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HomeMy WebLinkAboutStreet Cut Permits 170 Diane Drive (2) 1600084 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/26/2016 GIS ID: 28200170 FEE: 25.00 MUNIS APPLICATION# 201600678 EXPIRATION DATE: 05/26/2017 APPLICANT LOCATION NAME: QUALITY PAVING CO ADDRESS: 170 DIANE DRIVE ADDRESS: 194 S.MAIN STREET - OWNER: SHIMANSKI PATRICIA A EAST WINDSOR,C-T 0608-8 170 `DIANE DRIVE SOUTH WINDSOR,CT 06074 PHONE 860-523-4182 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 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 TOWNOF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. ISSUED BY DA E INSPECTED INSPECTED BY 5/26/2016 9:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ---------------------------------------------------------------------------------- ------------------ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: ® CONTRACTOR: LOCATION: 1 © M a h e �--2_ TYPE OF WORK: 1 DATE INSP NEEDED: DATE INSP: /' 7 INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO AS-BUILT: INPUT: r _.. DATE: ' 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 SUtLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm G' ' C1 Phone No. "Il Address of Firm 17Y C ip Coe 640 APLocation of proposed work / .o A- 'L." Se Describe fully nature of permit requested Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A'PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ( JVo Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway; No Changes CZ -Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or fumish Indicate North This section to be filled out-by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf ��� Est. Pvt.Thickness in. ,�,�.�/� 3 4 Est. Patch Unit Price$ /sf li Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ A1T �U ' Est.Curb Cost$ - d� Est.Sidewalk Replacement sf a 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 aft or more from the property line per Total Due$ section 2.17 of the zoning regulations O Applicant is responsible for contacting the Police Dept.and C.B.Y.D OCash Check# 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 STRIMT CUT PERMIT MANU)!,, Signe � Print Name ej—jClL j q Date: Street Excavation Permit 2014