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HomeMy WebLinkAboutStreet Cut Permits 150 Nevers Road (9) 1800174 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT - yr, DATE: 11/08/2018 GIS ID: 62400150 _ FEE: 0,00 MUNIS APPLICATION# 201802216 r s EXPIRATION DATE: 11/08/2019 :f ,�k APPLICANtT frr ;k 7 o LOCATION NAME: ENVIRONMENTAL RVIOES = ADDRESS 1� 0`NVERS ROAD ADDRESS: 90 BROOKFEILD ST1tEET y�y r r t OW 1ER y' JUTININDSOR TOWN OF 41 ROAD SOUTH WINDSOR,g'T 06(174 r ; PHONE 860-528-9500 tt ` a 5 lvoiil �'f WORK DESCRIPTION: WA F5RAllIRIa✓EFOI'�N);W BATHROMSA` ER RD PARK TOWi103CT NO FBE _s z a is ti w' APPLICANT AGREES TO FURNISH THE'�OV�N OF SOUTC S I D QR H1;AMO[ 1T�Q $iJND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A1�X EPENSF,S INCURREi $Y TITE�TOW1 Ij ORtIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH) APPLICANT IS FMIY,IAR W. Ala ?Wt L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN F SOU'I7/WII TDSO S STREET 1 UT PERMIT MANUAL. .-� ''� ' + h 1 ISS D BY DATE INSPECTED INSPE ED BY i I1/8/20I89:45AM PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 94 - i i - `"� wh fr F• Pao p ."gosh � � �� � '�+t�i SqE}.�rvy 1. �s� �� ���4�� � 7�r,•��� �' . 5 r+ ti y t% �1 yy i x ti i t 5 h v. r 1 f 1 !� � ,7'•� �r 1 I r I' TOWN OF SOUTH•1NINOSOR INSP,EC710M REPORT. PERMIT NO.: �' ©D 17 WNTRACTOR: LOCATION: :�)e\) TYPE OF WORK: v n n ivt DATE INSP NEED ED: DATE INSP,. INSPECTED BY: ..:• -.b WORK-:IN ' PROGRESS: :-7-Vj - SEPTIC TANK PUMPED,.SMASHED; FILLED : WITNESSED ❑'YES 0 NO' AS-BUILT: MPUT: DATE, ' ... f q wm6voyffimts Z14Tom offtil WkwwlIPNF NFORI'I4 i 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 FEE $50.00 Name of Firm G 5�7e w -1-c_ Phone No. DF 9 500 Address of Firm S r-0 01L C2 Zip Code O Location of proposed work © Ev V' #g r? Describe fully nature of permit requested o_e !� Starting date Call Before You Dig No - PLEASE NOTE: THE D POSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut *Pavement Cut ❑Curb Cut JI Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: tl Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price Est. Patch Cost$ Est.Curb Replacement ft /l(7v r2 S b 90 Est. Curb Unit Price$ /ft Est.Curb Cost$ 1109 r < Est.Sidewalk Replacement sf Est. Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$ section 2.117 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 FURNISH TO TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY HE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND GULA ION FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STRE T��Jc;yv'54 PERMIT MANUAL. Signed: Print Name GDate Engineering/p mits/S eet atlon Permit 2017 TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT ADDRESS PERMIT NUMBER INSPECTOR TEMP. PATCH DATE INSPECTOR COMPLETION PATCH DATE I f F 1 h