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HomeMy WebLinkAboutStreet Cut Permits 47 Darlene Drive (3) 1.700076 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/28/2017 ... • Pik.:, GI5 ID:25500047 4`r t F FEE: 25.00 MUNIS APPLICATION# 201700441 , h}XPIRATION DATE: 04/28/2018 AP APPLICANT` X. ` LOCATION NAME: CENTRAL SEALINGtO INC y ADDRIJSS �17DAI ENE DRIVE ADDRESS: 150 SUNSET RIDGE,TIVE x CJ7NT R ADLERLORI R EAST HARTFORD,C3'06108 r s4 DARE ENE DRIVE SQUTH WINDSOR,CT 06074 PHONE y t k r '`a-k. jlao 1 WORK DESCRIPTION: D M,` f APPLICANT AGREES TO FURNISH THE{TOWL OF btI�I I II�DSd 'I E ATvIQi iTw`b B ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AfiIY6PENSE 11 ?RIZEiJ F1Y THE '�} FJR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE AI� �I�CtNT IA�VIIT�T(R ViIi72 ANDtWI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN t7I SQIH WINDSOR'S S PREET CUT 'IwR1IT MANUAL. ISSUED BY I) E SNC'TED INSPECTED BY 4/28/20173:18PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i ----------- -------- ------_ ------- ----- - - - i fi its} t4rr 7 't` ,f .�..� � ex x��'j�,•-Gib k y � i � } u � ..fix •...� r � r i� vF � i; ow 3r� a r •; K � pp ) h s C 5 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: '7 000 •��� CONTRACT©R:,,coey lr41 seal' - G'& LOCATION: LP ,r 1\W— TYPE OF UVORK: 'D Li v -14 I DATE INSP NEEDED: DATE INSP: / i�Yhs INSPECTED BY: '�� ' WORK IN I PROGRESS' SEPTIC TANK.PUMPED,SMASH9D,FILLED WITNESSED ❑YES ❑NO AS-BUILT: INPUT: �` DATE= S/molioy/forms 2K4 Town of South Windsor INPSECRQWWOU 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 $25.00 Name of Firm Ci"Itr I Seel-t(I f' ( L0 li`lC . Phone No. :)"�ei-7eO6) Address of Firm Zip Code ,,i Location of proposed work t( D,/L l-e Tln U - Describe fully nature of permit requested Starting date 3''l Call Before You Dig No c30 1 L",o LjAitt PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut .)l Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water 0 Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be fitted out by Town two copies of separate drawing No.cuts 0Est. Patch Size(s) sf �C IL Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ !ft 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$ Total Due$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D )Cash ( )Check# 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR' STREET C T PERMIT MANUAL. I Signed: . 1 ' L-1 Print Name Date:_4di I r Street Excavation Permit 2014 I . -T...._.._._... .. ... .:..: ...:.:..... • � 1 - _..._...... .... .. .. ....... G - _.._._._......_..._._.,........ • r _.._... ........... w..' jF! _ • J `f1 5