HomeMy WebLinkAboutStreet Cut Permits 1105 Strong Road (3) 1600142 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/19/2016
GIS ID: 87001105 FEE: 25.00
MUNIS APPLICATION# 201601001 EXPIRATION DATE: 07/19/2017
APPLICANT LOCATION
NAME: JACQUES CONSTRUCTION(JOHN) ADDRESS: 1105 STRONG ROAD
ADDRESS: 67 RIDGE ROAD OWNER: SNOWBRUCE J
SOUTH WINDSOR,CT 06074 4105'-STRONG ROAD
SOUTH,-VNDSOR,CT 06074
PHONE 860-432-1823
WORK DESCRIPTION: EXCAVATING PARKING LOT AND INSTALL UNDER DRAIN
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 bXTEINSPECTED INSPECTED BY
7/19/2016 10:48 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / t1a- CONTRACTOR: 0S
LOCATION:
TYPE OF WORK: /,t-,,)6i±.r a eiffk476 101 0Y) l� l
DATE INSP NEEDED: DATE INSP: / �414
INSPECTED BY:
WORK IN
PROGRESS: J c "-le-5
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
_INPUT: G DATE: t� '
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 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $26.00
r r g
Name of Firm e�S Phone No.
Address of Firm-- Zip Code
Location of proposed work EtZ214
Describe fully nature of permit requested G V
, t ,
Starting date ,�f 9=/l., Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk'Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: Public Water ❑ Well Sewage Service: Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
vV,b t Est.Pvt.Thickness in.
-0t �+j 6Vj Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement it
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ Jsf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ Jhr
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 ( )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
WINDSO U
EET C PERMIT MANUAL.
Sigr . Print Name L n LDS Date:
Street cavation Pe it 2 14