HomeMy WebLinkAboutStreet Cut Permits 320 Diane Drive (2) 1600086 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/26/2016
GIS ID:28200320 FEE: 25.00
MUNIS APPLICATION# 201600680 EXPIRATION DATE: 05/26/2017
APPLICANT LOCATION
NAME: QUALITY PAVING CO ADDRESS: 320 DIANE DRIVE
ADDRESS: 194 S.MAIN STREET OWNER: ARNOLD DIANE MARIE
EAST WINDSOR, GT 06088 320 DIANE DRIVE
SOUTH WINDSOR,CT 06074
PHONE 860-523-4182
WORK DESCRIPTION: DRIVEWAY
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED BY THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IN THE ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPECTED BY
5/26/2016 9:48 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; CONTRACTOR: 62 Urt. I I 1�i
r
LOCATION: 31_�
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: ' G//& /4
INSPECTED BY: �
WORK IN
PROGRESS: G�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: I'd
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 SU IVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm V 4" C ✓ Phone No. ��
c tf
Address of Firm I' a '4'
Zip Code !2& ktg
Location of proposed work -�P � c�
Describe fully nature of permit requested 11-P64
Starting date f Call Before You Dig No c>Z.0 —7
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER.THAN A YEAR.
Check Applicable: XNGPavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est. Patch Sizes) sf
Est.Pvt.Thickness in.
�� Est.Patch Unit Price0
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ 1sf
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
Applicant is responsible for contacting the Police Dept.and C.B.Y.D )Cash O Check#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
1 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 S REET GUT PERMI MANUA . f
Signe : Print Name �c�? �l `� Date:
Street Ekcavation Permit 2014