HomeMy WebLinkAboutStreet Cut Permits 40 Judy Lane (2) 1600036 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/25/2016
GIS ID: 48600040 FEE: 25.00
MUNIS APPLICATION# 201600489 EXPIRATION DATE: 04/25/2017
APPLICANT LOCATION
NAME: CENTRAL SEALING-COINC ADDRESS: 40 JUDY LANE
ADDRESS: 150 SUNSET RIDGE DRIVE OWNER: FIGUEROA ANTHONY R
EAST HARTFORD,C 06108 40 JUDY LANE
SOUTH WINDSOR, CT 06074
PHONE 860-289-7900
WORK DESCRIPTION: DRIVEWAY-SHIFT OPENING TO LEFT REINSTALL TOWN CURB WHERE
OPENING IS CLOSED UP
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.
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ISSUED BY DATE INSPECTED INSPECTED BY
4/25/2016 3:56 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NOS: / CONTRACTOR: �'►�i "A t SPA 1 i
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: it,
INSPECTED BY: ; �
WORK IN .
PROGRESS: a`J
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: � J
4
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
1
APPLICATION FOR STREET EXCAVATION PERMIT j
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT i Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm ��'f`l ( �'l {1 E 01) I K Phone No. 0
Address of Firm C T Zip Code Ci(v(( '
Location of proposed Work g•{l.✓ Jf tket Le(.6'1�
Describe fully nature of permit requested -evyu\je [S1'r C ireLi'G'Z 4 GGt S h
W (ER, rtt vc4rd l -0V-) N ['u I i t e i� t ' s c'( 4c' i,ci;;,
Starting date 01 CL LA 15, 901 u, Call Before Y u Dig No -- Lf4 f� j SD L{j I
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PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut '19 Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening 'P Proposed NewjDriveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ !Septic
i
Show sketch of proposed work or furnish I
two copies of separate drawing Indicate North This section to be!filled out by Town
� �f j
Sal1*yu� c4 n ve'L,oa—c �)�kt I ytJ No.cuts
ie Est.Patch Sizes)-1 sf
- - Cleo C(-rtVea�� 0 Est.Pvt.Thickness ! in.
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Est.Patch Unit Price;$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
X
i Est.Curb Unit Price$ /ft
i
'. Est.Curb Cost$
i
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Ul'�► (' Est.Traffic Unit Cost;$ Ihr
' �',• Est.Traffic Control
Amt.of Deposit$
� hin IS Total Due$
Y") ►aci r(cx�l, �tP.
Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( j Cash O Chec #
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By j
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE TH TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WIT t THIS PERMIT AND
THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR's TREET T PERMIT MANUAL.
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Signed: � � —� Print Name
Date:
Street Exca 'on Permit 2014
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Print Map Page 1 of 1
Town of South Windsor � ;,are
Geographic Information System (GIS)
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Date Printed:4/25/2016
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MAP DISCLAIMER-NOTICE OF LIABILITY Approximate Scale: 1 inch=40 feet
This map is for assessment,purposes only.It is not for legal W E
description or conveyances.All information is subject to verification by 0
any user.The Town of South Windsor and its mapping contractors
assume no legal responsibility for the information contained herein. Feet S
http://southwindsor.mapxpress.net/ags_map/printmap.asp?extentYmin=860148.3 04017519... 4/25/2016