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HomeMy WebLinkAboutStreet Cut Permits 38 Shag Bark Road (2) 1700091 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/22/2017 GIS ID: 82200038 F FEE: 25.00 MUNIS APPLICATION# 201700584 , ° EXPIRATION DATE: 05/22/2018 APPLICANT LOCATION NAME: CENTRAL SEALING:' O ITC AI3DRlS3$ H�4G BARK ROAD ADDRESS: 150 SUNSET RIDGE'l) 4 � OWNER s OENI15iG IDA C EAST HARTFORD, T I36108 w t= 3�8TA BARK RD „ fIVINDSOR7 CT 06074 PHONE h '� '} 14 WORK DESCRIPTION: DRIVEWAY 4 NAY 5 ` I14 irk 7 u'h(s APPLICANT AGREES TO FURNISH TH rTO N rlF$0UT i yV11�pS{R 3 HOAM� T€COI BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI`1Y; PIES I111RR111 ;7�'1�THE 3'013�RINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TEE AI Fi I'A T I"eFAMILIAR WITH 2 DSW L ABIDE.BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN'O $OLTII WINDS©lt'S STREET CLI7 PRIIT MANUAL. 4 v !`8 ISSUED B llATE INSPECTED INSPECTED BY 5/22/2017I0:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -------------•---_------ --------- i 1 - - f L jig, _ "k } e4t1k��..ss 7 n � TOWN OF SOvTN mmDS4R INSPEG"law.; REPORT PERMIT 1v0:: _7 dP00`II CONTRAC MR Cealt;l l S dell;-Oa tZ LOCATION: 3.9 Au WE OF WORK: DATE INSP NEEDED: DATE INSP: //L,2f' INS.PECMD OY 10 WORK IN PROGREw,. SEPTIC TANK.PUMPED,SMASH90,FILLED WITNESSED ❑YES ❑NO AS:BUIM . INPUT: DATE,.. Wmo(royAnns 2014 Tom of South Windsor lNPSE=WWORT 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 006074 - FEE $25.00 y Name of Firm � �Iq Ml -sellII M 0D I VA& - hone No. Address of Firm I ' V • f`' Ve L-A Zip Code OW 1 Location of proposed work Describe fully nature of permit requested 5 (z� ❑✓eCtiL S Starting date 16 Call Before You Dig Nof� PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Out ❑ Sidewalk Cut fyExisting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be tilled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ i Est.Curb Replacement ft Est.Curb Unit Price$ /ft �l Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ Isf 5F Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ f2� Total Due$ ' ( )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 STREET C PERMIT MANUAL. _ Signed: Print Name Street Excavati Permit 2014