HomeMy WebLinkAboutStreet Cut Permits 405 Strong Road (2) 1800107 TOWN OF SOUTH WINDSOR, 'CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/06/2018
GIS ID: 87000405 FEE: 50.00
MUNIS APPLICATION# 201801409 EXPIRATION DATE: 08/06/2019
APPLICANT LOCATION
NAME: JAMES THROWE DBA ADDRESS. 405 STRONG ROAD
ADDRESS: 1330 MAIN STREET OWNER: KEHOE CHARLES F
4o5 STRONG ROAD
SOUTH WINDSOR,CT: 04
PHONE 860-289-0095
WORK DESCRIPTION: STREET CUT FOR WATER HOOK UP JACKING UNDER THE STREET
APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS 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.
ISSUED BY DATE INSPECTED INSPECTED BY
8/6/20181:11PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:So mes`'rh riot oP 719 A Uhk)S
LOCATION: y D Srn-)Y7 c OQ0ac�
TYPE OF WORK: � 17"p G o-' C l 1l-.k;ng . v►?cl- S7YPe-r
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
4tv
v�n 6 21 ivt rL o c�j�2 v ! i �?G a..�s:, C r 4g. 'l-k.1,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �V�l� DATE: ,
s/molloy/forms 2m Town of South vwnd r INPSELTmN REPORT m
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm C
�' C++ 'u- L• L Phone No. ak 2�
Address of FirmLa-
t�'�s-4 )v\ Ica Zip Code
Location of proposed work 110 5 5 ron
Describe fully nature of permit requestedC��� Wr r
Starting date /�� Call Before You Dig NoI
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check Applicable: 13 No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ❑Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water 0 Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
�F Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est Sidewalk Cost$
b^� Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
I-Ae in A , 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 Polio Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ( )Cash ( )Check#
Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RE'MRSE THE TOWN OF SOUTH WINDSOR FOR ANY
EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS POW AND THAT I AM FAMIWR WITH AND WILL ABIDE BY
THE RULES AND REGULATION
OR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL
Signed: Print Name cJaAoi ��,�►c� Date: l
EngIneerI1#permWStred Excavation Permit 2017