS /�l'tcS /nce5 +c�c� Tr
,n /'i✓"� i .�[ S. cam++ r ZLr
0
4,41 .c� ry s A)te+ be ww a 00--t
ti c-t�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
i 7 c q . - APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Finn ,-fel Phone No.
Address of Firm fa. Zip Code
Location of proposed work 3
Describe fully nature of or nit request
0 i� �;� � �
1-/
Starting date 74Z i Z. Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE IATER THAN A YEAR,
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ® Pavement Cut ❑ Curb Cut 10 Sidewalk'Cut
1U Existing Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town
two copies or separate drawing
No.cuts
Est.Patch Sizes) sf
e� Apo
Est.Pvt.Thickness in.
i L Est.Patch Unit Price$ Isf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ !f,
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours fir
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 responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON dOBSITE 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 Ak1,RAMttJAR.WITH•AND WILL ABIDE BY THE RULES AND.REG.ULATION$ FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH ,
WINDSOR'S STREET CUT PERMIT MANUAL.
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: AyL C�o 1
BUILDING ADDRESS : 9M reo C?-r 1�v
STREET : S` A S�
SUBDIVISION:
NORTH ARROW
!
i
i
r
r ,-- -�--
I �
i
CONTRACTOR (PRINT) NAME OF CO RACT S S ERVISOR (PRINT)
mruL
STREET ADDRESS SIGNATURE
t,L�f )b1 N) Li CIJb.11 � � �..�..�— MI ATE
TOWN STATE ZIP INSPECTED BY TOWN T`
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL: WIV
/
CHANGE ORDER CONTACT PERSON ro _ Phone No._,� >
Address ,
Site Name P&Z No.
Owner Phone No.
c
Contractor
Signature of Owner Date:
Signature of Design Engr.. Date:
CHANGE: (Describe location and nature of change. Include
Four (4) copies of plan/profile of Change. )
Reason for Change: (Why is change required)
APPROVALS: (As Required
Dir.. Of Planning Date: 7 /t /7
Town Engineer � Date:
Dir. of Public W rks Date:
Other: Date:
STAFF COMM T
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department
a
17:z
��.;r�c=t «��� `�" �"° +,may � i`� '`Yi�' ;t. �; �`, �� �1` �'�� �• �-,a^-
`iC.
r#
as
7
TV
_
� a v !� y # g 1
low,
.