HomeMy WebLinkAboutStreet Cut Permits 30 Tudor Hill Road (2) ----------------------- ------------- ------------- ---------- ----------------------
1600109 TOWN OF SOUTH WINDSOR, CT
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PERMIT NUMBER STREET CUT PERMIT
DATE: 06/20/2016
GIS ID: 90300030 FEE: 25.00
MUNIS APPLICATION# 201600829 EXPIRATION DATE: 06/20/2017
APPLICANT LOCATION
NAME: CENTRAL SEALING CO INC ADDRESS: 30 TUDOR HILL ROAD
ADDRESS: 150 SUNSET RIDGE-DRIVE OWNER: COLACCINO FRANCES F REVOCABLE TRST
EAST HARTFORD,CT 06I0$ 30 TUDOR HILL ROAD
SOUTHWINDSOR,CT 06074
PHONE
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 TOWN`OF SOUTH WINDSOR,'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE NSPECTED INSPECTED BY
6/20/20 1 6 2:22PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: I(nl-0 I CONTRACTOR: CeY2- .� S a\ \ n G
LOCATION: 30 :�_vk okt fC J�\ �\ �u�Q
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: l4kii
Lo iA y j
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 EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm ��� { 5641 I CAD 1 n c Phone No.
Address of Firm sty tri$C f v S C Zip Code D to 1
Location of proposed work Ij
Describe fully nature of permit requestedTVYI®1/e rp�L ,e GLV1yPf{,l
Starting date Call Before You Dig No rV-0I
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 TOWNS CONTRACT COSTS. THE PER
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 ❑ Sidewalk Cut
,Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed NewDriveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ !Septic
Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to beifilled out by Town
No.cuts
Y.13 0 Est.Patch Size(s) i sf
Est.Pvt.Thickness in.
Est.Patch Unit Price'$ /Sf
Est.Patch Cost$
Est.Curb Replacement It
lug Est.Curb Unit Price$ /ft
Est.Curb Cost$
yL3i Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
i
(i Est.Sidewalk Cost$
Est.Traffic Hours i hr
Est.Traffic Unit Cost'$ /hr
Est.Traffic Control
i
Amt.of Deposit$
Total Due$
( )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 I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S TREET CUjr PERMIT MANUAL.
Signed: Print Name V 4 1 i Q T-efl(Z z � Date. i 4C� �
Street Exca Permit 2014