HomeMy WebLinkAboutStreet Cut Permits 81 Cliffwood Drive (2) 1800132 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/10/2018
GIS ID: 21000081 FEE: 50.00
MUNIS APPLICATION# 201801621 EXPIRATION DATE: 09/10/2019
APPLICANT LOCATION
NAME: CENTRAL SEALING CO INC ADDRESS: 81 CLIFFWOOD DRIVE
ADDRESS: 150 SUNSET RIDGE DRIVE
ER:
MITNICK JONATHAN T&CAROL J
91 CLIFP WOOD DR
EAST HARTFORD, T.,(6118
PHONE
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDS.OkTHE AMOUNT OF OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY bCPENSES INCU RRED B THE TOWN-FOR]MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THIS APPLICAN%T 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.
G ✓h-� Q
ISSUED BYd DAT8 INSPECTED INSPECTED BY
9/10/2018 9:35 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: L'�
LOCATION: C / '
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: `6
WORK IN
PROGRESS: 4 , a
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED []YES a NO
AS-BUILT: " . .
INPUT: C - DATE:
Vmolloyfibrm W014 Tom of South Wk*w MPSWWN REPORT 14
APPLICATION FOR STREET EXCAVATION PEFMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT P per,
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074
Name of Firm Yi N4 S em (AA (6 4 FLC._ 9i v— P M- ',I t e)6
Address of Firm )SI,C��-C ' V,� Phone No.
Zip Code v&
Location of proposed work 0
Describe fully nature of permit requested
Starting date UM C Call Before You Dig No
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 0 Pavement Cut ❑Curb Cut ❑Sidewalk Cut
XlExisting Driveway,No Changes 0 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
E) No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
i' Est.Curb Unit Price$ A
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
` .7 Est.Traffic Hours hr
Est.Traffic Unit Cost$ /ttr
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
O
Applicant is responsible for contacting the Poiice Dept.and C.B.Y.D OCash Check#
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 OUTUNED IN THE TOWN OF SOUTH
WINDSOR's STREET CU PERMIT MANUAL.
Signed: L Print Name 7u l t-e Z7 Date:
Engineering/ /Street Excavation Permit 2017