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HomeMy WebLinkAboutStreet Cut Permits 105 Edwin Road (2) 1900009 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT A DATE: 04/01/2019 GIS ID:29700105 FEE: 0.00 zv MUNIS APPLICATION# 201900545 EXPIRATION DATE: 03/3I/2020 ,s 4 . APPLICANT°3,} s•, LOCATION NAME: SUNSET VALLEY GONX$, JCTI© T ADDRESS 105 E} WIN ROAD ADDRESS: 55 KREYSSIG ROADCIA.RONNEAU ANDRE L ., BROAD BROOK,GI 06016'' ' x 3 r PHONE 860-706-9780 il WORK DESCRIPTION: CUB'RdAbi WECT NO FEE her w R: Y `k %, APPLICANT AGREES TO FURNISH TH�TO ?N OP SOTT. H WINDS(3R3'HE AMOUNT p f6ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al+[Yx XPI;N Es INCUY2:RE1D;BY TXiE QWN F0 "MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FtII,IARITHsA1Vp 4ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN+1?F SOUTH WIIDSbR `STREETUT k?IRMIT MANUAL. r Y 1 G ^ ISSUED BY DATE`"' gSPECTED INSPECTED BY 4/I/20193:05PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i E A. i x � �4r Y�Y. 'L S 1 tr (' y.• I ! k «� 4 z Y k j'T t y f i TOW SQUTH IN=NDSQRINSPECIION REPORT TC PERMIT NO.: I CONTRACTOR._ S?' . LOCATION: I Q J TYPE OF 1NQRK: DATE INSP NEEQE ' D�aTE INSP:. J� 7 iNSPEGTfD WORK:IN t' Eli . PROGRESS: HAD uEo WITNESS p YES [INo SEPTIC TANK PUMPEQ,SMASHED,, . AS-BUI{.T' INPUT. C_ DATE: 5/mot[oyf forms 14 lbvm of South Windsor SIPS Cf�OiV REP6914 . . r4PPL�CATI>'aN RQR STREET E. C1 ►TItN.�! NNT A AAI o .: TOWN QFSOUTH WINDS R Pl1 Lt Vitt tl t3 I�ART�iIi�M' .. P, rmit ktv TOWN:kIALiE.1 [iil:4lVA it 1 �11E;fft?UFI'11lVrNOWN CT•OW, SEE SS��gf>� ,�+� t w Ala me Qf..It ri# t. W kl 'C TI+C 1R''� Phitttr»t++tS�. Q'"' ` " ) ^( �tddr�ess.a�#t;trrra /'� , : Zip CAdey �' . ' . . .. ........ ,^ i- .,:.5(pr1 Cf.pfOpossd woFk �' W. H .. : D scribe fullly nature o.pal. ., TOO. sted c, f , f art 6i 'tea+. ' PJ�Yi ) ?4 tartmg d to t Oal!Before Yixu Lit NQ O i�tI �{ � Pt EASE t�QTE: Tti pEPC ft Ft9R THE PtrFiMAt+tt N f PAVEMENT PATGM AND GUi�E REPLACisIA's". 19 A PREi IMtNARY 4 fttiAATE. THE APPt EGANT IS kESipN$IBLE:FOtiThCE FULk.FIlyAL GOa�T{�F THE F+EfiMANENT PATCH Atyi3LtFiE Fit:PLACEMEfT,INCt E1DIfitG ANY INGREiASES:tN PAT H i4FtEA,:Gi!€tp i 1�3 3TN�.TFt I"FIC taANT .QL ANi}THE TOWIV'3 CdN F3AG't'COST ;. FtER ."to PATCH M TYPICALLY GPr-OMRL E0 WIThIIiU'A 1ti*A1 FTF1E'tI=MP if FtY pATCN t3UT IT C(7ULD EE-LmlillLATEFtTFiA�t A'f Atfi Cti+ck A,plirrrr ble i�iV'o:#avetr� Fit,Duct'cr Sid�+nr ik Gut iJ F4 . .9r:t Gut t I I'll, Curly Gut © idewalk Gut K'E�zk4 Chive. y,:No S3han as a' Pro':od o. --W: aylNidenin$ ,-iU Proposed tVew Driveway 1...t Supply: © Public YYatr3r ©1Neli Sewage:S Efnriad:. D Public Sewer CI:Septic . .... r $tigvr skeich of proposed Merit pr firrHsh Indicate IV4rih This section to-be tilted out bv'I"ovrn .. twc:::copies of.se�arats drtr t`Jo trots . *a, °f sG t'atch SFxe(s) I.I. f f N..Thihness m Est:Patch Unit Price Isf11. i 5.S. st:Patch i«ast; ,.: G .. say Est,DUrti Repiarernent it 4•t U . Est0,-Curb.unit price$:. fit: . . ..: . �:M.. .... Est.G�rbE cost - 1-1 1I y w Est.Slditwalit Repiaeemettt sf 1=at, idduuatk.11nif I.Prtckr ___ w____tsf . -% tilt,Sidewalk Cost$ L i E>tt.'iraffc Hiurs hr . .. .. .:: ost Traffic Unit Cost$ Ihr td1 l Est.'trafltc Ct�ntrai-S DRIVEWAYS rftust be aft or;rirlor$f tirtl'the pvope'rly tine per Arne of.0opasit$ .. I. seattan 2,47 of tf�e xonlaa�ragulattans Tatat°pt1o. Applicant is responsible for.contaOtiri�;the Pvli+r~e DaRt,:antt C.;B. F Dr. PERMIT S ..ALL EE;;KEPT 0 Jt�BSlTE M ALL TIMER ( j Dash ' (, j check Pail! V T A.3R£E TO:F�IitIUiSH TQ THE TON1N OF'SOUTH V11IND rr THE AMOUNT`OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH:Wliip3MR FI'9�t;ANY . ElSPC tSES 11 ktEt7 BY'THE TONlft FDR MAINTENW rr,,r. PAIR NlgRK iN CONNI=CT,ION I�fITH THIS PER ANU THAT I AM FAIvIfLIAFt WITH:ANCI WItJ E161CxE BY TFiE Rt1lE. 0..�RjG�!}l AT( S FQR PF.Fi iTS AS .0 fIV Q IN THE:TO1NiJ OF:SOUTH�Yti+/INpSORiS STREET CUT AERMIT,IFUtNUAL (7 1 Sign:ad. �" t�Ti.- �.. " '�"° PrintAame 1'►��h� m'�6G�` :Date: E . A . . En 9.P::._...itsJS#ree;ExcBvap:4n P ermtE817 ngirin / ersrs