HomeMy WebLinkAboutStreet Cut Permits 85 Highview Road (2) 1700143 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 07/03/2017
GIS ID:43200085 FEE: 25.00
MUNIS APPLICATION# 201700821 EXPIRATION DATE: 07/03/2018
APPLICANT LOCATION
NAME: QUALITY PAVING CO. . ADDRESS: 85 HIGHVIEW ROAD
ADDRESS: 194 S. MAIN STREET OWNER: MORTENSEN DASHIELL C
EAST WINDSOR, CT 06088 85 HIGHVIEW ROAD
South 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.
1' Q
ISSU D BY DATE INSPECTED INSPECTED BY
7/3/2017 2:14 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMrr NO:: 1 -7nQ1Y3 ODN=aQR:
LOCATION: u
ME OF WORK: :b r'i v-e
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: -'b
WORK IN .
PROGRESS:
SEPTIC TANK:PUMPED;SHED,FILLED- _ WITNESSED ❑YES ClN0
INPUT: Ly DATE:
S/moitoy/%ffm Z0141om of 9ft Windsor WSW=REM 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOT HALLjLJ540 SWLIVANAVEN OUTH.WINDSOR,CT 06074 �i FEE $25.00
Name of Firm ✓ q.S l ' (7�✓4— 1- Of 6-1,1 Ph v
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Address of Firm S` vVrlotrj 00oiCode 4d 40
Location of proposed work w'c/
Describe fully nature of permit requested 3f- /G ,.�- Pez �
Starting date Call Before You Dig No I A240 0 5-
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCli AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Appikable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavemenrt Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway;No Changes ,°Proposed Driveway Widening RProposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
/j Est.Patch Cost$
Est.Curb Replacement ftl/ Est.Curb Unit Price$
Est.Curb Cost$
o�
1 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 property 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 THETOWN 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 FAMdJAR s1AfITH AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PE TS AS.OUTLINED IN THEE TT0WN OF SOUTH
WINDSDR�CUT PERMIT MANUAL. J /
nt me /'r 'l C�1 a¢� ate.