HomeMy WebLinkAboutStreet Cut Permits 20 Ridge Road (2) 1500264 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/16/2015
GIS ID: 75600020 FEE: 25.00
MUNIS APPLICATION# 201501662 EXPIRATION DATE: 11/15/2016
APPLICANT LOCATION
NAME: JAMES THROWE DBA -. ADDRESS: 20 RIDGE ROAD
ADDRESS: 97 RIVERSIDE DRIVE OWNER: JONES1LOYD E&ALVENA T
VERNON ROCKVILLE,_CT 06666 20 RIDGE ROAD
SOUTH WINDSOR,CT 06074
PHONE 860-289-0095
WORK DESCRIPTION: WATER CONNECTION IN RIGHT OF WAY
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 TOWNTOW 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 OUTLLInNE�D IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
I 1/16/2015 9:5 8 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-- -- --
TOWN OF SOUTH WINDSOR INSPEC rION REPORT
PERMIT NO:: o a c� CONTRACTOR: e ffi f*&V0
LOCATION: J (� l�
TYPE OF WORK: Wa. (.r�v�r� r� 't►� i �a�-
DATE INSP NEEDED: DATE INSP: /r h- .
INSPECTED BY: E
WORK IN .
PROGRESS: A)e&i� �� 5 r�'�r> �� � ��y ,�4 �!
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED YES ❑ NO l
AS-BUILT: -
INPUT: DATE:
S/molloy/forms 2D14 Town of South Windsor INPSEC 1ON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm as Ae arc. Phone No. qdU 2,S9d0z5—
Address of Firm zip Code 67��
Location of proposed work
Describe fully nature of permit requested �z I t &.IW44
Starting date. Call Before You Dig No -20
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: § No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
U
Est.Curb Replacement ft
J Est.Curb Unit Price$ /ft
L Est.Curb Cost$
� . Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ ihr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
O Cash O Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
1 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 Av6 WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR's TREET CUT-P5KMIT MANUAL.
Signed: Print Name Date:_
Street BcciUtion Permit 2014