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HomeMy WebLinkAboutStreet Cut Permits 117 Cliffwood Drive (3) 1600035 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/25/2016 GIS ID:21000117 s ` FEE: 25,00 MUNIS APPLICATION# 201600480 w 4 EXPIRATION DATE: 04/25/20 f 7 APPLICAN LOCATION NAME; KEMENT&SON COSTRUCTIONINC ADDRESS 1175CLftFFWOOD DRIVE AN 0 ADDRESS: 297 NORTH ROAD t]WNItURNFAM GARY R JR&RACHEL A BROAD BROOK,C fiQr1 117CX.FFWOOD DRIVE Q {W SOUTHWINDSOR,CT 06074 PHONE # . WORK DESCRIPTION: IN t CATION OF V�AI°ER INE cyCOQNDU T5 ;� au) za r0 tAok K ; APPLICANT AGREES TO FURNISH THETON�?FOU Hk�I1�TDSQ:I�TPl$AM©LVT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN%CIXI;ENS�FS INCLIIRED B TIDE TOWI+IFO�i`1�VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIC AP'LT,CAN"fig, F L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN t F SOT7TILVINDSO '3 STREET CUT PERMIT MANUAL. ISSUED BY DAI`E INSPECTED INSPECTED BY 4/2V2016 3:09 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** s ' 3 y y J iv. 's F r e ' k :. N. gg Al I r S ) f 3 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 600 3 S CONTRACTOR: c n ' LOCATION: 1 1 �� ) �-F��OQ�!----JJ�' I\),e TYPE OF WORK: i+n 5in 1)0+�'o n 12 "4XA l i N-0 (0indu) t5 DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS:: �' d� �,�- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/malloy/Forms 2014 Town of South Windsor INPSEC ION 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 $25.00 Name of Firm rilEi�T `c S�� o�J�� Ruh:i r �1, [L�C_ Phone No. a(ob, &o)3.3y(o4 ---- Address of Firm (3 SS2 t�C)P i i I C '�-- - -- -_rZipcode Location of proposed work i�1 LLB :7'FW cx��> I!:- Describe fully nature of permit requested Starting date _j�S A P Call Before You Dig No 0�Lo i t-S-1 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 1Z Pavement Cut Ca Curb Cut 9 Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: E�Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled outby Town two copies of separate drawing No.cuts Est. Patch Size(s) 6,k457 -(a 6 sf Est. Pvt.Thickness in. - . Est. Patch Unit Price$ aL /sf ^ Est. Patch Cost$ t4/64�� Id Est. Curb Replacement 6' Est. Curb Unit Price s- /ft Est.Curb Cost$�� � l �C 67 Est. Sidewalk Replacement sf Est. Sidewalk Unit Price V C Z44 / Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations ( )Cash O 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 THE TOWN OF SOUTH WINDSOR FOR ANY EXPEN ES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILI IT AND W L ABIDE B,Y T E RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WiNDSOR'S T CU P IT NIUAL. Signe ' Print Name � T jt" Date: Street vation Perm, 4 TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT ADDRESS PERMIT NUMBER INSPECTOR TEMP. PATCH DATE INSPECTOR COMPLETION PATCH DATE lo ly LEPHONE, & ( N'i1'84'39"E , N SERVICES. 80.00'. 1 322.5 -�L 322.E JSTALLATION '�( ,� •: "At COMPANIES) / /... . . j �' jr=10' 1 / 1: . j I 32 .9 x 5' /r r=50' GARAGE 321.0 te{ v S . DECK 1' ELEV.- C) 3T 324.5 I =�• 1 I �, / ���, X X . ItOVO.8 4 22. G SINGLE FAMILY i \i r, / ♦ w HOME i 331.9 i I a' / N / o F.F.=325.0 BSMT.=316.0 ELLECT. ( •� r=1$� a� } / I I I �. C NDUIT ' 3- I l 321 x3 4.7 EDG GRA ! I r— x .5 � / ���� - 19'0 I I Sal• i x321.4 i \I 1 ro \ 1 STANDPIPETF= ccB l \ 1 \ l NV 3 3 \ \ \ \ \ x324.5 I l 204'-6" PVC SDR-35 SANITARY SEWER o °cP