HomeMy WebLinkAboutStreet Cut Permits 383 Deming Street (2) 1500202 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/10/2015
GIS ID: 27600383 FEE: 25.00
MUNIS APPLICATION# 201501231 YPIRATION DATE: 09/09/2016
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APPLICANT LOCATION
NAME: JACQUES CONSTRUfTION(JOHNj ADDRESS: 383RIvIING STREET
ADDRESS: 67 RIDGE ROAD OWNER JACQUES CONTRUCTION LLC
SOUTH WINDSOR.,CT 06074 fi-- 67 kffi&RD
SOUTH fi1V1NDSOR,CT 06074
PHONE 860-432-1823
WORK DESCRIPTION: TRENCH It ELECTRICAL
APPLICANT AGREES TO FURNISH THE TO WN OF SOUTH WINDSOIZ THE AMOUNT OF BDND REQUIRED AND TO REIMBURSE
THE TOWN - Q URSE
OF SOUTH WINDSOR FOR AN
EXPENSES INCURRED BY THE TOWII PORvIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPI ICANT IS FAMILIAR WITH AMID WL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN/THE TOWN OF SOUTH WINDS R'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE IN`PELTED INSPECTED BY
9/10/2015 10:33 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: J_s'o j tg CONTRACTOR:
. g-
LOCATION: 38,,1 i yn'►r,� s-;�rpy:t-
TYPE OF WORK: Ica,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 6b
WORK IN
PROGRESS: X 2. c
3 3 5 h�rn/0 �► -e ✓ c�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: l /
S/molloy/forms 2014 Town of South Windsor INPSEMON 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 $25.00
Name of Firm T; )vi 44 G Phone No.
Address of Firm Ile Zip Code
Location of proposed work 8� ✓ e
Describe fully nature of permit requested
Starting date. Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH 1S
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Id Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer. ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) ,W . sf
Est. Pvt.Thickness�_in.
Est.Patch Unit Price$ /sf
o®
Est.Patch Cost$ 4 Zoop.
Est.Curb Replacement AIoAJC if
Est.Curb Unit Price$ fft
Est.Curb Cost$
Est.Sidewalk Replacement tA sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
�e
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from a property line per Total Due$ 4225•
section 2.17 of the zoning regulations
( )Cash (/`Check# -7399
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By 5AcaIXa•f 6-yi'M
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 F MIUAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR' R ET C PERMIT MANUAL.
Signed: Print Name c,(1 w l/� ` (f Date:
Street vatio Pe 2 14