HomeMy WebLinkAboutStreet Cut Permits 736 Burnham Street (2) 1600172 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/09/2016
GIS ID: 15600736 FEE: 25.00
MUNIS APPLICATION# 201601209 EXPIRATION DATE: 09/09/2017
APPLICANT LOCATION
NAME: M C PAVING AND LANDSCAPING LLC ADDRESS: ' 736'13ORNHAM STREET
ADDRESS: 437 CAPITOL AVENUE OWNER: PONCEJULIO J&CARLA
HARTFORD,CT 06I.06 736`BUFNHAM STREET
SOUTH WINDSOR,CT 06074
PHONE -
WORK DESCRIPTION: REGRADE EXISTING PRIVATE DRIVEWA AND PAVE FOR(3)HOUSES
SHARED DRIVEWAY AT 736-746 BURNHAIVI STREET
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 TOW N FOR--
OR Tv AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WIfiH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN'OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED B DATE INSPECTED INSPECTED BY
9/9/2016 12:50 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
W�-PERMIT NO::jb CONTRACTOR: Pelolo
c
LOCATION: -7 4 6) V& 1 ��
TYPE OF WORK: G d cr t;('
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 9j)
WORK IN
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of Sow Windsor INPSEcnowREPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. -
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm A14.C- �vl s GL�. Phone No. C?6o) 73LA94/
Address of Firm of-IV Zip Code �6/rid
Location of proposed workalL
7W EWA
Y1 0
Describe fully nature of permit requested vtr� / IVY ✓�' �I
tatting d Call Before-You Dig No g0/6 3 So U l 3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cuutt� Sidewalk Cut
r Widening 1 Pro sed New Drivewa❑ Proposed D ivewa❑ Existing Driveway; No Changesy g po y
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
II
Est. Patch Sizes) sf
• � `D � �� ��� �S� Est. Pvt.Thickness in.
U�l Est.Patch Unit Price
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
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 zoningregulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET C T PERMIT MANUAL.
Signed: Print Name 4v r�C2 (.Ir/ Date: �—/V
Street Excavation Permit 2014