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HomeMy WebLinkAboutStreet Cut Permits 155 Newmarker Raod (2) 1600092 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/06/2016 j K t T GIS ID:633 00155 :r FEE:MUNIS APPLICATION# 201600735 7 r 25.00 EXPIRATION DATE: f r Ilk 06/06/2017 LOCATION NAME: CENTRAL SEALIN O IN ADDRESS: 150 SUNSET RIDG tx ` y ADDRESS 16$ MARKER ROAD OWNER SBUCHI!1NAN PATRICIA O EAST HARTFOFCD Caf`i 6 0g yam, ,15�NE VMARKER ROAD Et t PHONE � � °3h,5s w �SOUTH3 WINDSOR, CT 06074 Or,9ffi; WORK DESCRIPTION: APPLICANT AGREES TO FURNISH TH fT0 V JF O 7 II D I 1;'A 01p�1�OF OND REQUIRED AND TO REIMBURSE At x { ` r THE TOWN OF SOUTH WINDSOR FOR AY��S{p�NS,�,�� ��E�T� - � � Q CONNECTION WITH THIS PERMIT AND T , tiR"M 4TNTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWITH �tf S(PUTH WINDS T CT7�T pRMir MANUAL.ABIDE 13Y THE RULES AND REGULATIONS ISSUED BY DA`TEtINSPE+ TED INSPECTED BY 6/6120 1 6 1 1:24AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ---------------------------- 41 •Y 7 ti S ;,� 1:,F 1 �i 4 iim ` taw '' sy.+ emu. ni yk 5 k5 ;y > 3,� y4 y` rotli �,Eti5i iu k 1 �� t � 7 � i.4..fi } �yr, � ♦ Y. ryy: � L? i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.; CONTRACTOR:Cell al sS, /SIG' ��• LOCATION: .5._ /JeW #gar IdQad TYPE OF WORK: DATE INSP NEEDED: DATE INSP:� INSPECTED BY: .M WORK IN PROGRESS: 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 f Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 � FEE $25.00 C�'er,h-7i..( SeetII I Name of Firm CD 1'(G Phone No. Address of Firm j SLA 115e V L:Ld V Zip Code 0 I l Location of proposed work Describe fully nature of permit requested PY W 5' Starting date (0 I(P Call Before You Dig No I PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut © Pavement Cut El Curb Cut ❑ Sidewalk Cut Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New;Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic i Show sketch of proposed work or furnish Indicate North This section to belfilied out by Town two copies of separate drawing No.cuts I 0 Est. Patch Size(s) sf I Est.Pvt.Thickness in. Est.Patch Unit Price!$ /sf Est_Patch Cost$ I i Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ S5 Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf I Est.Sldewalk COSt$ — — Est.Traffic Hours 1 hr Est.Traffic Unit Cosh$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ i ( )Cash O Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D I PERMIT SHALL BE KEPT OIL JOBSITE AT ALL TIMES Paid By I 1 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 STREET CUf PERMIT MANUAL. 1 I Signed: Print Name 1 f e Ted(Z Z� Date: � Dg Street F..xcavati Permit 2D14 i