HomeMy WebLinkAboutStreet Cut Permits 81 Commerce Way (2) 1900072 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/20/2019
GIS ID: 22500081 " FEE: 50.00
MUNIS APPLICATION# 201900994 EXPIRATION DATE: 05/19/2020
APPLICAN'' ,r' LOCATION
NAME: CENTRAL SEALING'CO INC ADDRIrSS k,8YN'CO1t�IMERCE WAY
ADDRESS: 69 THOMAS STRI✓FT2 r ' ; OWNER ry�$RUNIIER HOLDINGS LLC
FARM DR
EAST HARTFORD X, 'Q610 ; ti
PHONE '
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54 N it
WORK DESCRIPTION: DRJUTWAY
APPLICANT AGREES TO FURNISH TH TOWN QF SOUTH N.
I W.0R THE AMOI INT OF BLIND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR t1N ' XPhljSES INCURR I)I3 Y T IIr I4W FdII rMAIN"IENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T t[E APPLitt VT IS FAMI IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOW10bk SC?UTI WINDSOI2'S STREET Ci7T P 1tMIT MANUAL.
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ISSUED BY DATE'FNSPECTED INSPECTED BY
5/20/2019 11:45 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TYPE OF
DATE INSP NEE
DME INSP:. � z r
INSPECTED BY:
WORK,-.IN
PROGRESS:
K PUMP, FILLED � ..--' . ; 1l rMESSED ❑YES NO*
SEPTIC TAN ,.
AS BUILT
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INPUT,. � . . DATE:
SNolttjyJf ms 2814 Town of South WiudsorlNPS CRON DEPORT 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 06074 FEE `$50 Eitk
Name of Firm Lt vl fy&f geeu I y Cry l
Phone No. G `7�'Ud
Address of Firm Iq l hf�'Yt�-S S ��r_ �- l��jy�t �r Zip Code
Location of proposed work .ffl 1� �Z�
Describe fully nature of permit requested_--���t�-�� �, ;ram, AA)4 .i m i o)--
Starting date f E Call Before You Dig No 0G �
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable. ❑No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
'sting Driveway, No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑Public Water ❑Well Sewage Service: El Public Sewer ❑Septic
I
Show sketch of proposed work or furnish
two apples of separate drawing Indicate North This section to be filled out by Town
No.cuts
Est. Patch Size(s) sf
�C�I1l�o� f � Est. Pvt.Thickness in.
CJ Est.Patch Unit Price$ /sf
r1 cl C I!�cti�u � "Lfie x
Est.Patch Cost$
'0"Kew S 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
( }Applicant is responsible for contacting the Police Dept.and C.B.Y.D Cash ( )Check#
PERMIT SHALT_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 STREET UT PERMIT MANUAL.
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Signed �: �"� Print Name Date:
Engineering/p its/Street Excavation Permit 2017