HomeMy WebLinkAboutStreet Cut Permits 105 Stonefield Trail (2) 1600018 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/28/2016
GIS ID: 86100105 FEE: 25.00
MUNIS APPLICATION# 201600311 EXPIRATION DATE: 03/28/2017
APPLICANT LOCATION
NAME: LAROCHE BUILDERS ADDRESS: 105 STONEFIELD TRAIL
ADDRESS: 41 CONVERSE STREET`. OWNER: SODERBURG PAUL E
STAFFORD SPRINGS;CT 06076 105 STONEFIELD TRAIL
== SOUTH WINDSOR, CT 06074
PHONE -
WORK DESCRIPTION: INSTALL 6"DRAIN PIPE FROM HOME TIED INTO TOWN STORM SEWER
LINE W/CLEAN OUT&BACK:FLOW-PREVENT
APPLICANT AGREES TO FURNISH THE=TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
Y EXP
THE TOWN OF SOUTH WINDSOR FOR ANENSES 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 OUTLINEDTHE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
I10 5fic
ISSUED BY" DATE INSPECTED INSPECTED BY
3/28/2016 10:03 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.; 16 z1D®/ CONTRACTOR: or xe
LOCATION: / S-J-OAPL/ z14
TYPE OF WORK: I '01 �
DATE INSP NEEDED: DATE INSP: S
INSPECTED BY: GD
WORK IN
PROGRESS:
f l
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: _ DATE:_
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
d/F WALTep G. -TWA FKDOWSCt
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150.00'
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14
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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 $25.00
Name of Firm � 1 y�pw AV,L � . L�' Phone No. uL:) U1 S50c)
Address of Firm �6e- allv'� SIF Sr G7 Zip Code 0(2D 7b
Location of proposed work
Describe fully nature of permit requested IAPf lb 4c. 7
Du C G
Starting date d 8 / Call Before You Dig No XVI(a //OR �1,&
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut L3'Pavement Cut lie Curb Cut @'S dewalk'Cut
ClExisting Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: & Public Water ❑ Well Sewage Service: 2"'Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town
two copies of separate drawing
L �� A&AIx a` No cuts
L!Q
Est.Patch Sizes) 7 !s� sf
pop, CR L, Est. Pvt.Thickness in.
Est.Patch Unit Price$ _isf
6 k G 00 ogileI gAt r cu 1 r Est.Patch Cost$
fo`� �� C�� Est.Curb Replacement 7 ft
Est.Curb Unit Price$ ;"& fft
Est.Curb Cost$ /
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
i Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the' ro O
p party line per Total Due$_�3�
section 2.17 of the zoning'regulations �` !
( )Cash .(*(Iheck#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By�IhFOGFfC j�V l(.l,�C
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 STREET CUT RMIT MANUAL
Signe me Date: 02 l C
Street Excavation Permit 2014
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