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HomeMy WebLinkAboutStreet Cut Permits 150 Nevers Road (8) 1900014 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/03/20I 9 GIS ID:62400150 FEE: 0.00 MUNIS APPLICATION# 201900561 ? EXPIRATION DATE: 04/02/2020 APPLICANT ': LOCATION NAME: HATHAWAY LAND `CAPI�TG T.L s ADDRE 150,NVERS ROAD ADDRESS: P O BOX 3153i ' v OR!NERQI]TI WINDSOR TOWN OF 41 ISA0' aLLIVAN AVENUE VERNON,CT 0606LZi S 5� PHONE WORK DESCRIPTION: RE1�QQ1�E'4EPLACE 35'Y OQF SII�tLWAT SOWN PROJECT NO FEE M. x r ' APPLICANT AGREES TO FURNISH THI TO"�OF SOi�WINDSQAF.y5Tm w,...o TNT QF BV OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AJYX�EITSES IIU�i.I3Y TIE TO bVi* F�OR`1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND HEAT IS F�III L4R WITH�4ND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWNa1F SOUS I WINDSOI '.'S S`I RETT CUTMIT MANUAL. mg ISSUED BY DACE INSIECTED INSPECTED-BY W3/2019 10:00 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Al ' I r f a a moo ,5 L1 i wU 4 it t tvr Sfl 1 l •.` f a TOWS OF SQUTH WINDSOR INSPEC'fIDN REPORT PERM 9 .© d1`� • IT NO . a � CONTRACTQR._ LOCATION. / "D ✓j ' 4�C� . TYPE OF WaRK: .5 G DATE INSP NEE-60-. DATE INSP: INSPECTED Bl(: '7 WORK INs c:1 PROGRESS: SEPTIC TANK PUMPtD','SMASHED; FIU,ED WITNESSED [],YES NO' li)j— AS-BUILT: . INPUT. �'Yam' DATE. �/mollo�l� Z(114 T=of Sour Windsor MMCON Wb tT 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 05074 FEE $50.00 Name of Firm LkI'OSCa I0l &L6 Phone Na. f - Address of Firm 0. / l 1�1 6-7— Zip Code Location of proposed work LZ2 fWD Describe fully nature of permit requested V0 Starting date L Z Call Before You Dig Now 9 L ) G1 Cs / PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut l Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish + \ ' Indicate North This section to be filled out by Town two copies of separate drawing1' o ' No.cuts �G (D Est.Patch Sizes} sf Est. Pvt.Thickness Est.Patch Unit Price$ Est.Patch Cost$ y7 Est.Curb Replacement ft Est.Curb Unit Price$ �(t 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$ 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 { )Cash ( )Check# Paid By I AGREE TO R SH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES I CU BY HE TO OR NfE NCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES ND ULATI N FO ERM 0 LINED HE TOWN OF SOUTH WI DSOR'S STREET CUT PERMITMANUAL. _ Signed: �— Print Name}!'� �- ` ate^ Date: Engineering/permits/Street Excavatlan Permit 2017