HomeMy WebLinkAboutStreet Cut Permits 75 Quail Run (3) 1800038 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/20/2018
GIS ID: 74400075 FEE: 50.00
MUNIS APPLICATION# 201800521 EXPIRATION DATE: 04/20/2019
APPLICANT LOCATION
NAME: CENTRAL SEALING CO INC ADDRESS: _ 75 QUAIL RUN
ADDRESS: 150 SUNSET RIDGE DRIVE OWNER: BUTLER JOSEPH J&PAMELA J
EAST HARTFORD,CT 06108 75 QUAIL RUN
SOUTH WINDSOR,CT 06074
PHONE
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 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
4/20/2018 1:51 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 3. CONTRACTOR: C,1-'nlra
LOCATION: 7-S- Lt o �l t.4 n
TYPE OF WORK: r
DATE INSP NEEDED: DATE INSP: `
INSPECTED BY:
WORK IN
PROGRESS: c;c 5
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C DATE: 1 1
S/molloy/forms M14 Tom of South Windsor MPSMMON 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
Name of Firm eve f-MI SeA( (KA L U 1 kk C —Phone.No. 9Q�' -7GI O e'
s
Address of Firm c -� c S i Zip Code 61(p I( 'F
Location of proposed work ( 0
Describe fully nature of permit requested r6j-kqS, Z `i Ye GLL-�
Starting date q 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 ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
,krExisting Driveway,No Changes 0 Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water O Well Sewage Service: 0 Public Sewer 0 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 Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ !sf
i
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fft
I <-- tol � � C� bp)'1'�L Est Curb Cost$
Opp
s 1 2((0 S' Est.Sidewalk Replacement sf
jEst.Sidewalk Unit Price
___ _..-------- Est Sidewalk Cost$
`7 Est.Traffic Hours hr
Gttr1--l Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft 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 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. (/
Signed: vL"" Print Name 1w Le Tt V l( 2'Z1I Date: `f/6 1 J"
Engineering) /Street Excavation Permit 2017