HomeMy WebLinkAboutStreet Cut Permits 605 Sandstone Drive (2) ---------------------
1600158 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/19/2016
GIS ID: 80100605 FEE: 25.00
MUNIS APPLICATION# 201601136 EXPIRATION DATE: 08/19/2017
APPLICANT LOCATION
NAME: CENTRAL SEALING CO INC ADDRESS: 605 SANDSTONE DRIVE
ADDRESS: 150 SUNSET RIDGE DRIVE OWNER: BHEEMANAKATTE KRISHNAMURTHY
EAST HARTFORD,CT 06108 605 SANDSTONE DRIVE
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: REMOVE AND REPLACE PARKING LOT AT PLUM RIDGE CONDOS
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 WIN S R'$STREET CUT PERMIT MANUAL.
im D d _ _
ISSUED BY i DA E IN-PECTED INSPECTED BY
8/19/2016 10:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: CONTRACTOR: C2/IT 1 n
LOCATION:_ oS .S n V-a k\-,4
TYPE OF WORK: 9,M 14.4 LQ IL:
DATE INSP NEEDED: DATE INSP: 1 117
INSPECTED BY: �
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 Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm skCA\ R Co. 1 lNL • Phone No.
Address of Firm O SLk n �� �t S� ( a• (T Zip Code 0(9 11-8
Location of proposed work 5 SuhZ
Describe fully nature of permit requested Ci n l.J�
Starting date Call Before You Dig No ao l0 3ot�1 y 3 3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New'Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ ;Septic
Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be'tilled out by Town
0No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price:$ /sf
Est.Patch Cost$
Est.Curb Replacement it
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$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( }Cash O Check#
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 1 AM FAMILI WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S ST CUT PERMIT MANUAL. �\
Signed: 4T� Print Name �"5 t ��e��-Q{��L'l Date: 1 o "p
Street Excavation Permit 014