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HomeMy WebLinkAboutStreet Cut Permits 727 Chapel Road (2) 1700238 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 12/05/2017 GIS ID: 18000727 i4 FEE: 0.00 MUNIS APPLICATION 4 201701737 mI XPIRATION DATE: 12/05/2018 Y5 i APPLICANT LOCATION NAME: VMS CONSTRUCTION CO 7"LAPEL ROAD ADDRESS: 162 LAKE STREET."! w grx h k x OWNER CSi]GA RICHARD J&MARY R r 1Y" ., VERNON ROCKVII III ,C R6066 727 CHAPEL ROAD SC7I_ITH&INDSOR,CT 06074 PHONE 860-871-0278 �; 3 y s 5 4 } WORK DESCRIPTION: FUI�NI§H AN] AINSTALL FILTH=TO CREATEOAISVAY TO ACCESS M.4.14, FQR LINING NO FEE TQ:WN P$(JI1 CT� APPLICANT AGREES TO FURNISH Tflft(0 VNF 80— 1`HE,AMO INT=QF) DND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AYsEXPN3ES INCURRED BX TTIE:TUWIIFOIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIIE A1'P ICAN, IS I AIVIII M WITH D °TLL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OIL'S©YJTH W1V SdR' STREET CUT PERMIT MANUAL. ISSUED BY f)"nfq0ttTED IN PEC D BY 12/5/2017 12:26 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** t t Sr t 4 hf* G :Y: y r o,w ?..? i tc 4 (1 ( li;Sk J 5i Y r4 3 r i y,vki h Slq ( y I y R y 5 12 k l * ? 1 y r TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO,: 1 :1. f� ,�3 �� CONTRACTOR: I/ .S LOCATION: -1 a`"l C-�a.jg p 1 'R n o w TYPE OF WQRK:�,,�5 fiq.}l. . ry, ,r a rl n e-f kk)s(a AC ,_- n4a r?ho JeS DATE INSP NEEDED: DATE INSP: , l INSPECTED BY: WORK IN PROGRESS:_ V 't S f �s j �✓w�zv ivt. �w, SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [] NO AS-BUILT: ' INPUT: — DATE: "CQ` S/molloy/forms 2014 Town of South Windsor INPSECITON REPORT 14 -Zo 1'-7 0 t 13 APPLICATION FOR STREET EXCAVATION PERMIT 17 00 6?a Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm VMS Construction Company Phone No. 860-871-0278 Address of Firm 162 Lake Street Vernon, CT Zip Code 06066 Location of proposed work 727 Chapel Road Describe fully nature of permit requested Furnish and Install Fill to create roadway to access sewer manholes for Lin Starting date 12/11/17 Call Before You Dig No 20174701361 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut El Pavement Cut I] Curb Cut O Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening O Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ® Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Per Chapel Road Project Plans and Specifications Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ Ift 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 aft 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 ABBE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'T--RE ���111 Signed---� Print Name Brett Adams Date, 11/30/17 Engineering/permits/Street Excavation Permit 2017