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HomeMy WebLinkAboutStreet Cut Permits 1145 John Fitch Blvd (2) 1600067 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/16/2016 xE , GIS ID:47701145 � i u MUNIS APPLICATION# 201600611 * 4 r5 FEE: 25.00 WYt EXPIRATION DATE: 05/16/2017 APPLICANfi LOCATION NAME: CENTRAL SEALING CO INC 4 ADDRESS i11=45 kFiR FITCH BLVD ADDRESS: 150 SUNSET RIDGEBRI /1~ i" OWNER 141 LLTq RICHARD x Y4 EAST HARTFORD,C 0608 t,V BOSBOX 619 PHONEs �I7THWINDSOR CT 06074 s ' 1 Y- CFi" WORK DESCRIPTION: CUB D f1 I A D Rfl, > G 1 ,°Orl k( f AT CAMP BOW WOW APPLICANT AGREES TO FURNISH THITO OFOJTI4Wpi SHE AVIpTNI gF BbND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR k�v�7PEi*I �If� I�pWy ��HF��TgWI�T F)j INTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND 4PI'LICITZS fkA1II �ARTII ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED W THE TOWN 5 3E7ItH� I*ID 17;SeSTI �E {CUT PBRMIT MANUAL. ol \ ti v C D t � ISSUED BY OATE Il SPE TED INSPECTED BY 5/1612016 11:48 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -------- - ---- - i7} s rl s' a mlk rt 4 v^ d ff Y TOWN OF SOUTH WIN©SOR INSPECTION REPORT r PERMIT NO-4 CONTRACTOR: LOCATION-. t I Y ��le TYPE OF WORK: ag ' DATE INSP NEEDED: DATE INSP: 19A7 INSPECTED BY: An WORK IN PROGRESS: Am SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: r' �'`�- DATE: I S/molloy/forms 2014 Town of South Windsor INPSEC3ION REPORT 14 i 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 $25.00 Name of Firm .� I 00 (YIG Phone No. %0 -? 1 --7-766 Address of Flrm 1 D S fJl Vt `r C G L� S�- ' C Zip C de O b 1l k Location of proposed work j ! yel 5 I b glree Eccv trig 112e2e!�4 Describe fully nature of permit requested f L�i,f.��t✓� .4n �� iL �u l d� �'L'rf=icy-i o ' I Starting date 1Gl Call Before You Dig No LO��a ~ a , q S PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut i ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or Furnish Indicate North This section to befllled out by Town two copies of separate drawing No.cuts i Est. Patch Size(s) sf i Est.Pvt.Thickness in. Est. Patch Unit Price$ /sf j Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price /ft rr Est.Curb Cost$ Est.Sidewalk Replacement sf X'sf�lL � r�PA Est.Sidewalk Unit Price 1 Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /lrr Est.Traffic Control Amt.of Deposit$ j Total Due$ { )Cash O Chec # Applicant is responsible for contacting the Police Dept.and C.B.Y,D PERMIT SHALL.BE KEPT ON JOBSITE AT ALL_TIMES Paid By i I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THI TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WIT THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN TH TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. II J Signed: �� Print Name �yl f f T�I'�l Z�( Date: I Street Excavatid Permit 2014