HomeMy WebLinkAboutStreet Cut Permits 60 Bramblebrae (3) 1.800087 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/28/2018 L s=
GIS ID: 12600060 FEE: 50.00
MUNIS APPLICATION# 201801108tPIRATION DATE: 06/28/2019
APPLICANT OCATION
NAME: VIOLETTE SILVESTER ONS y y r 5 ADDI SS 0 RAIV LE13RAE&S
ADDRESS: 65 CHERRY STREET L OWNERS~ a�MKN EY ROY J&LORRAINE
EAST HARTFORD, CT661t� EBRAE
SQIJnrDSOR,CT 06074
PHONE 860-289-3466 .
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WORK DESCRIPTION: INSTALDII7iE II? '802t�TGiBS1N.S INR 'AR YARD TO
TOWN' ATCI ANSI F� Ti �` LIKING6'4240 1PE
APPLICANT AGREES TO FURNISH THE T(?JVIkTI fDUf1UINDQRf AQINT OF$OOOIDEQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN1 PE iSES INCURRE E'IBWN F�I�I �kIV ENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THt Ii7CP.IaJT IS 'AMI �WITH AN&VI rI"TIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OOLTTH{WTIaS01
QR'STREETIJ I PERMTIIIt�IANUAL.
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ISSUED BY DAJT!.E (IN�S(PECTD "`' INSPECTED BY
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6/28/2018 1:38 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN.OF SOUTH WINIM.. NSPEC`HON REPORT'
PERMIT NO,; CONTRACTOR: V i
LOCATICIM.— i a
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:-_1
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT;
INPUT:� DATE:
S/molloy/forms 2014 Town of South Windsor INPSECftON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. NO.- TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 13540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm o�t-j:jp S, /y 25+-Q-r -4- Sa n S Phone No. V 6° 2 Z S 2Y 16 - .
Address of Firm 6 r C In-0-r Zip Code 0 G
Location of proposed work t"36 ra-,Ao u VJ r'A 2,P-0 r 6,a?y
Describe fully nature of permit requested 1:0S4 0 ) /A2 C a,�v1, 1 a-s 00 '1
In or vb L'n I. _♦ i1
Starting date 2.0 Call Before You Dig No n 1FL Z 1�?
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCHAREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD HE LATER THAN A YEAR.
Check Applicable: X No Pavement,Curti or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut 11 Sidewalk Cut
❑ E)dsting Driveway,No Changes ❑Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: P!Public Water ❑Well Sewage Service: 1,�Publie Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing �S
cd y ys A2 f No.cuts
Est.Patch Sizes) sf
(D5�4 Est. Pvt.Thickness in.
t` Est.Patch Unit Price$ Isf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ Jft
Est.Curb Cost$
L
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
' Est.Traffic Hours hr
a
Est.Traffic Unit Cost$ mr
5 3� Est.Traffic Control$____^_
g Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per 1-7 Total Due$
section 2.17 of the zoning regulations WY%
�e ( )Cash ( )Check#
Applicant is responsible far contacting the Police Dept.and C.B.Y.D A 11
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 CUT PERMIT MANUAL.
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Signed: Print Name t!"r r �^► 1� J I [ -ei If- Date:_ 5'
Engineering/permits/Street Exmation Permit 20 7