HomeMy WebLinkAboutStreet Cut Permits 72 Highview Road (2) 1700151 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/17/2017
GIS ID:43200072 FEE: 25.00
MUNIS APPLICATION# 201700923 EXPIRATION DATE: 07/17/2018
APPLICANT LOCATION
NAME: QUALITY PAVING CO ADDRESS: 72 HIGHVIEW ROAD
ADDRESS: 194 S.MAIN STREET OWNER: BREEN TIMOTHY P
EAST WINDSOR, CT 06088 72 14IGHVIEW ROAD
SOUTI WINDSOR,CT 06074
PHONE 860-523-4182
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 PERMIT MANUAL.
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ISSUIM BYJ DATE INSPECTED INSPECTED BY
7/17/2017 11:52 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: % 7c`1[?��5�� CONTRACTOR: 0)4
LOCATION: 7.;� Zj i V P e&o Q z,i
TYPE OF WORK: ;ac�vt
DATE INSP NEEDED: DATE INSP: ;c /17 _
INSPECTED BY: V
WORK IN
PROGRESS: ank-';
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
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.
OWN HALO SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $26.00
Name of Firm tip,hyw Phone N 20 13 �e Z-
Address of Firm >�✓ Lei ..Code
Location of proposed works vT ® Jodi r-. LL
Describe fully nature of permit requested
Starting date Call Before You Dig No D Z 2GV eZZ
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk'Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Wader Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est. Patch Sizes) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price
N Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ jsf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning'regulations
O 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
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 WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR P ITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT NUAL. �'� /
gned: Print Name 1// c �e� Date:��✓ ��
Street Excava' n Permit 2014