HomeMy WebLinkAboutStreet Cut Permits 90 Diane Drive (2) 1600083 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/26/2016
GIS ID:28200090
MUNIS APPLICATION# 201600677 FEE: 25.00
EXPIRATION DATE: 05/26/2017
APPLICANT LOCATION
NAME: QUALITY PAVING QO ADDRESS: 90 DIANE DRIVE
ADDRESS: 194 S.MAIN STREET OWNER: YETISHEFSKY KARA ALLISON
EAST WINDSOR, CT 00088 90 DIANE DRIVE
PHONE 860-523-4182 SOUTH WINDSOR,CT 06074
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 CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AN IN
D WILL ABIDE BY THE R
FOR PERMITS AS OUTLINED IN THE TO WN OF S RULES AND REGULATIONS
OUTH WINDSOR' STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/26/2016 9:41 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; 16 0006U CONTRACTOR:
LOCATION: 9,0 lJ%r A V`,
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: l
INSPECTED BY: ,�"�
WORK IN
PROGRESS: dz
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: I D I l al I -
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
I
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
T N HALL 1540 SULr5AN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm ( �J�i r _. 1 4 ply..J Phone No.
Address of Firm vd-h Zip Code
Location of proposed work 261
Describe fully nature of permit requested A. r/eev?i
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb-Cut ❑ Sidewalk Cut
❑ Existing Driveway;No ChangesxLzroposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
5-04 ell
1 Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Iwo r � Est.Sidewalk Cost$
U 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
Applicant is responsible for contacting the Police Dept.and C.B.Y.D )Cash OCheck#
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 FAMILI WITH AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLI D II{F THE W O SOUTH
WINDSOR'S S RMF'f-MA AL.
i
Sign Print Name l� �5 / Date:
Street Excavation Permit 2014