HomeMy WebLinkAboutStreet Cut Permits 35 Garnet Lane (3) 1600107 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/20/2016
GIS ID: 34800035 FEE: 25.00
MUNIS APPLICATION# 201600825 EXPIRATION DATE: 06/20/2017
APPLICANT LOCATION
NAME: CENTRAL SEALINCrCO INC ADDRESS: 35 GARNET LANE
ADDRESS: 150 SUNSET RIDGE DRIVE OWNER: BEECHINOR BRIAN O&BARBARA G
EAST HARTFORD,CT 061M 35 GARNET LANE
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THI TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES 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 WINDSORS STREET CUT PERMIT MANUAL.
Cov z j hr,
ISSUEb BY DATE INSPECTED INSPECTED BY
6/20/2016 12:19 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-- -- - ----------- --- --- ---- --- ---
---------------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.; 0-7 CONTRACTOR: C enILA
LOCATION: 3.5_ C c�L no-: LL2,��
TYPE OF WORK: i),'\�4em a g
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Zb
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: t
S/molloy/forms 2014 Town of South Windsor INPSECTiON REPORT 14
i
i
APPLICATION FOR STREET EXCAVATION PERMIT t
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm eiP-4�yo 0,9 1 n C Phone No. d `ate-7 r10 d
Address of Firm j 1�b S14l1 SGV C- - Zip Code
Location of proposed work �5 &A-V 4- LAVV2-
Describe fully nature of permit requested y,'e,rn"e repleee Ctr ui/ewaL4
Starting date---- t h Call Before You Dig No 1(0 3y I (v
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Gut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed NewDriveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ ;Septic
Show sketch of proposed work or fumish Indicate North This section to be±filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
A _ 1
Est.Patch Unit Price'
Est.Patch Cost$
i Zr r6 S� Est.Curb Replacement ft
l '1 Est.Curb Unit Price$ /it
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost,$ /hr
Est.Traffic Control
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
1 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 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 STREET CUT ERMIT MANUAL.
�u I 1 Q Ter'(l z Signed: e Print Name Zt Dater/14,
Street Excava i ermit 2014