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HomeMy WebLinkAboutStreet Cut Permits 84 Highview Road (2) 1700150 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/17/2017 GIS ID:43200084 FEE: 25.00 MUNIS APPLICATION# 201700922 EXPIRATION DATE: 07/17/2018 APPLICANT LOCATION NAME: QUALITY PAVING CO ADDRESS: 84 HIGHVIEW ROAD ADDRESS: 194 S.MAIN STREET OWNER: ERTEL JEANETTE A EAST WINDSOR, CT-0-6088 84 HIGHVIEW ROAD PHONE 860-523-4182 SOUTH WINDSOR,CT 06074 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. ISSUED BY DATE NSPECTED INSPECTED BY 7/17/201711:57AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: (�����:;��(� CONTRACTOR: LOCATION: Ry Ii't c k V i cw �Oaa TYPE OF WORK: DATE INSP NEEDED: DATE INSP: /J/3A. INSPECTED BY: 13 0 WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:_ ( DATE: L S/molloy/forms 2014 Town of South Windsor INPSECfION 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 FEEL$�25.00 Name of Firm � ! � y-a � Rhone,No. Address of Firm-19Y Zi e e4; Location of proposed work Describe fully nature of permit requested — Starting date d /7 Call Before You Dig No vl©/�?319'yd / PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWMS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut 'sting Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town two copies of separate drawing No.cuts Est.Patch Sizes) sf Est. Pvt.Thickness in. Est.Patch Unit Price$__, /sf Est.Patch Cost$ ((''1✓ Est.Curb Replacement ft . V Est.Curb Unit 174-o$- fit Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price 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 properly line per Total Due$ section 2.17 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 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 u a- TRAT-I AM FAMILIAR WITH AND WILL ABIDE BY TIJE RULES AND.RE-GULATY NS FOR PERMITS AS OUTLINED IN THE TOWN OF:SOUTI;1, WIND TREr ET CUT PF,Etc // 1 >�� / �f Sign Print Name 7 Date: /