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HomeMy WebLinkAboutStreet Cut Permits 16 Gulley Drive (2) 1900088 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/05/201910, GIS ID:39300016 FEE: 50.00 MUNIS APPLICATION# 201901 I23 EXPIRATION DATE: 06/04/2020 St Y a r i APPLICANT LOCATION NAME: CENTRAL SEALINOtQ INS ADDRE S 16 U LEY DRIVE ADDRESS: 69 THOMAS STREW tG OTTERRODOVICH LAURA A I}� JL EY DRIVE EAST HARTFORD A-11610 PHONE c:, Y y Xi WORK DESCRIPTION: DRT9VE�t1;Y 7 a ;- t, l APPLICANT AGREES TO FURNISH THE' OVEN(�FOUTFI WII�lDSQI THE AM4�UNTv0L BrC}ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al i' XI'ENSIvS IN URRED�, Y THE TOWN FORAIAINTENANCE OR REPAIR WORK IN '01CONNECTION WITH THIS PERMIT AND THE API' RANT IS FAMILItklt WX3'H t�1D DILL ABIDE BY THE RULES AND REGULATIONS AN FOR PERMITS AS OUTLINED IN THE TOWN F SO. WIIVDSOR.':S STREET BUT P RMIT MANUAL. ISSUE BY DATTE INSPECTED INSPECTED BY 6/5/2019 2:43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 4 r c tit tAi`sY r kS t r p; t Orr t F yfl"r , ti 3 y 1S1 et' t + ti � >G N r ' Ake + l it !• 1 4F .. r TOWN OFSOUTN.WINDSQRINSpECT�ON REPORT - � ���g�� . � - : cep. PERMIT NO.: CONTRACT R 1.7 LOCATION: TYPE OF WORK: P NE Eta; DACE INSP;. �oG DI.TE INS ED - INSPEGTED-BY:_' ' --_ WORK'IN PROGRESS: SEPTIC TANK PUMPED,:SMASHED; FILLED WITNESSED ❑-YES CI NO- : AS-BUILT INPUT: DATE; s/m6uoy/fonns 2014 Town of SOUM Windsor.mpskwli REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT /► TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE'$it No. Name of Firm YL CPhone No. Address of Firm Lot -4,7 C Y17 A S :S' Location of proposed work 11 Zip Code Describe fully nature of permit requested Ye Ky.,&W. 5 e- ce i�"i Ve t c a Starting date Call Before You Dig No r PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH is TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 0 No Pavement,Curb or Sidewalk Cut 13 Pavement Cut CO Curb Cut ❑Sidewalk Cut Existing Driveway,No Changes ❑Proposed Driveway Widening ❑Proposed New Driveway Water Supply: ❑Public Water ©Well Sewage Service: L7 Public Sewer 11 Septic Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be tilled out b Town No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. ![� Est.Patch Unit Price$--/sf f Z Est.Patch Cost$ 31' Est.Curb Replacement C�! Est. Curb Urrit Price$ _/ft C�`C Sp Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr E j Zr e Est.Traffic Unit Cost$ /hr b 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 ON JOBSITE AT ALL TIMES Paid By I AGREE TO FURNISH TO THE TOWN OF SOUTH WlNDSOR 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 CUT PERMIT MANUAL. I 1 Signed: /L Print Name j i '1��r 1 Z4 Date: �� ! Engineering/p its/Street Excavation Permit 2017