HomeMy WebLinkAboutStreet Cut Permits 97 Highview Road (3) 1700111 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/20/2017
GIS ID:43200097 FEE: 25.00
MUNIS APPLICATION# 201700748 EXPIRATION DATE: 06/20/2018
APPLICANT LOCATION
NAME: QUALITY PAVING CO ADDRESS: 97 HIGHVIEW ROAD
ADDRESS: 194 S. MAIN STREET - OWNER: FOLEYJAMES H&KAREN O
EAST WINDSOR,CT 06088 97 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 WINDSOWS STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
6/20/2017 2:50 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
4PERMIT NO:: % LQOU% CONTRACTOR: t 1
LOCATION: 7 v1
TYPE OF
DATE INSP NEEDED: DATE INSP: 3 rr
INSPECTED BY: ZjL--�
WORK IN
PROGRESS; .'jb
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SEPTIC TANK.PUMPED;SMASH9D,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT:_ ,1.4 V DATE: , I'/-)
S/molloy/f m 2014 Town or Sow Vhxkor lNPS®CTION`WORT 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 FEE $25.00
Name of Firm 'C�,- Phone No.
Address of Firm Zip Code 460 ege
Location of work u�
proposed
Describe fully nature of permit requested
Starting date s a a 0, Call Before You Dig Wn 20.17Z 0S67 O to
PLEASE NOTE: THE DEPOSIT FOR+HE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A'PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewaik'Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
J Est.Curb Unit Price$ fit
U Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
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
1 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 PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL. d
Signed: ��. Print Namenl� `z, � Y2O Date: G'Zy 7
Street Excavation Permit 2014