HomeMy WebLinkAboutStreet Cut Permits 1505 (2) 1600146 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/26/2016
GIS ID: 47701505 FEE: 25.00
MUNIS APPLICATION# 201601046 EXPIRATION DATE: 07/26/2017
APPLICANT LOCATION
NAME: K&H CONSTRUCTION LLC ADDRESS: 1505 JOHN FITCH BLVD
ADDRESS: 25 ROODE ROAD - OWNER: JOHN FITCH 1505 LLC
PLAINFIELD, CT 06374 50 VOLPI RD
BOLTON, CT 06043
PHONE 1-860-564-1400
WORK DESCRIPTION: CONNECT DRAINAGE PIPE TO EXISTING CATCH BASINPER SITE PLANS
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.
o
ISSUED BYJ DATE INSPECTED INSPECTED BY
7/26/2016 2:00 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: CONTRACTOR: k Cf 052'r.
LOCATION: F-7-tC'A
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 9 A?
INSPECTED BY: Vb
WORK IN .
PROGRESS: t-I
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT.
DATE: . ..q
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WIND}POR,C[06074 FEE 25.00
�M2'1 ; j me nck CPi�li�9ht �
Name of Firm ®haj Phone No. (6 0- 2-
Address of Firm .S - C-T Zip Code 0 3
Location of proposed work Cor g,<- o Q- xo 6 n�J
Describe fully nature of permit requested ` 1'•. i
Sta inrt g date q t.d�- L . d-o tto Call Before You Dig No
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 9 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 furnish 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$
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
( )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 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 PERMIT MANUAL.
Signed: Print Name c cseo R o czar a 1, Date: 17r16- 8 014
Street Exca tion Permit 2014