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HomeMy WebLinkAboutStreet Cut Permits 1 Buckland Road (5) 1600051 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT to, DATE: 05/02/2016 h 2' S5 a? GIS ID: 15300001 FEE: 25.00 MUNIS APPLICATION# 201600527 s� � n` h s ` �:, XPIRATION DATE: 05/02/2017 ZV APPLIC LOCATION NAME: WILCOX EXCAVAT .f'r CQ TSTI Ri CTAW 0 �ADDRE S :` GLAND ROAD ADDRESS: 71 WILLOW STR$Ir� "� ; �' NER y4 " EONIRD SCOTT SOUTH WINDSOR,� 6 RENDER LANE xf# '1 � z r F �kt1I Y4HILL, CT 06067 PHONE { yr S4ia. WORK DESCRIPTION: DRFVWMWV IN TADI SID WAIsI 'CURBING SCO' "ENOTdA PItO� �S IIri70i 1 �R 7AD ND RE Yr3 UIRED AND TO REIMBURSE APPLICANT AGREES TO FURNISH THI Ol� O„' OUsI'f1�I1I1Hl AMONT Q THE TOWN OF SOUTH WINDSOR FOR A`yAX'�IIF$IhIU�U �IFfi, F,OrvIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT ANDr SCANT ITt <TID° ,' L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Ic@CI1 C1DS 'STF C�iJT IT MANUAL. ISSUED BY OATF LTED INSPECTED BY 5/2/20I63:04PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ---- - - ------------...-....--- ----------------- ---- ----- ------ --. . . _... a � x r N �hx k Z ' x r �� �' '. y s lec a �s �Ji xmw T1 r ` TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR:_ '�iV! I <Ok �X�/Ufa I LOCATION: TYPE OF WORK: :( C. DATE INSP NEEDED: DATE INSP: tl ? INSPECTED BY: WORK IN. PROGRESS: ' , k r }}r..F SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: DATE: S/molioy/forms 2014 Town of South Windsor INPSECRdN 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 $25.00 Name of Firm WILCOX EXCAVATING CONST. CO. INC. Phone No.860-644-8534 OR 860-202-810 Address of Firm 71 WILLOW STREET, SOUTH WINDSOR, CT Zip Code 06074 Location of proposed work 1 & 26 BUCKLAND ROAD, SOUTH WINDSOR, CT 06074 Describe fully nature of permit requested ORI E E R N IIVS ALLING IDEWALKS, CURBING Starting date 5/9/16 Call Before You dig No 20161704658 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CUR13 REPLACEMENT,INCLUDING ANY INCREASES IN PATCH.AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: lO No Pavement,Curb or Sidewalk Cut IWPavement Cut WCurb Cut WOSidewalk Cut © Existing Driveway,No Changes © Proposed Driveway Widening &O Proposed New Driveway Water Supply: IV Public Water ❑ Well Sewage Service: 0 Public Sewer V Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing vee appy-vv?-'d Plames biel)-es rYU CS i�oyLa.tS No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in.. Est.Patch Unit Price$ /st �dc Est.Patch Cost$ 4� V-�u - ' ' '" b c) Est.Curb Replacement fit ---� Est.Curb Unit Price$ /ft Est Curb Cast$ Uew 06f(Ic 5 N'ecc)Ci�a f�C Est.Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf �U i\ Est.Sidewalk Cost$ Est.Traffic Hours hr ' Est.Traffic Unit Cost$ lhr Est.?'raffle Control$ 1% Amt.of Deposit$ DRIVEWAYS must be aft or more from the property litre"per section 2.17 of the zoning regulations Total Due$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D I )Cash ( }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 EXP SES INCURRE ,BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND° THAT I AM FA ILIAR TH AND WILL 1PE BY THE RULES AND REGULATIONS FOR PERMITS ASOUTLINED 1N THE TOWN OF SOUTH WINDSOR'S EET T ERMIT M U r Signed: Print Name GERALD J. WILCOX Date: ,3 d `'� Street Excavation Permit 2014