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HomeMy WebLinkAboutStreet Cut Permits 125 Clinton Drive (2) 1600147 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/28/2016 GIS ID: 21300125 FEE: 25.00 MUNIS APPLICATION# 201601050 EXPIRATION DATE: 07/28/2017 APPLICANT LOCATION NAME: COTA CONSTRUCTION,LLC ADDRESS: 125-CLINTON DRIVE ADDRESS: P O BOX 242 OWNER: DELANEY PETER J&CAROL BROAD BROOK, CT 06016 125 CLINTON DRIVE SOUTH WINDSOR,CT 06074 PHONE 860-292-6104 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 ANYEXPENSES 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. 1 � a �f ISSUED BY J DATE INSPECTED INSPECTED BY 7/28/2016 11:14 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** - -- -------------- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: d® > 7 CONTRACTOR: r�D �'®✓i.S Ll e �� LOCATION:__ S I I (► i1 91 V- TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: &h WORK IN PROGRESS: tpe 0114 , , r SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSECTiON REPORT 14 APPLICATION FOR STREET EXC"ATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTAIIENT Permit No. TOWN MALL 1$4Q SULLIVAN AVONUE SOUTH WINDSOR,CT 00074 PEE $26.00 Name of Firm COTA CONSTRUCTION LLC Phone No 860-883-1902 Address of Firm PO BOX L42, BROAD BROOK CT Zip Code 06016 Location of proposed work 125 CLINTOfd DRIVE, SOUTH WINDSOR Describe fully nature of permit requested Remove Ik replace driveway',and sidewalk Starting date 7/28/2016 Call Before You Dig No 20162€301879 PLEASE NOTE': THE DEPOSIT,FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL ANAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH I AREA,CURB LENOTH,TRAFFIC CONTROL AND THE TOWITS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER.THAN`A YEAR. Check Applicable: Q No Pavement,Curb or Sidewalk Cut 0"Pavement Cut 13,Curb Cut eSidewalk Cut © Existing Driveway,No Changes © Proposed Driveway Widening [;�-Proposed Now Driveway Water Supply: Cl Public stater, 0 Well Sewage Service;; f] Public Sewer Q Septic; Show sketch of proposed work or furnish Indicate North Ift section to filled outbv Town two copies of ssparats drawing No.-cuts Est. Patch.Size($)- sf Est, Pvt.Thickness In. Est.Patch Unit Price S. !sf EsL Patch Cost; Est.Curb Replacement ft Est.Curb Unft Price$ /ft Est.Curb Cost$ ! w�`rfk Est.Sidewalk Replacement sf o" Est Sidewalk Unit Price$ /sf i Est'.Sklo ralk Coot$ Est.Traffic Hours hr ZV Est.Traffic Unit Cost$ Mr Est.Traffic Control$ .. - Amt.of Deposit . DFVVEWAYS must be aft or r KWO fran the,property One per Total Due S sects-t17 of the zoning r latione Applicant is responsible for contacting the Police Dept.and C.B.Y.D` t Cash ( }Check# PERIIIttT"L# L BE KEPT ON JOSSITE 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 Aft FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMIT AS-OUTLINED IN THE TOWN iOF SOUTH WINDSOWS STREET CUT PE MA UAL. Signed: Print Name SCOTf COTA Data; �/26j2U]S Street Ewavation ftm*2014