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HomeMy WebLinkAboutStreet Cut Permits 435 Foster Road (2) 1400135 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/30/2014 GIS ID: 33300435 FEE: 25.00 MUNIS APPLICATION# 201400668 EXPIRATION DATE: 05/30/2015 APPLICANT LOCATION NAME: RAFYS PAVING AND LANDSCAPING INC ADDRESS: 43S FOSTER ROAD ADDRESS: P O BOX 340357 OWNER: §Z'TACkERA JAKUB M&AGNIESZA K HARTFORD,CT 06I340357 435-FOSTER ROAD =- SouthWtndsor, CT 06074 PHONE = WORK DESCRIPTION: DRI1VIIWAI',, APPLICANT AGREES TO FURNISH THE'TOWN OF SOUTH WINDSOR THE AMOUNT OF BbND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANlj 16ENSES INCURRED BY THE TOWNFORM' ATNTENANCE 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 Ok SOUTH WINDSR'S STREET GUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 5/30/2014 10:37 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT i PERMIT NO.: I L to l CONTRACTOR: a \ sP- a, 1 n LOCATION: Q 2J TYPE OF WORK: 611 (A DATE INSP NEEDED: DATE INSP: �� INSPECTED BY: b fl WORK IN PROGRESS: t\) a SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: _ ' DATE: S/2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. . TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm 44 ,:%, e Ldt-ol 1 0 G Ph ne No. __Ny D W3_ _! o vu Address of Firm po C Zip Code 0 Cal Location of proposed work b Describe fully nature of permit requested —C,) Starting date s--. 51- 164 Call Before You Dig Now p l!� /9 b b 2 :f 1 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut,,��❑ Pavement Cut El Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes 4Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr .�� Est.Traffic Unit Cost$ /hr Est.Traffic Control$ �l Amt.of Deposit$ Total1pue$ )Cash ( )Check# Applicant is responsible for contacting the Police ept:and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE 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 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WI'NDSOITS STREET CUT PERMIT MANUAL.Signed: " n Print Name Z Iq Q /GrcfjAJ Date: cS — Z-4 --( Street Excavatio Permit 2014 N.1T7,W6.0� E•196,401.35 , 46 2 • aw-t � its _�' SIILT 6 -+•--- ' Sl/eNi Line /P X Q © 150 ss:s Q br =6.6 e6.31 , 4 877 © i88.5 � x 1 423 \ xB7.7 JY �X� 877 � � I a x -1 'V/S d N/J ✓UD 6.R R E N,*-JOSEP'I WR-A EDIT .Lo" • � � /LES Q Al