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Home My WebLink AboutStreet Cut Permits 146 Pine tree lane (2) 1700193 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/01/2017 GIS ID: 72300146 ''. FEE: 25.00 MUNIS APPLICATION# 201701160 BPIRATION DATE: 09/01/2018 41- �/ w4 APPLICANT 4 LOCATION NAME: QUALITY PAVING Cb ADDRESS 146 PII�IE TREE LANE ADDRESS: 194 S.MAIN STREE `��' r OWNER IEFRM EAST WINDSOR,C508$ i+ 6 PYNI TREE LANE a SOVTH VINDSOR,CT 06074 PHONE 860-523-4182 t z ` WORK DESCRIPTION: DFUVRWWAYy z AV APPLICANT AGREES TO FURNISH THA O)W O BbND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYh' REN$lES IIa1CURRED 13 Y TF T(J1?I FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TI APBE ANI IS FAMILIAR VjtYTH AI1D SILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED r/J)INI T(JHE TOWN tlF S IT MANUAL. Vs/ •• V • �` ` yJ _ry ISSUED BY D '"T&W"ECTED INSPECTED BY 9/1/2017 3:07 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ....::.:.:.:.:.:..:.....:,.: Lam-_ ff ' ' # "1is, < yr kk Alk 1. 4 f ij is ti r S y s .i4 i^ _5 y � TOWN OF SOUTH WIN©SOR INSPECTION REPORT PERMIT NO.: l 7 00 l93 CONTRACTOR: LOCATION: I �� }0I/1sa `�.� 4au_ TYPE OF WORK: DATE INSP NEEDED: DATE INSP; / INSPECTED BY: � WORK IN PROGRESS:- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: " INPUT: DATE: l /� 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 HAL 1040 SULLIVAN AVENUE SOUTH.WMNDSOR,CT 06074 FEE $26.00 Name of Firm Ph o e No. Address of F cam' r r/��- Code irm Location of proposed worn Y Describe fully nature of permit requested Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sldewalk'Cut CS�Existing Driveway;No Changes CO Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Publc Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section sectlonto hefifted ogUy Town two copies of separate drawing No.cuts Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$, Est.Curb Replacement ft . Est.Curb Unit Price Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Pdce$_____Jsf Est.Sidewalk Cost$ Est.Traffic Hours hr 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 Tegulations ( )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 EA',MILIA-R.WITH-AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH VIANDSOFT'S STREET CUT PERMIT MANUAL.