HomeMy WebLinkAboutStreet Cut Permits 9999 Tamarack Avenue (2) 1500191 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/01/2015
GIS ID: 89309999 FEE:MUNIS APPLICATION# 201501179 25.00
EXPIRATION DATE: 08/31/2016
25.00
APPLICANT = " LOCATION
NAME: BUTLER COMPANY ADDTZESS; §09 TAMARACK AVENUE
ADDRESS: 848 MARSHALL PHELP20AD QWNER" POAG& vICEWEN
WINDSOR, CT 06095 ' 641Q=POBVJ LAR AVENUE
- 1EMPHIS,TN 38119
PHONE 860-688-8024
WORK DESCRIPTION: INTERSECT--ON-j PR-OUEMEI�tT AT TAMARACK 8 BI GKLAND RD
INCLUDING TRP.IyFIC SIGNAL MODTFICATf04S RERAPVD PLANS
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSQR'I`HE-AMOC IT OF BOLD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXP CU
ENSES INRRED BY THE TOVYN F01�"I�ft1INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMII 1AR WITH AND WILT ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO-J'TH WINDSOR'S STREET-CUT,
PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/1/2015 10:39 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; IS-O o / 9l CONTRACTOR: d u rkr ezg
LOCATION: 9 9 q 9 ::ra- Wa 44 74 vleO Ue
TYPE OF WORK: n? .��c.r�i®h 1�»�r�U�7nzor � �� /ran� AdI AS&G,�14/I
p"ec i
DATE INSP NEEDED: DATE INSP: /
INSPECTED BY:
WORK IN
PROGRESS: -�j�.� Cs �-. �, 51.,� �'l a.A- T'�`�►�zL-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT: DATE: I
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 1540 SUL IVAN AVE N OUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm l �� c Phone No.
Address of Firm Zip Code Olw,0
Location of proposed work o�z
Describe fully nature of permit requested
Starting date Call Before You Dig Noly
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
11 Existing Driveway,No Changes ,❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
---�^ F
e _t- ��CCrntlU Est.Patch Sizes) sf
Est.Pvt.Thickness in.
jp--. _ Est.Patch Unit Price$ /sf
Est.Patch Cost$
/ Ott!;
G7we
!/`<d Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FORA PENSE INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM F IAR : rrH A WILL ABIDE BY THE RULES AND RU NS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR' REE CUTPE ITMANUAL.
Signed: Print Name! / — Date:
Street Excavation i 014