HomeMy WebLinkAboutStreet Cut Permits 80 Skyline Drive (2) 1600132 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/18/2016
G1S ID: 83100080 FEE: 25.00
MUNIS APPLICATION# 201600977 EXPIRATION DATE: 07/18/2017
APPLICANT LOCATION
NAME: COSTA&SON,LLC ADDRESS: 80 SKYLINE DRIVE
ADDRESS: P O BOX 658 OWNER: PORTAL JOSEPHINE A
SOUTH WINDSOR,CT 06674 80-SKYLINE DRIVE
SOUTH WINDSOR, CT 06074
PHONE 860-644-2499
WORK DESCRIPTION: REPLACE SIDEWALK IN BEGINNING OF 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 INSPECTED INSPEC D BY
7/18/201612:53PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 16 CONTRACTOR: Cis
LOCATION: eO S
TYPE OF WORK: ►1 j CJA
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: E" ,5 izer)Ig"c e
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
/TOWN HALL 1540 SULLIV,AN AAVENUE SOUTH WINDSOR,CT 060074 FEE $25.00
Name of Firm / JR Phone No. PICJ(l
Address of Firm Zip Code
Location of proposed work
Describe fully natur of permit requeckd
l
Starting date Call efore You Dig No r
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut X,
idewalk'Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Ind' ate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
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 props i_ r o ue$
section 2.17 of the zoning'regulations
Cash O Check#
Applicant is responsible for contacting the Police De tan . .
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TI ES 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 FA AR WITH AND WI ID Y THE RULES AND REGULATIONS FOR PERMPlop/z;��,Date:
AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR' RE T UT PER �Signed: Q�j r '"
Street Excavatioff Permit 2014