HomeMy WebLinkAboutStreet Cut Permits 335 Felt Road (2) 1500156 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/23/2015
GIS ID: 32400335 FEE: 25.00
MUNIS APPLICATION# 201500974 EXPIRATION DATE: 07/22/2016
APPLICANT, = LOCATION
NAME: AYOTTE BROTHERS CONST. CO. INC. ADDRESS: 3351IELT ROAD
ADDRESS: P O BOX 498 OWNER: HARPIN MICHAEL H&STEPHENI J
SUFFIELD,CT 060781 335 -FELL ROAD
SOUTH WINDSOR,CT 06074
PHONE 860-654-1800
WORK DESCRIPTION: DRIVEWAY
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 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE SPECTED INSPECTED BY
7/23/2015 10:09 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
---------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; / CONTRACTOR:
LOCATION:
TYPE OF WORK: r (ice Gt�Gl
DATE INSP NEEDED: DATE INSP: �a 311
INSPECTED BY: 6h
WORK IN
PROGRESS: lc - - c 5
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT.-
INPUT: ''� DATE: 1
S/molloy/forms 2014 Town of South Windsor INPSEC PION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm � J _ 1— Phone No. (4d
Address of Firm Zip Code D`7 A:5'
Location of proposed work .-
Describe fully nature of permit requested "n u n R e
Starting date — 3- Call Before You Dig No O U
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Ck"Pavement Cut ❑ Curb Cut Sidewalk Cut
❑ Existing Driveway, No Changes PKProposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawin
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
/ b ( Est.Patch Cost$
f Nec,O
s`3 ( !RRLPt Est. Curb Replacement ft
(� L Est. Curb Unit Price$ /ft
(v w t Est.Curb Cost$
Est.Sidewalk Replacement sf
( , Est. Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
! Est.Traffic Unit Cost$ /hr
Stele Wcel k-
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )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 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
WINDSOR'S TREET CUT PERMIT MANUAL.
�)220 Signed: .'— .Gefe Print Name �osr���'t IA261�bL)W e (1 Date: 7 ctl'
Street Excavation Permit 2014
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LOT #93, BIRCH HILL ESTATES
SECTION #4
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SCALE: 'It' 40'
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Print Map Page 1 of 1
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Date Printed:7/22/2015
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MAP DISCLAIMER-NOTICE OF LIABILITY Approximate Scale: 1 inch=40 feet
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