HomeMy WebLinkAboutStreet Cut Permits 1033 John Fitch Blvd (2) 1700106 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 06/15/2017
GIS ID:47701033 ti tj` .
MUNIS APPLICATION# 201700719 Y FEE: 25.00
4� EXPIRATION DATE: 06/15/2018
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APPLICANt h '
NAME: M&S PAVING A LOCATION
ND EAL�N"G IN `; t s z ' ' �� � s °'
: .- } ADDRESS 1033 Jt HN FITCH BIND
ADDRESS: 111 COMMERCE WAY�r , y 4; 4
SOUTH WINDSOy�(� O1VE1 BANK�QF AMERICA CORP RE ASSESSMNTS
_�fLV�/ 5
4Q41`i1�1'RYON ST
PHONE 860-648-1915 4 Yam' .,k F s s ' YIARLiTTE,NC 28255
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WORK DESCRIPTION: REg
Y yR01�I ENTRATI >w/ XIT C� VEN4R HWY SIDE
APPLICANT AGREES TO FURNISH THATOWN QFSbUH`WINDSQIZ FIE A�gOJlO Bj�REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIYXPIJN�SESC`[XD$ , TO � INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND E A,pQI IGT IS`R
FOR PERMITS AS OUTLINED IN THE TOWN EJF SUI"H VG S RR ITT T M31DE BY
ANUAL.THE RULES AND REGULATIONS
ISSUED BY r
SpE�TED = r
INSPECTED BY
611 5/201 7 9:28AM **• PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*-**
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 1.7o62 CONTRACTOR: C
LOCAMN: 3 _. ,h
TYPE OF WORK: -,m � . rrivwp s H 4.<1
DATE INSP NEEDED: DATE INSPO.-2.A, 19
INSPECTED BY:r,•.
WORK IfV
PROGRESS;
SEPTIC TANK.PUMPED,SMASHED,FILLJED W1TNESSED ❑YES ❑NO
AS-BUILT: '
DATE: In
S/movoy/mormszomTown or5oum Windsor INPSR. oN'l P0'(r 14 _
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APPLICATION FOR STREET EXCAVATION PERMIT j
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm M &S Paving and Sealing, Inc. Phone No. 860-436-4588
Address of Firm 111 CoLnmerce Way South Windsor CT Zip Code 06074
Location of proposed work 1033 John FFtch Blvd
Describe fully nature of permit requested Repair'no apron at entrance/exit
Starting date June 2 2017 Call Before You Dig No p111771041RR
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut EK Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
XX No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
SEE ATTACHED Est. Patch Unit Price$ /sf
Est.Patch Cost$
Est. Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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 STREE T ERMIT MANUAL.
Signed: a Print Name Date: 3 >7
Street Ex vation mit 2014