HomeMy WebLinkAboutStreet Cut Permits 585 Griffin Road (4) 1700203 TOWN OF SOUTH WINDSOR, CT
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DATE: 09/20/2017
GIS ID: 39000585 FEE: 0.00
MUNIS APPLICATION# 201701270 EXPIRATION DATE:
4
APPLICANT r, LOCATION
NAME: LAYDON CONSTRUCTION LLC. ADDRESS a585'GRIFFIN ROAD
ADDRESS: P O BOX 367 OWNER %ILLU LAURETTE
NORTH HAVEN,CT- 06473 S85" IZIFFIN ROAD
4 50-U fH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: ItETO�tA�ION7F CONNECTICUT 4VATIJIPATCH
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APPLICANT AGREES TO FURNISH THE TOW101 SOiITIII1«IDSOIE AMOL7I<IT OI IIbND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR t1NI�I XP,)%NSES IIxIURET I3Y TI1E T(WII FOR`ivIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND AE APPI ICANT:I9 FAMILfAR VITH AI�1D W;.ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS A/SJOUTL D IN THE TOWN OF 50i7I H 1INDS0R'.S STREET Ci1T PERMIT MANUAL.
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ISSUED BY DATE Il'r1SPECTED I&SPECTED BY
9/20/201710:27AM *** PERMIT TO BE KEPT ONJOB SITE ATALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:/,G�C7 03 CONTRACTOR:
LOCATION.-
TYPE OF WORK: r
DATE INSP NEEDED: DATE INSP: 9 /
INSPECTED BY:
WORK IN
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PROGRESS: lea J e- a
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES E] NO
AS-BUILT,: "
INPUT: DATE:,
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 $50.00
Name of Firm ( I. to— L c, ell (Cl 4-3 4-1W6�.c , Phone No. G 7 - 3 I S _
Address of Firm f 0 61-X 1`1 /'kv Zip Code t) G k 7 3
Location of proposed work '
Describe fully nature of permit requested 0) tC r A4.`1' (J r (r
Starting date 0`1- f�?- t "� _ Call Before You Dig No - d 1 '1 - 3-1 0
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: Cl No Pavement,Curb or Sidewalk Cut Wavement Cut ❑Curb Cut ❑Sidewalk Out
0 Existing Driveway, No Changes O Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: I]Public Water El Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
-- Est. Pvt.Thickness in.
5
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ Ift
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
12A Est.Traffic Unit Cost$ !hr
Est.Traffic Control$
Amt.of Deposit$
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DRIVEWAYS must be 3ft ermore 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 6N 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
WINDSOR'S STREET CUT PERMIT MANUAL.