HomeMy WebLinkAboutStreet Cut Permits 9999 Barber Hill Roa (6) 1.700206 TOWN OF SOUTH WINDSOR, CT
DATE: 0 /2 0/2 9 017
GIS ID:99990780
FEE: 0.00
MUNIS APPLICATION# 20170I276 EXPIRATION DATE:
Y;
APPLICANT LOCATION
NAME: LAYDON CONSTRUCTION LLC ADDRESS �9I99 BARBER HILL ROAD
ADDRESS: P 0 BOX 367 � Nl;lOWNF SOUTH WINDSOR
NORTH HAVEN, CT(�647 1540 5C LIVAN AVE
WII�ID50R,CT 060742734
PHONE
WORK DESCRIPTION: REATOIRATION OF CT-WA
I3A1�B�Yt'I�7�,T.�ROAD It:EAR PQU�R S�'AT�`QN` .. •'
APPLICANT AGREES TO FURNISH THIN TOWN OF SOUTII wir.-N s)R THE AMOUNT OF I30ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR[OR AiI'-EXPEN....SES 1NURRI]BY TFIE TOWN FOR nIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDS R:S STREET CU`I 1'F'RMIT MANUAL.
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ISSUED BY DATE'IIVSPE` TED INSPECTED 9Y
9/20/2017 2:34 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: X 0 CONTRACTOR: I�i.�ih-Ail
LOCATION: G ba bf'0� M
TYPE OF WORK: 6 P-,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 60
WORK IN } �
PROGRESS: <\) :_�I�c ,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [I NO
AS-BUILT:
INPUT: DATE:. Ir-3 0 ( 1
S/molloy/forms 2014 Town of South Windsor INPSEMON 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 FEE $50.00
NameofFirm ` 4./ 1I• 6:^ �� tr`r C�'Ns �ftic{.c Phone No. 4 7 - IL 13,
Address of Firm GX Nit, t"4, k c, ,n Zip Code C k 7 3
Location of proposed work 14• 1 t „( V1^ar - at �✓ n vw
Describe fully nature of permit requested
Starting date 6,4- 19 - t `7 Call Before You Dig No O 111 - 3`1 d 3 C
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑No Pavement,Curb or Sidewalk Cut 9'Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public Sewer O Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
l/ Est.Patch Unit Price$ /sf
Est.Patch Cost$
C�
Est.Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost$
5I Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
—� Est.Sidewalk Cost$
l
\) Est.Traffic Hours hr
Est.Traffic Unit Cost$ thr
.,, Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2,17 of the zoning regulaUons
( )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
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WIND$OR'S STREET rT PERMIT MANUAL.
Signed:, _ — Print Name areLc r1L� •✓ Date:O 9
EnglneeringlpermlWStreet Excavation Permit 2017