HomeMy WebLinkAboutStreet Cut Permits 380 Foster Street (3) 1600005 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 02/22/2016
GIS ID: 33600380 FEE: 0.00
MUNIS APPLICATION# 201600160 EXPIRATION DATE: 02/21/2017
APPLICANT LOCATION
NAME: RICHARDS CORPORATION ADDRESS: 380 FOSTER STREET v��I P,n pJ
ADDRESS: 72 NORTH HARWINTt3I AVENUE OWNER: SOUTil WINDSOR TOWN OF 29
TERRYVILLE, CT 06786 GRAY ROAD
SOUTH WINDSOR, CT 06074
PHONE 860-583-9229 ~" =
WORK DESCRIPTION: TIE IN SEWER, WATER,DRAINAGE TO ARNOLD WAY
TOWN F WECT N0 FEE
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES 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 WINDSWSPECTED
STREET CUT PERMIT MANUAL.
O r�
ISS ED BY DA E INSPECTED BY
2/22/2016 9:39 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: �'� CONTRACTOR:./ .
LOCATION: Z,4,-oq/A')'- L�a
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TYPE OF WORK: I C_ / . . / /� f
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: Alt c—kc,, Sf,)ec.
M', of 9.1't CL .�..��z J:n L
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: ' Tom_
S/molloy/forms 2014 Town of South Windsor INPSECIION 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,CTCa06074 FEE $25..,00
Name of Firm . ��, Cyr for + Phone No. r)
Address of Firm ? Z i0c rich -Zip Code 067&4
Location of proposed work N g%-.3 o i u.-avr S
Describe fully nature of permit requested 't'�"£ ►`� .S C,,x 2 o wh K4-. Dra,'mq -�� AtAd Q LN
l- f- i n W r -e !t Vc G o nl 1Cd5+-,rL 5 F-- Cj
Starting date Call Before You Dig No ao t 601-16 1a$o
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 53 Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: Public Water ❑ Well Sewage Service: j$' Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town
two copies of separate drawing
to T-I; (A -2 No.cuts
c� t
d.m C J A CIS s �v Est.Patch Sizes) sf
�l l
Est.Pvt.Thickness in.
k
Est.Patch Unit Price
C`t 1 O M Est.Patch Cost$
Ufj f �( Est.Curb Replacement ff
Est.Curb Unit Price$ /ft
P Pam . Est.Curb Cost$
t 2l . Est.Sidewalk Replacement sf
t ��V'" J W Est.Sidewalk Unit Price$ /sf
►t Q J�
v� p Est.Sidewalk Cost$
Est.Traffic Hours hr
t.Traffic Unit Cost$ /hr
L
t.Traffic Control$
of Deposit$
DRIVEWAYS must be aft or more from.fhe property line pe qk T_ I Due$
section.2.17 of the zoning regulations
A.
( ) ash ( )Check#
Applicant is responsible for contacting the Police Dept.and C B.Y.D t
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 4 °`' Pal By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE A NT U BOND A TO REIMBURSE THE TOWN OF SOUTH
WINDSO.R FOR ANY PENSES INCURRED BY THE TOWN FOR MAI C EPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM 9AMILIA WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN.OF SOUTH
WINDSO 'S RE CUT PERMIT MANUAL. f 11 1
Signed: rr^� Print Named t5 Date:
Street Exc. on P it 2014