HomeMy WebLinkAboutStreet Cut Permits 105 Deepwood Drive (3) 1800112 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/17/2018
GIS ID:27000105 FEE: 50.00
MUNIS APPLICATION# 201801452 EXPIRATION DATE: 08/17/2019
APPLICANT LOCATION
NAME: CITY PAVING COMPANY INC ; ADDRESS: 105 DEEPWOOD DRIVE
ADDRESS: 121 APPLE HILL OWNER: RUSSO.'KATHLEEN A
105 D6PWOOD DRIVE
NEWINGTON,CT 06111
PHONE 860-667-4900
WORK DESCRIPTION: DRIVEWAY
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 FORMAINTENANCE 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.
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ISSUED B DATE INSPECTED INSPECTED BY
8/17/2018 2:37 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH'WINDSOR INSPECTION REPORT
Q
PERMIT No.: . �1.0Q//o C #y�.
CONTRACTOR:
LOCATION: '0
TYPE OF WORK: Gt
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: b
WORK IN
PROGRESS: L, L K
SEPTIC TANK PUMPED, SMASHED, F u.ED WITNESSED ❑YES ❑ No-
AS-BUILT:
INPUT: DATE: - /
WnmAwoonns 2i4 Tom of South Wbdsw MPSOalbN WdU 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 $50.00
Name of Firm 1 '' �i t/A/ /� �.. _ Pho�No '
Address of Firm /f �e V lSC)ill //y, Zip Code
Location of proposed woricl�,t��'�PL�yd'D p
Describe fully nature of permit requested��iyZO
Starting date 2 — Z 'Z- —/ L-- Call Before You Dig No 0?
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
lasting Driveway,No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
0 Est.Patch Sizes) sf
0 e0 Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fit
Da Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Prig$ /sf
Est Sidewalk Cost$
Est.Traffic Hours hr
�2 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 O Cash O Check#
Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO ffiaRSE 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. REGULATKN=FORAS OUTLINED IN THE TOWN OF SOUTH WIINfDSOR'S STREET CUT PERM-ITT MANUAL
Sign Print Name?dn J !� i!! / Date:
Engineerin a f Excavation Permit 2017