HomeMy WebLinkAboutStreet Cut Permits 12 Clover Drive (2) 1500148 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/20/2015
GIS ID: 21600012 FEE: 25.00
MUNIS APPLICATION# 201500946 EXPIRATION DATE:- 07/19/2016
APPLICANT'. LOCATION
NAME: HATHAWAY LANDSCAPING LLC ADDRESS: 12 CLOER DRIVE
ADDRESS: 26 CORNELL CIRCLE OWNER: FEHER ROBERT&KELLY S
EAST HARTFORD, CT 06-108 12 CLOVER DRIVE
SOU NDSOR,CT 06074
PHONE 860-289-2303
WORK DESCRIPTION: REMOVE AND REPLACE BROKEN SIDEWALK PANED IN FRONT OF HOME
25 FEET�=
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 W t-UABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BYf)ATEINSPECTED INSPECTED BY
7/20/201511:55AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: V9 CONTRACTOR:
LOCATION: /if
TYPE OF WORK: m>a1e ,d 9�2 0�4e— �t�n s�,�fo �� .��o i v� �10"zr 0
DATE INSP NEEDED: DATE INSP: I'
INSPECTED BY: ' �
WORK IN
PROGRESS: ' ,i � s [:�v t%l1 c.
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: cA
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
aI.S ao ays C 101 O ERM /s oa t 4 9
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm Phone No. 23&1 _
Address of Firm Zip Code
Location of proposed work IZ. CtejssjL parr
Describe fully nature of permit requested _me.S Aw3e Q �p�g 'E5i GrLGN S tDti'i.�o►yL+s►
l N�%ft��1F- ref fl�oth�
Starting date '�"' 9LD M 1 Call Before You Dig No .Rats' �gd�029
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ Na Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut Sidewalk Cut
❑ Existing Driveway,No Changes 0 Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply. ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
h
Est.Patch Size(s) sf
<' Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
W Est.Patch Cost,$
;u
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
n , s Est.Sidewalk Unit Price$ /sf
` Est.Sidewalk Cost$
9C(j
amp Re4�+1 4F .2S 'Gf S 1 j?6WA Ix_ 100.prmr Est.Traffic Hours hr
fi Est.Traffic Unit Cost$ /hr
Z C tv�t� Q/21VC _ 6jV( 11G 7S �coiK�i� A
Est.Traffic Control$
WA1141 1 (bpANO 04Fot9 Apt a!.
Amt.of Deposit$
����+� �S tn►S�`Er14��,
Total Due$
�5+
{ )Cash O Check#
Applicant is responsible.for contacting the Police Dept:.and C.B.Y.D
§ PERMIT$HALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
[AGREE 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
HAT 14 M FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
OR'S T CUT PERMIT MANUA
Signed: Print Name1 Date:_ ,Ge
Street Excavation Permit 2014