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HomeMy WebLinkAboutStreet Cut Permits 63 Windy Hill Dr (2) 1600143 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/19/2016 ,. GIS ID:95400063 FEE: 25.00 MUNIS APPLICATION# 201601002 NIRXPIRATION DATE: 07/19/2017. im ,L'k vy tl 4 t§ APPLICAN 4a LOCATION NAME: JIM FAUTEUX CON&Z ETEi t a A�7�RE�S k63:�1�JI�IDY HILL DRIVE ADDRESS: 221A SCANTIC ROAD + bWNIR t PATELSHETAL&SHIVANI EAST WINDSOR,Ct 0- 8$ 6 ut.. Y HILL DRIVE SQUTIWINDSOR,CT 06074 PHONEAR E z - 441 X h 4 5� �A WORK DESCRIPTION: REFLA:OIN itSII EWALI x f APPLICANT AGREES TO FURNISH THTiaIZOWN OF 50IJTH WJNl�SR TIE'AMQI1Ty OF}30ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR WVWEI jS TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE A'�1?LI�CANT IS FAIYJIL W— ITH 1] V LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN/`OF S(I7�I3 Vi�IIr�SQR S STRT CU31'FMIT MANUAL. ISSUED BY DATE INSPECTED Gr/ SPECTED BY 7/19/201 6 1 1:18AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Y, "an �� ty fi� s.k t5 y"G•`C � _ } L t t 4 3t�t t1.5.` i4�� f. N k A, y 64 .A, Y d :Y 1j� h4k 1 SZ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR: J i LOCATION: TYPE OF WORK: 1�P G i �I dw DATE INSP NEEDED; DATE INSP: INSPECTED BY: Z P WORK IN PROGRESS; � v�at-(C� �'' i�c ►,Fp-� y' fc'ts-rinrA.� Win.-)' IIL N' � v1! SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: �� INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSECrION REFORM 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm © !� L/4, c)d? Phone No. Address of Firm I c s r (n!r`.�r1 S o Zip Code 60 Location of proposed work W i 1'd Describe fully nature of permit requested e Lt2 14'S Starting date 2 Z21 16 Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut lid Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled outhy Town two copies of separate drawing No.cuts �\ Est. Patch Size(s) sf Est. Pvt.Thickness in, Est. Patch Unit Price$ Isf Est. Patch Cost$ I Est.Curb Replacement ft 30 Est.Curb Unit Price$ /ft Est.Curb Cost$ 4-0 Est.Sidewalk Replacement sf 1a e 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 zoning regulations O Cash ( )Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON.IOBSITE 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 S EET CUT PERMIT MANUAL. Signed: `��'� Print Name _ t � � eve J Date: Street Exc ation Permit 2014