HomeMy WebLinkAboutStreet Cut Permits 9999 Benedict Drive (6) 1700003 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 01/I 9/2017
GIS ID: 15
FEE: 0.00
MUNIS APPLICATION# 201700043 F EXPIRATION DATE: 01/19/2018
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APPLICANI� ` ` LOCATION
NAME: SPAZZARINI CONSTRUCTION . AIbRESS ,999.9 BENEDICT DRIVE
ADDRESS: 50 POST OFFICE ROAT AV OWNv"iED TOWIOF SOUTH WINDSOR
ENFIELD,CT 06082� 3 >- 154.0'SU LIVAN AVE
x SOUTH WINDSOR CT 06074
PHONE 860-745-5683
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WORK DESCRIPTION: AVERSprHEl OWN PROJECT
APPLICANT AGREES TO FURNISH THE§,TOW 4 OF SOUTH WTT S"G1R 1�HE AMQT7I T OP I dND REQUIRED AND TO REIMBURSE.
THE TOWN OF SOUTH WINDSOR FOR A NIY'J�XPENSES 1 Uk REI)SY THE rTa I FO MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND ik APFLICAIcIT 15FAMILTAR WITH WIC L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O S+ t1TH WINUKO.R, STREET Ci1TPERMIT MANUAL.
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ISSUE B r DT INSI'' ` TED INSPECTED BY
1/19/2017 9:01 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:.: 1 '� 00,6 L CONTRACTOR: 7�7.4 L d 7
LOCATION:
TYPE OF WORK: 1 ��'-O lot-,)
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: ew' Qr l; 1z'h'J it-Pe v--1
WORK IN
PROGRESS; tb A<it r 4 Ix 0-O m Le- EZ31 Z 17
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT:. l: DATE:_
S/moitoy/forms 2014 Town of South Windsor INPSECMN 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 $25.00
Name of Firm � ZZA"U+uf ed.vSTd�vc c`Ic�v /o --T-1vC Phone No.
Address of Firm S t o e--lce 16 C7 Zip Code l> r7Z-2!-
Location of proposed work ✓✓�� `i S �s� Z I` '
Describe fully nature of permit requested
Starting date Call Before You Dig No ZCN CP 1-l'3o ise3'r' ZOiG 430(?31
ZC�IC9 '�,�"�i'2.� ZC7lfo�(3ca,�s'Z
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR,
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by T_o_wn
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
per rob✓N plao for .0 Est.Pvt.Thickness in.
/1
Est. Patch Unit 04-9$ !sf
A very he l'lh P si F
Est. Patch Cost$
Est. Curb Replacement ft
Est.Cua 4 '=:ice$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est,Traffic Hours hr
Est.Traffic Unit Cost$ 1hr
row it r4)°+-� Est.Traffic Control$
Fees VV a Ij V 4°t, Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per 3 6— Total Due$_
section 2.17 of the zoning regulations
O 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 ABr7 F,:THE RULES Af-' f:771L!lAT€O.NS FOR PERMITS AS OUTLINED IN THE TOI^/N r.750UTH
WINDSOR'S STREET CVr PERMIT MANUAL.
Signed: (fe Print Name �/��L��'f�Zz��2 1 Date: k 2 f t( _