HomeMy WebLinkAboutStreet Cut Permits 64 Highview Road (2) 1700115 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/22/2017
GIS ID:43200064 FEE: 25.00
MUNIS APPLICATION# 201700778 EXPIRATION DATE: 06/22/2018
APPLICANT LOCATION
NAME: HOMEOWNER ADDRESS: 64 RIGHVIEW ROAD
ADDRESS: SOUTH WINDSOR, CT 06014 OWNER: LEONE VICKI J&
64 HIGHVIEW ROAD
50UTH WINDSOR, CT 06074
PHONE
WORK DESCRIPTION: DRIVEWAY
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 PEMMTT MANUAL.
oI Zcih/ -
ISSUED BY DATE INSPECTED INSPECTED BY
6/22/2017 4:04 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: -7 00 I CONTRACTOR: ne-r
LOCATION: (-o & V I Pcd Q OcLok
TYPE OF WORK: ���LA)�-.
DATE INSP NEEDED: DATE INSP: `ohkl
INSPECTED
WORK IN
PROGRESS: lle�
SEPTIC TANK PUMPED,SMHED,PILLED WITNESSED ❑YES ❑ NO
AS-8UILT:
DATE:
5/maitoy/fbrm 2014 Town of South Windsor INPSE=N"R 0Xr 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
_ TOWN HALL 1 SULLIVAN AVENUE SOUTH.WINDSOR,CT M74 FEE $25A0,,}
Name of Firm � fl c r Phase No. / OCv
Address of F'um Zrp CodeC.6 02 G
Laation of proposed work
Describe fully naiure of permit, doo
Staffing dab* `-' / call Befone You Dig mo-2 611 17A 0
PLEASE NOTE: THE DEPOSIT FOR THE PE T PAVOO:NT PAT01i AND CURB REPtACFMENT IS A PREL.WARY ES'1'WATE. THE
APPLICANT 6 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT'PATCH ADD CURB REPLACEMENT,INCLUDING ANY
.INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWS GONIRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEAWORAW PATCH BUT IT COULD-BE LATER THAN A YEAR.•
Check Applk;O L ❑ No Pavement Curb or Sidews k Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑'Existing Driveway;No Changes ❑ Proposed Driveway Wkbning ;e"NowDriveway
Water SuPphr ❑ Publc Wate' ❑ Well SewWe Service: ❑ Public Sourer ❑ Septic
Show sketch of p worms North This section to be MW outbv Town
two copies of sop mate drawing
No.carts
Est.Patch Sizes) sf
o Est.Pvt.Thickness In.
Est.Path Unit Price /sf
Est,Patch Cost$
Est Crib Reps it .
Est Curb Unit Prise ,"P
Est.Curb Cost$
Est SWMN#k sf
Est SkWAS k Unit Price[c_jsf
Est,Skbm k Cost$
Est Traffic Houre hr
to
Est Trsfgc Unit Cost>)_"___Jhr
Est.Traft Contnof f
!� Amt of Deposit$
ORMWAYS must be aft or from the-property line per Total Due,$
secttoh t17 of tha•zoning reguisdow
O Cash ( )Check#
App trt is responsible for=ftd&q the Police Dept and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIES. Paid By
i AGREE M FURNISH TO THE TovVN OF SOUTH WIN)SOR THE AMOUNT OF BOND REQUIRED AND TO RE MRSE THE TOWN OF SOUTH
WINOBOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTEMMM OR REPAIR WORK IN CONNEMft WITH THIS PMff AND
.. .HAT I.AM..FAML.1A.R.y. IT. AM WILL ASIDE BY THE RULES AND.REGUTATIO018 FOR PELTS AS OUTLINED IN THE TOWN.OF ROUTH
WINDSOR'S STREET CUT PERMIT MANUAL.