HomeMy WebLinkAboutStreet Cut Permits 50 High ridge road (4) 1800092 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/11/2018
GIS ID:42300050 " ' f .4 �'' FEE: 50.00
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MUNIS APPLICATION# 201801194 's F "mow f ��r TNPIRATION DATE: 07/11/2019
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APPLICAN } 15 �� 4 i ry k' LOCATION
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NAME: VMS CONSTRUCTIOA C014��'A RIDGE ROAD
ADDRESS: 152 LAKE STREET � al s �1ER`f r ?.�,ZINHEIRA ELISEU D&LISA C
VERNON ROCKVIL 11'O60 ' h ;, y-' 50, I II RIDGE ROAD
IJINDSOR,CT 06074
PHONE 860-871-0278
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WORK DESCRIPTION: CURB kCUT DEWAs � t
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APPLICANT AGREES TO FURNISH THE�'V�OMDN -" vI0 1T I B�(u ND REQUIRED AND TO REIMBURSE-
v-gimTHE TOWN OF SOUTH WINDSOR FOR ANkY'EX-I' NSS HIP,T�S4JNQRD+AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tft;Af
I ' CAr#T IS I A11T 1 WH AI V1I L ABIDE'BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN IT MANUAL. /A
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ISSUED BY DA' E INS°FCTED f PECTED BY
7/11/2018 1:40 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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: TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ® CONTRACTOR: Ilm s 60n s f,• I,?. _
LOCATION:. —c�, !- '► -P r�,�. a,���
TYPE OF WORK: r,tie.6 _cL, A f"I ,IVA A)rA,(
DATE INS
P NEEDED.. SATE INSP:
INSPECTED BY. ;
WORK IN n,m.
PROGRESS: < Ar V_wAt.K_' :NmA At'JO whiz NA'f,.S
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SEPTIC TANK PUMPED, SMASHED, ILLEQ WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT:
5/m6lloy/farms 2014 Town of South Windsor AVPSECWN 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 $25.00
Name of Firm I✓^'b 5 C S'�2�t�"7"�.�N CO Phone No. 0 ^
Address of Firm_ Z LAIcF- S-7r Zip Code
Location of proposed work 8/,/H 2r 3 6C- 2-6 -
Describe fully nature of permit requested rL 4 GFv
Starting date f 1 Call Before You Dig No Lol`7— 0y �Z-1
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 1S A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: CI No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut g Curb Cut b(Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening X Proposed New Driveway
Water Supply: ❑ Public Wafer ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Tawn_
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$$ lft
r
�� r� Est.Curb cost$
1 �,r,s7 ly.�r, /
.0 -� {� � � w,r Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ Isf
r
LEA��G Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ !hr
J( IL 6"- 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 regulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON J068ITE 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
-- NA 111.,4M FAMILIAR WITH AND WILL ABIDE BY THE RUL,FS t '?`) REGUL.A'_IO� PERMITS AS OUTLINED IN THE TOWN OF SOUTH
VVINDSOR'S STR ET CUT PERMIT MANUAL.
Signed: �/'7. Print Name Datp /���