HomeMy WebLinkAboutStreet Cut Permits 50 Vintage Lane (3) 1800017 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/06/2018
GIs ID: 92370050 k FEE: 50.00
MUNIS APPLICATION# 201800426 Y BXPIRATION DATE: 04/06/2019
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APPLICANT ;; LOCATION
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NAME: JIM FAUTEUX CONCRETE ADDRESS 50 VINTAGE LANE
ADDRESS: 221A SCANTIC ROAD` Y OWNER x 1?IITCHELL HEATHER&DUSTiN
EAST WINDSOR,CT 0,�D8� 5 VINTAGE LANE
Y ' O�JTIl , INDSOR,CT 06074
PHONE ' DY
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WORK DESCRIPTION: SIDE MI LK
APPLICANT AGREES TO FURNISH THEITOWN Of SOUTH WINDSQW THE AM�JUNT QF B`OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES.'
EXPENSES IT�Ts✓�IRREII BY THE TOV�N FOR=IVIAINTENANCE OR REPAIR WORKJN
CONNECTION WITH THIS PERMIT AND THE APPiICANT IS FAMIT IAR WITH AND WT> L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS O TLINED IN THE TOWN 01�$OIJTH)MIDSOR'.S STREET C:U1 PERMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
4/6/2018 2:15 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I 0DO t CONTRACTOR: J v S C_<)0 car k
LOCATION: 6-0 V-,Ab u P. ( .a 1\-C-, --
TYPE OF WORK: Sl Oa ak
DATE INSP NEEDED. DATE INSP: t i s"
INSPECTED BY: G3 .
WORK IN ,G, l
PROGRESS: ��r �
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: CA" DATE:
S/mogoy/farms 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 HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $60.00/
Name of Firm m I�G � on Sal`vGf`C)h Phone Now d)
Address of Firm Zip Code
Location of proposed work 0 111 -t ctr f.A= '�o U i n v 7
Describe fully nature of permit requested _ ` ) - ' '
Starting date / Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,SNCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ,Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: 0 Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
t W Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
DRIVEWAYS must be aft or more from the property line per Amt.of Deposit$
section 2.17 of the zoning regulations
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ( )Cash ( )Check#
Paid By
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 EGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: � G�W�— Print Name. i �,! u� Date: (� ��� ��
Enginee /pe its/Street Excavation Permit 2017