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HomeMy WebLinkAboutStreet Cut Permits 29 Kelly Road (2) 1900087 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/05/2019 GIS ID:49500029 FEE: 50.00 MUMS APPLICATION# 201901122 4 � y EXPIRATION DATE: 06/04/2020 APPLICANII . ` t LOCATION NAME: CENTRAL SEALINGf.O INC ADDRESS 2�°KELLY ROAD ADDRESS: 69 THOMAS STREETr •sss OWNER ;; SMITIT SHANNON M KM ' $5 29 K ICY ROAD EAST HARTFORD,PC ;M46I0$ s PHONE Z 1 L WORK DESCRIPTION: DRI<WM VMOVE&REPLACE DRIU�WA3Z DEN LEFT SIDE APPLICANT AGREES TO FURNISH THL�rT01N OF SOUTH f?�IIMR THilxA11QOUITT QF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al41Y» XPFI�(SES IPSTCUI�R 3' BY SHE TOWI i FOR MAINTENANCE OR REPAIR WORK M CONNECTION WITH TNIS PERMIT AND TIC APPLICANT IS FAMIIAR WI H AI!iD WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN CyF SOUTI WI7vDSOIwS STREET GUT PIZMIT MANUAL. V0110tj5`�J ISSUED BY DATE Ii�TSPECTED ECTED BY 6/5/20192:40PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i t 'it.Pk l ep t�vti r t 1 4 pC'S r Ij 3 1 1 t 1 F S 4 ,a TQW OF SOUTH-WINDSO TNSPSCixON REPORT PERMIT NO.: �� CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP N W : DATE INSP:. Li INSPECTED BY' WORK:IN PROGRESS: L c: SEPTIC TANK PUMP,.SMASHED, FILLED WITNESSED [].YES NO" AS-BUILT: INPUT: - DATE'-' SIM611oy(Ponss 2014 Town of South Windsor•MpS rION NEPORT 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 $50 00- Name of Firm o ep h-aJ S-e4 (I i'l_G (D F Address of Firm Phone No, `7 t OGl Zip Code 0C<�/L?Location of proposed work e( Describe fully nature,of permit requested he P-nove s 1 GtC P C -r i✓'�.cc1 L <<�p vi r �� SioC Starting dqte__taLl a Call Before You Dig NoC' PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut 'Curb Cut ©Sidewalk Cut ❑ Existing Driveway,No Changes {'Proposed Driveway Widening © Proposed New Driveway Water Supply: El Public Water ❑Well Sewage Service: El Public Sewer 0 Septic Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town No.cuts Est. Patch Size(s) sf Olt Est.Pvt.Thickness In. &V rd— ry e�-eJ Est.Patch Unit Price$./sf Est.Patch Cost$ Est.Curb Replacement—ft Est. Curb Unit Price$, —eft Est Curb Cost$ 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 SHALL BE KEPT QN 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 C T PERMIT MANUAL, 9 Signed; �^�'��'—�, Print Name 10 1� 1-�'F [ t �Z� Date.. 1�I 6) 1e)- EngineeringJp its/Street Excavation Permit 2017 1 : '. J •�V CILIA e) 1 0 11 t !� 1 e E e"'o<�, 1 C� ��h