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HomeMy WebLinkAboutStreet Cut Permits 50 High ridge road (3) 1700014 TOWN OF SOUTH WINDSOR, CT. PERMIT NUMBER STREET CUT PERMIT DATE: 03/01/2017 GIS ID:42300050 FEE: 25.00 MUNIS APPLICATION# 201700170 i`z r �� h IPIRATION DATE: 03/01/2018 APPLICANT " LOCATION NAME: VMS CONSTRUCT'IOYN COMPANY' t ADD SS ffO;160, RIDGE ROAD ADDRESS: 162 LAKE STREET x �;>; OWNER ti .AZINAHRA ELISEU D&LISA C VERNON ROCKVIIiE;i CTF 015�16FLqp 4 ${? -$116i RIDGE ROAD T r a j S F U -U iVINDSOR,CT 06074 PHONE 860-871-0278 WORK DESCRIPTION: CUBU F s 3 APPLICANT AGREES TO FURNISH TH OWAT D� OCTTIT I Q �T I1:�AM04U `I'p A.'ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AICPEISFS IN1C11tRT)-B fIIE TC� aIC1t:11%IAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T iD`- WL ABIDE'BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE �TO W jN�`t�I"SO[7TH U�1NDSrO1�w�SxREE�rs�UT I3EIZIVIIT MANUAL. 4 ISSUED BY DATE-.II' SPE+ fiED INSPECTED BY 3/1/20173:58PM *+* PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -------------- _ � r d e: 0 4 np o jow o t :' 4r �w1 04A. 1�L�S. TOWN OF SOHTH wiN©SOR INSPECTIQN REPORT PERMIT NO:: 1'7Q00J CONTRAcrow LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY.'- WORK IN " PROGRESS; SEPTIC TANK PUMPED;SMASH9D, FILLED WNESSED ❑YES ❑NO AS-BUILT: . INPUT: DATE: S/malloy/harms 2014 Town of South Windsor YNPSECII WREPORT 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 $26.00 Name of Firm V"I S' Phone No. Address of Firm l(,Z. LA)cLF- s T V ��^r �-� _ _ Zip Code �G� Location of proposed work _SV R i d�kf Describe fully nature of permit requested <f ij LLE C-� Starting date 3 3 I Call Before You Dig No 2- 0 7 0 /2- PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut 0 Curb Cut I(Sidewalk'Cut ❑ Existing Driveway; No Changes ❑ Proposed Driveway Widening 4 Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled_out-by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ Isf / Est. Patch Cost$ Est.Curb Replacement ft 5 - Est. Curb Unit Price$__ _!ft Est.Curb Cost$ Est.Sidewalk Replacement sf )VII Est.Sidewalk Unit Price$ Isf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ Ihr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations ( )Cash ( )Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOSSITE 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 _, w a+• }AM FAMILIAR WITH AND WILL ABIDE BY THE Put;r:S "l REGULA710 F:NR PERMITS AS OUTLINED IN THE TOWN OF SOUTH vVINDSU,R'S STR ET CUT PERMIT MANUAL. Signed: Z-:2Print Name �1-7i�—- Date: 2L210LI