HomeMy WebLinkAboutStreet Cut Permits 470 Foster Road (2) 1600164 TOWN OF SOUTH W IND S OR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/23/2016
GIS ID:33300470 y
FEE: 25.00
MUNIS APPLICATION# 201601161 EXPIRATION DATE: 08/23/2017
APPLICAN LOCATION
5 S
NAME: SIMSCROFT ECHO RMS1N r ,4I) RE S , F TER ROAD
ADDRESS: P O BOX SSIr� Y A RINO BUILDERS INC
SIMSBURY,CT 06W�' g try.,
`�Y (k�H pEL ROAD#3F
`, .
I, s yr k, 1�T4I INDSOR,CT 06074
PHONE 860-651-0231 `
5 G
WORK DESCRIPTION: TI Ja xNbr ', R 40,
�ND PLACE
r ` •._ .
�N AttI }uld
NEW RIND LOTS
APPLICANT AGREES TO FURNISH TH TOWkl_gf�&TT�s D & x1MQi T 0&� ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1�IY4. As�ISESI.'fNl�P? t I*.1=IE T AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T1 Af P �ANT.I$Ri� Wl L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN TOWN S(�I1TI WIN1S S < BUT IT MANUAL.
}
b t d j
ISSUED BY '11ATV-1WEt INSPECTED BY
8/23/2016 11:34 AM ***PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
mod:
y
r
r
eer f
FY ?Y 4�a'�i � 5li '1 9
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: ZC2191)L41V CONTRACTOR:
LOCATION:__1.� -.-•-
� �,�� ��✓n� �6 n� '� .spcv-�. fY1�do/.� �..-.
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Cif
WORK IN
PROGRESS: _! _ X a Y G�_� ..•_�i!� �k
'm
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: - DATE:
S/malioy/rorms 2014 Town oT South Windsor INPSECrION 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 $25.00
Name of Firm T-s<.�,�� - L�1.� F�-�:-m r+�. Phone No. LG(0(_,)toil-pZ,51 -
Address of Firm 1 j�� C'1" Zip Code O f n a 1 r)
Location of proposed work i-� , aZ�
=escribe fully nature of permit requested S�.
an 1w
Starting date fii A$5 j, Z"i l' Cali Before Yo- L 3 y't l n
PLEASE NOTE: THE/DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATC
HTIT COULD BE LATER THAN A YEAR_-,
Check Applicable: ❑ No Pavement,Curb or Sidewalk Out Cut ❑ Curb Cut ❑ Sidewalk Out
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
_l-7 0 Est. Patch Size(s) 64 _sf
1 Est. Pvt.Thickness 4_in.
_ �a
Est. Patch Unit Price$ `J t /sf
Est.Patch Cost$ 160C.•acp
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est,Sidewalk Replacement sf
Est.Sidewalk Unit Price$ — /sf
Est.Sidewalk Cost$
l fi Est.Traffic Hours hr
l3 sM�
u 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 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, THE T C PERM T A L.
Signed; Print NameG�.� `��f7 Dater
Street Excavation Permit 2014