HomeMy WebLinkAboutStreet Cut Permits 326 Quarry Brook Driv (3) 1600168 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/29/2016
GIS ID: 74100326 FEE: 25.00
MUNIS APPLICATION# 201601181 EXPIRATION DATE: 08/29/2017
APPLICANT LOCATION
NAME: CENTRAL SEALING CO INC ADDRESS: 326'QUARRY BROOK DRIVE
ADDRESS: 150 SUNSET RIDGE DRIVE OWNER: MANEtLEY CRAIG S&LISA M
EAST HARTFORD,CT{I6108 326 (QUARRY BROOK DR
- SOU WINDSOR, 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 ANYRXPENSES INCURRED BY THE TOWNFOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANTI FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOWS STREET CUT PERMIT MANUAL.
ISSUED Y DATE INSPECTED INSPECTED BY
8/29/201611:31AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
------------------- ----- -------- - -- - ---------- ----------- -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: '��e) CONTRACTOR:_ c �
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 2�2
INSPECTED BY: 6�
WORK IN .
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: a ` '
5/molloy/forms 2014 Town of South Windsor INPSECFION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
App{. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
/i TO,WWNiHALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 r FEE $25.00
Name of Firm ` 'e" 11► f1 (G Vl�- Phone No. �o ?9q -7 doll
Address of Firm '�D,-SCVt e'T ip Code
Location of proposed work
Describe fully nature of permit requested >° dGe
Starting Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed Newbriveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ ;Septic
Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town
0 No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness j in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$ !.
Z i Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Zd I Est.Curb Cost$
tt C( Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
J WAA I- Est.Sidewalk Cost
\ Est.Traffic Hours hr
Est.Traffic Unit Cost;$ /hr
Est.Traffic Control
Amt.of Deposit$
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( }Cash ( }Chect #
PERMIT SHALL BE KEPT ON dOBSITE 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 TO N OF SOUTH
WINDSOR'S SJBEET CUT P RMIT MANUAL. ( 7
Signed: �� Print Name[ I,Q�-� (ZZ� Date:
Street Excavati Permit 2014