HomeMy WebLinkAboutStreet Cut Permits 367 Benedict Drive (2) 1700153 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/21/2017
GIS ID: 09600367 FEE: 25.00
MUNIS APPLICATION# 201700957 EXPIRATION DATE: 07/21/2018
APPLICANT LOCATION
NAME: QUALITY PAVING CO ADDRESS: 367 BENEDICT DRIVE
ADDRESS: 194 S.MAIN STREET - OWNER: DEBACGO WILLIAM
EAST WINDSOR,ut"88 367 BENEDICT DRIVE
SOUTH WINDSOR,CT 06074
PHONE 860-523-4182
WORK DESCRIPTION: DRIV$WAY
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 WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
7/2 1/201 7 9:11AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 13 QC) k5 5 CONTRACTOR:
LOCATION:
TYPE OF WORK: l ► " Pia
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: L�
WORK IN
PROGRESS: -c9(3!t s (1)'
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: Cam' DATE: 1g, ( Y 1 )-7
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
T WN L 1540 SULLIV AVENUE SOUTH.WINDSOR,CT 06074 FEE $25.00
Name of Firm A' �l one o.
Address of Firm 'p Code d s
Location of proposed work
Describe fully nature of permit requested
Starting date Call Before You Dig N
PLEASE NOTE: THE DEPOS FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENTIS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL.COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Cheek Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway;No Changes Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ff
_ Est.Curb Unit Price
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffics Unit Cost$ Ihr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section L17 of the-zoning regulations
{ )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES. Paid 13y
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 aWlTli•AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOVM OF SOUTH
WINDS.ORS SMEET UAL.
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